Medicare Providers Did Not Always Comply With Federal Requirements When Billing for Advance Care Planning

(Via OIG) Medicare providers that billed for ACP services in an office setting did not always comply with Federal requirements. Specifically, of the 691 ACP services associated with our sample, Medicare providers complied with Federal requirements for 225 services totaling $15,874. However, providers did not comply with Federal requirements for 466 services totaling $33,332. On the basis of our sample results, we estimated that Medicare providers in an office setting were paid approximately $42.3 million for ACP services that did not comply with Federal requirements. These payments occurred because the providers did not understand the Federal requirements for billing ACP services. Read the full report here.