Pay-for-performance (P4P) initiatives link reimbursement to health care performance criteria to promote the right care for every patient every time, regardless of a patient's ethnicity, gender, geographic location, and socioeconomic status, patients receive “right care." Which is an example of a P4P initiative?

a. Medicare physician fee schedule

b. hospital inpatient prospective payment system

c. intensity of services and severity of illness

d. hospital value-based purchasing program

To better the rural community it serves, XYZ Hospital has instituted a remote patient monitoring system for patients with pacemakers. Patients use a smart phone app to download the information collected by the pacemaker that is then sent to their physicians on a more frequent basis than a regularly scheduled doctor's appointment. Because the data is collected more frequently, the doctor's can identify cardiac issues before they become a real problem requiring the patient to be admitted. Benefits to telehealth include:

A. Access to patient information

B. Reducing hospitalization

C. Providing information to healthcare providers

D. Population health

Apply the ICD-10-CM Official Guidelines for Coding and Reporting of the Principal Diagnosis for Inpatient Care (Guidelines I A- J) to identify the principal diagnosis in the following scenario.

The patient was admitted to the hospital for a total right knee replacement for osteoarthritis of the knee. During the patient's preoperative preparation, the patient began having chest pain. The patient's knee surgery was canceled, and the patient had extensive testing to determine the source of the chest pain, which was determined to be due to hypertensive heart disease.