BPCI Information - Bundle Best Practices Pearls

OP (outpatient) Defibrillators:

***NEW*** OUTPATIENT DEFIBRILLATOR

–New Implant
-Upgrade
-Generator change out

Only includes regular Medicare patients done at the hospital (not Medfinity).

IP (in-patient) Arrhythmia:

INPATIENT CARDIOVERSION or ANTIARRTHYMIC MEDICATION INITIATION

-Sotalol
-Tikosyn
-Amiodarone
-Cardizem

Where the attending physician or physician performing cardioversion or initiating the antiarrhythmic drugs is a member of HeartPlace.

OP (outpatient) PCI:

***NEW*** OUTPATIENT PCI

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-Key features:

1. Only includes cases done on regular Medicare patients at the hospital (not Medfinity)

2. Staged outpatient PCI will be costly (Once you do an outpatient PCI at the hospital any care for the next 90 days is billed to us)

3. If things get complicated or the patient needs more care (transfusions/staged PCI/CABG/etc.), change their status to inpatient and keep them 2 midnights so it falls out of the bundle (if possible).

4. Outpatient PCI followed by staged outpatient TAVR no longer counts against us (the TAVR bundle trumps the PCI bundle)

IP (in-patient) PPM:

INPATIENT PACEMAKER

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Where the attending physician or implanting physician is a member of HeartPlace