American Association of Hip and Knee Surgeons

Advocacy, Education, Research


CMS Makes 2017 Performance Scores Available

Eligible clinicians participating in MIPS as an individual who submitted 2017 Quality performance data for MIPS via claims can view their performance scores through the MIPS data submission feature. Claims-based quality measures are calculated automatically by CMS based on the Quality Data Codes (G-codes) submitted on 2017 claims. March 1, 2018 is the deadline to submit 2017 claims… Read More

Health Care Provisions in New US Budget Act Explained

On February 9, 2018, the U.S. Congress passed, and the President signed into law, the Bipartisan Budget of Act of 2018. While the Budget Act primarily provides stopgap funding for the government operations through March 23, the legislation also includes several dozen provisions related to health care – including telehealth. These provisions are largely taken from the Creating… Read More

AAHKS Legislative Retreat Puts Focus on Patient Care

Pat Toomey's office

On Friday, a contingent of the AAHKS Board of Directors, Committee Chairs and Vice Chairs, Health Policy Fellows, local AAHKS members, AAHKS staff and from The Hip Society met in Washington, D.C. for a day of advocacy action as part of a two-day legislative retreat focused on the care of hip and knee patients. Congressman Roger Marshall, MD… Read More

CMS Holds Second BPCI Advanced Forum

The CMS Innovation Center will be holding a second Open Door Forum to answer questions regarding the BPCI Advanced Model and the Application Process on Thursday, February 15, 2018 from 12:00 – 1:00 p.m. (EST). In BPCI Advanced, participants will be expected to redesign care delivery to keep Medicare expenditures within a defined budget while maintaining or improving… Read More

BPCI Advanced Forum Covers TJR Issues

On Tuesday, the Centers for Medicare & Medicaid Services (CMS) hosted an “Open Door Forum” webinar for providers interested in the newly announced Bundled Payments for Care Improvement Advanced (BPCI Advanced). This is a new, voluntary advanced payment model to test iterations of bundled payments for episodes of care including major joint replacement of the lower extremity. At… Read More

When Will Patients Receive New Medicare Cards?

CMS announced that they will soon begin mailing new Medicare cards that replace Social Security numbers with unique Medicare Numbers. The first wave of new cards will begin arriving in April. CMS will continue the mailings be geographic region through June. CMS provides a guide to the timing of the mailings here, and patients will be able to… Read More

CMS Announces New “BPCI Advanced” Episode Payment Model

The Centers for Medicare & Medicaid Services (CMS) announced Bundled Payments for Care Improvement Advanced (BPCI Advanced), a new voluntary episode payment model that will test a new iteration of bundled payments for 32 Clinical Episodes (29 inpatient and 3 outpatient), including major joint replacement of the lower extremity. CMS has indicated that BPCI Advanced will qualify as… Read More

AAHKS and AAOS Leaders Spend the Day with CMS, on Capitol Hill

Richard Iorio, MD, Chair, AAHKS Health Policy Council, was in Washington, DC on Monday for meetings with CMS and CMMI staff. Dr. Iorio was joined by AAHKS and AAOS staff in discussions about the TJA bundled payment projects and the need to improve them through risk stratification, target pricing methodology, and physician initiation. This comes with the revision… Read More

CMS Final Rule Alters CJR Participation and Cancels Mandatory Episode Payment Models

On November 30, 2017, the Centers for Medicare & Medicaid Services (CMS) released its final rule, “Cancellation of Advancing Care Coordination through Episode Payment and Cardiac Rehabilitation Incentive Payment Models; Changes to Comprehensive Care for Joint Replacement Payment Model: Extreme and Uncontrollable Circumstances Policy for the Comprehensive Care for Joint Replacement Payment Model (CJR).” This action finalizes policies… Read More

AAHKS Interprets “Two-Midnight Rule” for TKA

Following the announcement that total knee arthroplasty (TKA) is being removed from the inpatient only list in the most recent CMS CY18 Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems (HOPPS) rule, AAHKS and our regulatory firm Epstein Becker & Green discussed with CMS Hospital and Ambulatory Policy Group staff the interpretation of the “Two-Midnight Rule”… Read More