Bundled Payment Fact Sheet

A short fact sheet was produced by the Centers for Medicare and Medicaid Services on Bundled Payment Initiative.  The Bundled Payment Initiative allows providers flexibility in:

• Selecting Conditions to Bundle
• Developing the Health Care Delivery Structure
• Determining How Payments Will Be Allocated

The Bundled Payment Initiative consists of 4 separate Models:

1. Model 1 consists of the Inpatient Stay Only
2. Model 2: consists of the Inpatient Stay plus Post-discharge Services
3. Model 3: consists of the Post-discharge Services Only
4. Model 4: consists of the Inpatient Stay Only

To view the full fact sheet as well as a chart with the key features of each model, click the following link: Bundled Payment Fact Sheet (PDF)

For additional billing and coding resources, please click the following link: Medical Reimbursement, Inc. Resources

Bundling Rules for Radiology

AAPC's Coding Edge Magazine published an article on bundling rules for Radiology.

The article highlighted bundling the following procedures and discussed CPT codes:

• Abdomen CT and Pelvis CT
• Abdomen CTA and Pelvis CTA
• Endovascular Revascularization Studies
• Renal Angiography
• CPT Codes addressed:  Renal Angiography selective: 36251-36252, Renal Angiography superselective 36253-36254, insertion 37191, repositioning 37192, and retrieval 37193.
• AV Shunts for Dialysis

To download and view the full article, please go to the following link: Bundling Rules You Can Take to the Radiologist