ICD-10-CM/PCS and bundled payments

Why This Topic Matters

It helps readers understand why accurate ICD-10-CM/PCS reporting can influence bundled payment performance, quality metrics, and compliance in inpatient care settings.

Article Sections

1. Bundled payments and ICD-10-CM/PCS

   Introduces the bundled payment environment and its relationship to ICD-10-CM/PCS-based grouping, risk adjustment, and quality measurement.

2. When all else fails, read the directions

   Provides general documentation and coding themes related to inpatient procedure reporting, preadmission risk factors, and the handling of cardiac-related clinical information.

3. Lysis of adhesions with CABG

   Discusses documentation considerations tied to CABG-related inpatient coding and related grouping outcomes.

4. Capture all risk-factors prior to three days before admission

   Addresses the timing and capture of documented risk factors used in quality measures and risk adjustment.

5. Get your arms around troponins

   Reviews the clinical and documentation context surrounding troponin testing and acute myocardial infarction assessment.

6. Remember ICD-10-CM’s coding rules for AMI

   Summarizes general acute myocardial infarction coding topics within ICD-10-CM.

7. Capture all locations and consequences of AMI

   Covers documentation themes related to myocardial infarction location, associated complications, and discharge summary completeness.