Do High Volume anti Dementia drug prescribing doctors bill Medicare for Care Plans?

Abstract Medical providers can bill the Centers for Medicare and Medicaid Services (CMS) for dementia care plans under code 99483. Dementia care plans provide written information to help provide education and support to the patient and their care provider. The purpose of this data analysis was to determine the relationship between high-volume dementia medication prescribers to providers of dementia care plans. Identifying the relationship between these two factors may help shine a light on a way to improve care for individuals with dementia. The billing codes analyzed were for dementia care plans by high-volume dementia prescription providers across five U.S. markets states from the 2021 Centers for Medicare and Medicaid Services (CMS) database. The main finding across all five was that there was a significantly low use (5% or less) of the dementia care plan billing code amongst the high-volume dementia medication prescribers.

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Publication Details

Journal
Innovation in Aging
Published
2025-12-01
DOI
https://doi.org/10.1093/geroni/igaf122.3917
Primary Topic
Dementia and Cognitive Impairment Research
Type
article
Field-Weighted Citation Impact
0.00
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article

Do High Volume anti Dementia drug prescribing doctors bill Medicare for Care Plans?

Kate Gordon, Michael Splaine
Innovation in Aging
Dementia and Cognitive Impairment Research
article

Do High Volume anti Dementia drug prescribing doctors bill Medicare for Care Plans?

Kate Gordon, Michael Splaine
article en

Abstract

Abstract Medical providers can bill the Centers for Medicare and Medicaid Services (CMS) for dementia care plans under code 99483. Dementia care plans provide written information to help provide education and support to the patient and their care provider. The purpose of this data analysis was to determine the relationship between high-volume dementia medication prescribers to providers of dementia care plans. Identifying the relationship between these two factors may help shine a light on a way to improve care for individuals with dementia. The billing codes analyzed were for dementia care plans by high-volume dementia prescription providers across five U.S. markets states from the 2021 Centers for Medicare and Medicaid Services (CMS) database. The main finding across all five was that there was a significantly low use (5% or less) of the dementia care plan billing code amongst the high-volume dementia medication prescribers.

Innovation in AgingVol. 9(Supplement_2)
Maryland Brain, Spine + Pain (US)
Quality Education
Openalex Percentile: Top 30%
Dementia and Cognitive Impairment Research
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