Medicare Compliance & Reimbursement
Feds Extend Joint Replacement Bundling Demo for 3 More Years
If you were looking forward to the end of the Comprehensive Care for Joint Replacement (CJR) Model at the end of the year, you may be in for a disappointment. In a proposed rule published in the Feb.24 Federal Register, the Centers for Medicare & Medicaid Services (CMS) says it plans to extend the program for three more years and change several CJR’s calculation mechanics. Details: The rule proposes “to move from two reconciliation periods (conducted 2 and 14 months after the close of each performance year) to one reconciliation period that would be conducted 6 months after the close of each performance year,” CMS notes in a release. It also proposes “to add an additional episode-level risk adjustment beyond fracture status such that target prices will be further adjusted at the episode level based on the individual beneficiary’s age and HCC condition count.” The rule is at www.govinfo.gov/content/pkg/FR-2020-02-24/pdf/2020-03434.pdf.
Medicare Compliance & Reimbursement
- Reimbursement:
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