Covering Costs and Generating Revenue
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
Introduction to Payment
The basics of health care payment and implications for palliative care.
Monograph introducing U.S. health insurance with a focus on Medicare and what it means for palliative care.
Defines key terms in payment vocabulary.
Federal website explaining the basics of value-based payment, with explanations, patient stories, and payment model summaries
Fee-for-Service Billing
Palliative care is reimbursable as professional medical services. These tools can help you optimize your billing.
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.
Toolkit with billing and coding best practices for palliative care services delivered in the hospital or the community.
Common CPT Codes with wRVU relevant to palliative care and hospice services across settings with average national payment.
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
In this Virtual Office Hour, expert faculty will explore commonly asked inpatient palliative care billing questions and describe billing and coding practices.
In this Virtual Office Hour, ask questions about billing for services provided in the home, office, or long-term care setting.
Foundation Fundraising Guidance
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
This six-step worksheet will assist in developing key messages to engage your development office and your potential donors to secure philanthropic support.
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.
An at-a-glance overview of best practices in proposal preparation
Ideas and information to inform an initial letter of inquiry for an initiative that advances racial equity during serious illness
A presentation clarifying how to present and request philanthropic funding for your palliative care program.
This six-step worksheet will assist in developing key messages to engage your development office and your potential donors to secure philanthropic support.
Other Ways to Pay for the Palliative Care Program
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.
Article in Palliative Care News describes approaches used by several programs to secure philanthropic funds.
These tools can be used to make the case for palliative care investment with organization leaders, health plans, colleagues, and community partners.
Resources for palliative care programs working with payers and other financial stakeholders.
Monograph introducing value-based payment and its implications for palliative care.
Monograph outlining the leadership and operational competencies that palliative care teams need to succeed under value-based payment.
Navigating financing strategies for hospice-led palliative care, including Medicare fee-for-service, payment contracts, organizational support, and philanthropy.
Financial blueprint for supporting rural services. Stratis Health.
This Virtual Office Hour explores best practices in evaluating your program and engaging stakeholders.
