Three-Part Series on Advanced Practice Registered Nurse Coding & Billing in Hospice and Palliative Care

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Professional fee billing revenue is essential to sustain and grow interdisciplinary palliative care and hospice teams. While often perceived as burdensome and peripheral to patient care, billing and coding practices—when optimized—can help expand your team’s ability to provide high-quality care to the patients and caregivers you serve. Ineffective billing and coding can limit growth, and even threaten your team’s viability.

This interactive, three-part series is designed for APRNs practicing in Palliative Care and within the hospice benefit. It will focus on maximizing billing revenue using a steadily expanding set of CPT® codes available through the Medicare Fee Schedule. These codes describe services frequently provided by palliative care teams, including advance care planning, care management services and prolonged services, among others. The series will also take a deep dive into Evaluation and Management (E/M) coding techniques relevant to APRNs, emphasizing complexity- vs. time-based billing, use of multiple codes to describe complex patient encounters, documentation requirements, minimizing clinician burden, and capturing interdisciplinary team member work where possible.

Participants will engage with expert professional billing faculty, through both information sharing and case-based learning. Content will be tailored to participant needs and stress relevance across practice settings. At the end of the series, participants will be better prepared to develop or refine their approach to billing and coding – and to survive and thrive in a changing reimbursement landscape.

This series is free for HPNA members. Non-members may attend the webinars for $150 each. This registration fee includes a one-year HPNA membership.

Interested in learning more? Listen to HPNA’s latest podcast episode, featuring presenter Chris Acevedo, CHC, for a sneak peek of the series.

Session Overviews:

The Basics on APRN Billing in Hospice and Palliative Care: Part 1 of a 3-Part Series

June 24, 2024
3:00 – 4:00 p.m. ET

In this interactive discussion, we will examine the underlying requirements for coding and billing APRN services in the End-of-Life care setting. We will review covered billable services/activities, the nuances that apply to APRNs in the hospice setting, and discuss the billing process, including proper use of CPT codes and modifiers.

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Nuances of APRN Coding and Billing in Hospice and Palliative Care: Part 2 of a 3-Part Series

July 16, 2024
3:30 – 4:30 p.m. ET

When a patient is receiving hospice or palliative care, billing for patient care services can be very complex. CPT codes vary based on the location of service as well as the practitioner’s role with respect to the patient and the hospice and/or palliative care program. The role of medical necessity and its part in substantiating billable visits can be challenging as well. In this session, we will discuss optimizing the revenue potential of APRN services provided and incorporating clinical indicators into documentation to establish the need for ongoing medically necessary intervention.

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Optimizing Revenue in APRN Hospice and Palliative Care Billing: Part 3 of a 3-Part Series

August 12, 2024
2:00 – 3:00 p.m. ET

Building on the prior sessions and knowledge, particular attention will be paid to optimizing revenue opportunities through an understanding of codes, combinations, and documentation. Additionally, this session will follow the coding and billing scenarios available to an APRN utilizing a patient’s journey from a palliative care admission through a hospice “Celestial Discharge.”

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