Most programs combine several funding sources that can include billing revenue, investment by the home organization, partnership with health plans, and/or grants and philanthropy. Use this toolkit to learn the fundamentals of payment, fee-for-service billing strategies, and other basics of securing revenue.

What’s in the Toolkit

The basics of health care payment and implications for palliative care.

Payment Quick Tips: Understanding Medicare, Medicaid, and Commercial Insurance
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Monograph introducing U.S. health insurance with a focus on Medicare and what it means for palliative care.

Payment Glossary

Defines key terms in payment vocabulary.

CMS Value-based Payment Spotlight
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Federal website explaining the basics of value-based payment, with explanations, patient stories, and payment model summaries

Palliative care is reimbursable as professional medical services. These tools can help you optimize your billing.

A Sip From the Firehose: Key Palliative Care and Hospice Billing and Coding Changes in 2023

In this short webinar, Chris Jones, MD, provides a brief overview of the key 2023 changes to the billing and coding regulations that will affect clinicians who take care of patients with serious illness.

Optimizing Billing Practices

Toolkit with billing and coding best practices for palliative care services delivered in the hospital or the community.

2024 Work Relative Value Units (wRVU) Table: Palliative Care and Hospice
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Common CPT Codes with wRVU relevant to palliative care and hospice services across settings with average national payment.

Community-Based Billing Estimator
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At-a-glance Medicare RVUs and national non-facility payments for codes commonly used by community-based palliative care programs. Center to Advance Palliative Care, 2024

Inpatient Billing and Coding

In this Virtual Office Hour, expert faculty will explore commonly asked inpatient palliative care billing questions and describe billing and coding practices.

Billing for Community-Based Palliative Care

In this Virtual Office Hour, ask questions about billing for services provided in the home, office, or long-term care setting.

New initiatives to improve the care for people with serious illness can often match a foundation's goals. Use these resources to sharpen your fundraising knowledge and skills

Engaging and Retaining Philanthropic Support: Audience-Based Communications (ABC) Strategy for Philanthropy
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This six-step worksheet will assist in developing key messages to engage your development office and your potential donors to secure philanthropic support.

Strategies for Funding Serious Illness Initiatives

Listen in on a conversation providing insights on foundation fundraising for palliative care initiatives, particularly those focused on improving care for underserved populations. CAPC’s Chief Health Transformation Officer, Allison Silvers MBA, is joined by program officers from two local foundations, one national foundation, and a successful grantee. Hear their advice for finding, approaching, and working with funders.

Foundation Proposal Checklist
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An at-a-glance overview of best practices in proposal preparation

Letter of Inquiry Template Language
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Ideas and information to inform an initial letter of inquiry for an initiative that advances racial equity during serious illness

Philanthropy Strategies
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A presentation clarifying how to present and request philanthropic funding for your palliative care program.

Engaging and Retaining Philanthropic Support: Audience-Based Communications (ABC) Strategy for Philanthropy
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This six-step worksheet will assist in developing key messages to engage your development office and your potential donors to secure philanthropic support.

Beyond fee-for-service billing, programs garner financial support through their home organization, through value-based arrangements with financial partners, and through philanthropy. These tools and links can help with all approaches.

How Nonprofit Palliative Care Providers are Raising Philanthropic Dollars

Article in Palliative Care News describes approaches used by several programs to secure philanthropic funds.

Tools for Making the Case

These tools can be used to make the case for palliative care investment with organization leaders, health plans, colleagues, and community partners.

Building Financial Relationships

Resources for palliative care programs working with payers and other financial stakeholders.

Payment Quick Tips: Value-Based Payment Introduction
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Monograph introducing value-based payment and its implications for palliative care.

Payment Quick Tips: Value-Based Payment Capabilities
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Monograph outlining the leadership and operational competencies that palliative care teams need to succeed under value-based payment.

Quick Tips: Financing Your Community-Based Palliative Care Program
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Navigating financing strategies for hospice-led palliative care, including Medicare fee-for-service, payment contracts, organizational support, and philanthropy.

Sustainability Strategies for Community-Based Palliative Care

Financial blueprint for supporting rural services. Stratis Health.

Making the Case for Palliative Care: Demonstrating Value through Measurement

This Virtual Office Hour explores best practices in evaluating your program and engaging stakeholders.

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