In Billing
Dec 11th, 2017
It’s essential for applicable providers to know how the definition of an attribution-eligible Medicare beneficiary for the Advanced Alternate Payment Model (APM) track of the Comprehensive Care for Joint Replacement (CJR) Model for the purposes of making Qualifying APM Participant determinations in the Quality Payment Program (QPP). In a fact sheet, posted Dec. 6 on ...
In CMS
Jul 26th, 2016
On July 25, the Centers for Medicare & Medicaid Services (CMS) proposed new payment models that would reward hospitals for working with healthcare providers to avoid complications, prevent hospital readmissions, and speed recovery in patients admitted for cardiovascular disease or hip/femur fracture. The notice of proposed rulemaking contains three new policies: New bundled payment models for ...
Manage costs and maximize quality related to the procedures paid under the new model. Effective April 1, 2016, acute care hospitals located in 67 geographic areas will be subject to a new payment model for lower extremity joint replacement (LEJR) services. Under the Comprehensive Care for Joint Replacement (CJR) payment model, the U.S. Department of ...
In Billing
Nov 17th, 2015
The bundled payment Comprehensive Care for Joint Replacement (CJR) model was finalized Nov. 16 by the Centers for Medicare & Medicaid Services (CMS) Innovation Center, and will go into effect April 1, 2016. The model will test bundled payment and quality measurement for hip and knee replacements and major leg procedures “to encourage hospital, physicians, ...