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CMS Mandatory Inpatient THA/TKA PRO-PMs Coming April 2  

Mar 29, 2024 | Advocacy, CMS, Federal Guidelines, Performance Measures, Reimbursement

Next week, CMS is implementing a mandatory Inpatient Quality Reporting Total Hip and Knee Replacement PROMs Performance Measure (IQR THA/TKA PRO-PM) for THA and TKA. The goal of this measure is to quantify pain and functional improvements with validated PROMs to...

Health Care Spending Policies Passes Congress

Mar 14, 2024 | Advocacy, CMS, Federal Guidelines, Medicare, Reimbursement

On March 8, Congress passed a suite of health policies in a federal funding package that averted a partial government shutdown. Included in those policies were several critical Medicare Physician Fee Schedule (MPFS) for which AAHKS has been advocating. As a preface to...

Don’t Forget: CMS Mandatory Inpatient THA/TKA PRO-PMs Coming in April

Feb 23, 2024 | CMS, Federal Guidelines, Patient Outcomes, Performance Measures, Practice Management, Reimbursement

In less than two months, CMS is implementing a mandatory Inpatient Quality Reporting Total Hip and Knee Replacement PROMs Performance Measure (IQR THA/TKA PRO-PM) for THA and TKA. The goal of this measure is to quantify pain and functional improvements with validated...

NEW! PCM Webinar Added to Coding Resource Library

Feb 23, 2024 | Advocacy, Bundled Payments, Reimbursement

CMS recently approved including knee and hip osteoarthritis pre-optimization work under principal care management (PCM) codes. Watch the recent AAHKS webinar to learn how you and your staff can use PCM codes to document pre-opt care and regain value within TJA...

CMS Mandatory PROMs Resources for AAHKS Members

Feb 2, 2024 | Advocacy, CMS, Patient Outcomes, Practice Management, Reimbursement

After CMS devalued TJA reimbursement in 2019, AAHKS worked diligently with CMS and the RUC to determine how to capture and pay for pre-optimization work by orthopaedic surgeons. In late 2022 CMS approved including knee and hip osteoarthritis pre-optimization work...

AAHKS Joins Call to Congress to Avert Medicare Physician Payment Cuts

Jan 18, 2024 | Advocacy, CMS, Reimbursement

This week AAHKS joined 128 other national and state medical societies in writing Congressional leaders “to quickly pass legislation to reverse the 3.37 percent Medicare physician payment cuts that took effect on January 1, 2024.” As further noted, “Physicians are the...
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