General Question for the Week of January 11, 2016

General Compliance Question of the Week

Question:

Can you provide information about the new Medicare joint-replacement policy?

Answer:

On April 1, 2016, the Centers for Medicare & Medicaid Services (CMS) will implement a new Medicare Part A and B payment policy—the Comprehensive Care for Joint Replacement (CJR) Model. Acute-care hospitals in certain selected geographic areas will receive retrospective bundled payments for episodes of care for lower extremity joint replacement (LEJR) or reattachment of a lower extremity. All related care within 90 days of hospital discharge from the joint replacement procedure will be included in the episode of care. 

For details about the program, go to the CMS website at https://innovation.cms.gov/initiatives/cjr.

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.