Impact of CJR Bundled-Payments Assessed

The New England Journal of Medicine published a two-year evaluation of cases from hospitals covered by the Comprehensive Care for Joint Replacement (CJR) bundled payment program. The study compared 280,161 hip and knee replacement procedures in 803 hospitals in...

Provide Input to AAHKS Survey on Medicare Reimbursement

As you know, the Centers for Medicare & Medicaid Services (CMS) recently identified current procedural terminology (CPT) codes 27130 (total hip arthroplasty) and 27447 (total knee arthroplasty) as potentially misvalued in the 2019 Medicare Physician Fee Schedule...

AAHKS Leadership Addressing Potentially Misvalued Codes

As previously reported, the Centers for Medicare & Medicaid Services (CMS) recently identified seven high volume current procedural terminology (CPT) codes as potentially misvalued, among which were 27130 (total hip arthroplasty) and 27447 (total knee...

How Anthem Letter Triggered CPT Review

Orthopedics This Week published an article, “Anthem Lobbying Hard to Slash TKA, THA Pay,” which provides in-depth insight on the previously reported CMS call for review of seven potentially misvalued CPT codes. The article explains that the call for review was...

CMS Releases Draft MIPS THA/TKA Complication Measure

The Centers for Medicare & Medicaid Services (CMS), through Yale New Haven Health Services Corporation/Center for Outcomes Research & Evaluation (CORE), has developed claims-based hospital measures to assess the quality of care provided to Medicare...

AAHKS and AAOS Meet with CMS

Leaders from AAHKS and AAOS engaged with representatives of the Centers for Medicare and Medicaid Services (CMS) this week to address the designation of hip and knee arthroplasty codes as “potentially misvalued” in the 2019 Medicare Physician Fee Schedule Final Rule,...
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