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 | BPCI, BPCI Advanced, Bundled Payments, CJR, Mandatory Participation, Value-Based Care, Voluntary Participation
Questions have arisen as to how the end of the original Bundled Payments for Care Improvement (BPCI) initiative affects participants that also happen to be located in a mandatory Metropolitan Statistical Area (MSA) for the Comprehensive Care for Joint Replacement...
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...
by MedBen Analytics | Jul 30, 2018 | BPCI, CJR, CMS, Gainsharing, MedBen Analytics, Reconciliation reports
Last week, The Centers for Medicare & Medicaid Services (CMS) released corrected Performance Year (PY) 1 final reconciliation reports and PY2 initial reconciliation reports. This action was taken after an error was detected in the application of exclusion logic...
by MedBen Analytics | Jun 18, 2018 | BPCI, Bundled Payments, CJR, Performance
Using Medicare and American Hospital Association data, Health Affairs recently compared characteristics and baseline performance among hospitals in Medicare’s voluntary (Bundled Payments for Care Improvement initiative, or BPCI) and mandatory (Comprehensive Care...
