General Question for the Week of July 22, 2019

General Compliance Question of the Week


How does the BPCI Advanced Model operate?


Bundled Payments for Care Improvement Advanced (BPCI) Model “will operate under a total-cost-of-care concept, in which the total Medicare Fee for Services (FFS) spending on all items and services furnished to a BPCI Advanced Beneficiary during the clinical episode, including outlier payments, will be part of the clinical episode expenditures for purposes of the target price and reconciliation calculations, unless specifically excluded.”