Earlier today, CMS delivered the Comprehensive Care for Joint Replacement (CJR) Performance Year 1 (PY1) Reconciliation Reports and related files. MedBen Analytics has begun the process of auditing the Net Payment Reconciliation Amount (NPRA) for our clients.
A hospital will earn a positive NPRA if the aggregate capped episode cost for PY1 (episodes ending on or before 12/31/2016) is less than the aggregate target price and the composite quality score was Acceptable Good or Excellent.
The CMS CJR Reconciliation: Performance Year 1 reports will be sent to our clients via secure email today. Clients with questions regarding these reports may contact Manager of Operations Cari Coventry at 800-423-3151, ext. 405 or ccoventry@medben.com.