End of Life Care/Advance Care Planning
1.6.16: Medicare Coverage of Advance Care Planning
On January 1, 2016, Medicare began covering advance care planning as a separate and billable service.
The two advance care planning codes for Medicare are:
11.8.15: Advance Care Decisions Materials Available from NYACP
Advance decision making and end-of-life care options are unfortunate but necessary conversations for patients to have with their physicians and families. New York Chapter ACP has gathered important resources to assist in making these difficult discussions a reality.
A recently released report from the Institute of Medicine of the National Academies entitled “Dying In America: Improving Quality and Honoring Individual Preferences Near the End of Life” details key findings and recommendations related to the realities of the clinician-patient relationship and how to effectively communicate and facilitate end of life wishes and directives. An excerpt of the recommendations:
“Most people nearing the end of life are not physically, mentally, or cognitively able to make their own decisions about care. The majority of these patients will receive acute hospital care from physicians who do not know them. Therefore, advance care planning is essential to ensure that patients receive care reflecting their values, goals, and preferences.”
You can read the document in its entirety here.
The Department of Health for New York State has a website of resources including the Medical Orders for Life-Sustaining Treatment (MOLST) form.
MOLST legal requirements checklists and general instructions for adult patients are:
The MOLST legal requirements checklist for minor patients is:
Frequently Asked Questions regarding MOLST:
End of Life Care/