Betsy Nicoletti

Medical Coding and Compliance Expert, Speaker, Educator, and Auditor

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Advanced Care Planning: Learn the Basics

As of January 1, medical practices can bill for discussing advanced directives and end of life planning with patients using existing CPT™ codes.

Although CMS describes this service as a support to primary care, there are no restrictions related to specialty in providing the service.

This no-nonsense presentation will describe the CPT™ rules related to the Advance Care Planning codes and CMS guidance from the Physician Fee Schedule final rule, released at the end of  October. Although CMS is not presently setting a National Coverage Determination, it did describe a payment amount, and when ACP (Advance Care Planning) could be reported with other E/M services.

Bonus: Also a quick review of TCM (Transitional Care Management) and CMS change for 2016!

After the session participants will be able to:

  • Implement the service in their practice
  • Describe the key requirements that need to be documented in the medical record
  • Communicate the key CPT™ and Medicare rules related to Advance Care Planning
  • Know when there will–and won’t–be a patient due balance

Filed Under: Presentations

Email: support@betsynicoletti.com

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“My organization approached Betsy Nicoletti because we had providers failing coding audits.

Betsy’s name is out there in the coding world as a leader in the field and wanted the best for our providers.

Betsy works with the organization to set up webinars for our new provider on boarding training process (which according to them has been most beneficial), as well as subsequent auditing to ensure provider engagement and understanding.

Betsy’s one on one approach has helped the organization overall by the specialized attention to our specific needs.

I appreciate Betsy’s tactful approach with the providers to lessen their concerns as it relates to proper coding. She is up to date on all of the current changes in coding and maintains the communication whenever warranted.

Overall I have found the experience of working with Betsy as positive and educational. I would not hesitate to recommend Betsy to any organization that needs to improve their coding practices and improve success rates from outside auditing.”

Julie D., LPN
Clinical Performance/Operations Manager

• Develop agenda with Betsy*
• Betsy will customize presentation and prepare learning materials
• 90 minute Zoom, live education session
• 30 days Q&A follow up
• Recording of session to show new hires
• Interactive: everyone hears the same thing and can ask questions

*Betsy’s area of expertise doesn’t include all procedural coding – email to set up a time to discuss your needs