To bill or not to bill - a cross-sectional study comparing funded and unfunded advance care planning services in German nursing homes.

Additionally, although a slightly higher proportion of available documents was deemed useful in the event of end-of-life hospital transfer or cardiac arrest in NHs with approval for ACP billing, this difference did not reach statistical significance.

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A highly significant difference was observed in the availability of ACP, as NHs that had obtained approval for ACP billing were far more likely to provide ACP compared to NHs without such approval (96.0% vs. 36.4%; p < 0.001).

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