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Talking about the future of your care isn't always easy. Yet conversations about wishes, values, and medical choices are essential, especially when living with a serious illness. This is known as advance care planning (ACP), and for many patients and families, the biggest question is: How will this be covered?
Advance care planning is more than filling out paperwork. It's a conversation about what matters most to you if you reach a point where you cannot make decisions for yourself. This may include choices about life-sustaining treatments, comfort-focused care, or naming a trusted decision-maker. Because these discussions are so vital, Medicare recognizes and covers advance care planning services when provided by physicians or other qualified healthcare professionals.
Under Medicare Part B, advance care planning can be billed as a standalone service or included during an annual wellness visit. This means patients can have meaningful, structured conversations with their providers without worrying about unexpected costs.
When patients know ACP is covered, they are more likely to engage in these important conversations early, rather than waiting until a crisis. Coverage ensures equity, allowing everyone, not just those who can afford private counseling, to have their wishes documented and respected.
For physicians, nurse practitioners, and other professionals, Medicare billing for ACP allows time to sit down with patients, listen to their values, and create a plan that guides care decisions. Proper billing also supports the healthcare system by recognizing the importance of communication, not just treatment.
At Pallatus, we see advance care planning as an act of empowerment. Our teams guide patients and families through these conversations and ensure the right documentation is in place. By working closely with physicians, we also help ensure billing is transparent and stress-free. Planning ahead is not about giving up; it's about making sure your voice is always at the center of care. Medicare's support for advance care planning makes that possible.
