I believe that so-called Personalized Care Planning is a COVERED service by Medicare. Correct?
This is a formal process between a patient and a physician whereby the two collaborate and create a so-called longitudinal treatment plan especially if the patient is a complex high need individual. In other words, your geriatric patient on 10 medications and that needs several visits to be properly medically managed.
The reason I ask is:
- that if it is NOT a covered service, then could a D.P.C. physician collect a separate fee from the PATIENT while still being enrolled in Medicare (still opted in)?
- If it is a COVERED service, then could this possible increase home visit physician reimbursement to a physician doing house calls if that house call physician remained enrolled in Medicare (still opted in)? If so, I wonder if the coding level could reach a higher level code…say…99350 (highest home visit code for an established patient) or 99345 (highest visit code for a new patient)?