by MedBen Analytics | May 21, 2019 | Bundled Payments, CJR, CMS, MedBen Analytics, Reconciliation reports
The Centers for Medicare and Medicaid Services (CMS) has released the Comprehensive Care for Joint Replacement (CJR) Performance Year 3 (PY3) Initial Reconciliation and PY2 Final Reconciliation Reports. MedBen Analytics has begun the process of auditing the Net...
by MedBen Analytics | May 7, 2019 | Bundled Payments, CMS, Health and Human Services (HHS), Mandatory Participation, MedBen Analytics, Seema Verma, Value-Based Care, Voluntary Participation
The Department of Health and Human Services (HHS) has indicated that it expects to move away from voluntary value-based payment models. In recent remarks, Centers for Medicare & Medicaid Services (CMS) Administrator Seema Verma said, “Looking forward, you...
by MedBen Analytics | Mar 26, 2019 | BPCI Advanced, CMS, MedBen Analytics, Value-Based Care, Voluntary Participation
The Centers for Medicare & Medicaid Services (CMS) has announced that the application period for second cohort of participants in the Bundled Payments for Care Improvement Advanced (BPCI Advanced) Model will begin in April 2019. MedBen Analytics, which provides...
by MedBen Analytics | Feb 12, 2019 | BPCI, CJR, CMS, MedBen Analytics, Total Knee Arthroplasty (TKA)
The removal of Total Knee Arthroplasty (TKA) procedures from the CMS inpatient-only list in January 2018 resulted in no small number of provider questions regarding how Medicare would pay for TKA claims under the revised rules. Initial CMS attempts to clarify billing...
by MedBen Analytics | Oct 10, 2018 | Bundled Payments, CJR, CMS, Mandatory Participation, Post-Acute Care, Reports, Value-Based Care
The recently-released first annual report from the Centers for Medicare & Medicaid Services (CMS) on the progress of the Comprehensive Care for Joint Replacement (CJR) model suggests that the bundled payment approach is having the desired result of maintaining...
by MedBen Analytics | Sep 25, 2018 | BPCI, BPCI Advanced, Bundled Payments, CJR, CMS, Mandatory Participation, Voluntary Participation
On October 1, the Centers for Medicare & Medicaid Services (CMS) will roll out its newest bundled payment model, Bundled Payments for Care Improvement Advanced (BPCI Advanced). This voluntary program builds on the foundation of the original BPCI initiative, which...
