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Comprehensive Care for Joint Replacement Model Three Year Extension and Changes to Episode Definition and Pricing (CMS 5529 P )

Mon, February 24, 2020 11:56 AM | Babette Grey (Administrator)

The Centers for Medicare & Medicaid Services (CMS) proposed a three-year extension and changes pertaining to episode definition and pricing to its Comprehensive Care for Joint Replacement (CJR) model.

The proposed changes would incorporate outpatient hip and knee replacements into the episode of care definition, as well as change the reconciliation process, the beneficiary notice requirements, gainsharing caps, and the appeals process.

The CJR model three-year extension would provide time to assess the changes in practice. > Learn More

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