Though this section is optional, we suggest discussing Advanced Care Planning with your patients. You are able to bill for the initial 30 minutes of the ACP discussion along with every additional 30 minutes after that.
Navigate to the AWV Exam Page:
Search for the patient on the dashboard by First Name, Last Name or Patient EHR ID.
Once the patient search page loads click the the patient's EHR ID, patient name, or "View" button located underneath the "Actions" column.
On the patient view page, select the "Programs" tab and view the "AWV" option.
Under the "Current Annual Wellness Visit" section, click the "Open AWV Page" button highlighted below.
Consent to Discuss ACP:
Once on the patient's AWV exam page, click the empty bubble located above the "Advanced Care Planning" section. Users can also select the green "Start The Next Step" button located at the bottom of the page to navigate to the next portion of the patient's AWV.
The patient reported answers from the patient questionnaire will appear on the right hand side of the "ACP" screen.
Note: Make sure the patient understands that there is no copay if they participate in the ACP during their Annual Wellness Visit.
If the patient wishes to complete the ACP at a different time, they should be notified that they may have a co-pay. Click the blue button labeled "Patient will Begin ACP at a Later Date".
Note: The red "Patient Declines ACP Counseling" button and orange "Not Needed / Not Eligible" button are both additional options a user may choose when bypassing the ACP section.
Note: Once the ACP is declined the ability for the patient to take the ACP will be revoked. However, the patient will have the opportunity to take it again this next year.
Beginning the ACP
If the patient wishes to continue with the ACP during their AWV simply click the "Patient Consents to ACP Counseling - Begin Now" button.
Whenever you begin a patient's ACP it will appear below your patient reported answers section. Scroll down the page to view the patient's ACP questions.
If at any time the patient would like to cancel the ACP click the "Cancel ACP" drop-down button to select the reason why the patient is deciding to decline the ACP.
The first question a user will come to in a patient's ACP is for selecting the types of topics discussed with the patient. The options listed are:
Purpose of Advanced Care Planning
Practical applications in the future (examples of situations based on the beneficiary's current medical conditions)
Reversibility of decisions made - responsible party
Explanation of Living Will
Explanation of Durable Power of Attorney (POA)
Do Not Resuscitate (DNR)
Organ and Tissue Donation
ICDs and pacemakers
Note: Select all topics covered during the patient's ACP.
The next four questions of the ACP (4-5), are open ended, click to begin typing the patient's answers to each of the individual questions.
ThoroughCare gives you the ability to properly document the topics and plans you and the patient have decided upon. We suggest being as detailed as possible.
If at any time you would like to cancel the ACP click the "Cancel ACP" drop-down button, and select the reason why the patient if declining the ACP.
Finishing the ACP
Whenever you have finished the ACP discussion with the patient, make sure to choose the correct billing codes in question "6". Then, mark the section as completed by choosing the provider and date in which the ACP was completed, and click "Save and Complete".
Note: If you would need to change the date of the ACP the option to do so is located next to the "Save and Complete" button.
ThoroughCare will ask you if you are sure you want to complete the ACP. Click "OK" to continue.
Once the ACP discussion is finalized, a green checkmark will appear within the "Advanced Care Planning" bubble.
For more information on finishing the patient's ACP, not discussed in this article, chat with a ThoroughCare professional by clicking the blue chat bubble in the bottom right hand corner of every ThoroughCare screen!