Becker's ASC Review

45 CODING & BILLING CMS Launches new Bundled Payment Model By Ayla Ellison C MS announced a new voluntary bundled payment model Jan. 9, which is the first advanced alternative payment model introduced by the Trump administration. Here are six things to know about the bundled payment model. 1. e new model, called Bundled Payments for Care Improvement Advanced, includes 32 clinical episodes, with 29 in the inpatient setting and three in the outpatient setting. e clinical episodes may change in the future, as CMS may elect to revise them on an annual basis beginning Jan. 1, 2020. 2. Under the program, provider payments will be based on quality performance during a 90-day episode of care. A clinical episode will begin at the start of an inpatient admis- sion to an acute care hospital, which CMS referred to as the "anchor stay," or at the beginning of an outpatient procedure, the "anchor procedure." e clinical episode will end 90 days aer the end of the anchor stay or the anchor procedure. 3. CMS selected seven quality measures for BPCI Advanced. Two of them, the all-cause hospital readmission measure and the advanced care plan measure, will be required for all clinical episodes. e other five measures will only apply to select clinical episodes. 4. BPCI will qualify as an advanced APM under the Quality Payment Program, mean- ing participants will be eligible for bonuses under the Medicare Access and CHIP Reau- thorization Act. 5. e first cohort of providers will start participation in the model Oct. 1, and the performance period will run through Dec. 31, 2023. Providers selected to participate in BPCI Advanced beginning Oct. 1 must be held accountable for at least one clinical episode and may not add or drop clinical episodes until Jan. 1, 2020. 6. Providers have until March 12 to apply. CMS will provide a second application opportunity for BPCI Advanced in January 2020. n Payments will be based on quality perfor- mance during a 90-day episode of care. 1,100+ ATTENDEES FROM ACROSS THE NATION REGISTER BY MAY 1, 2018 AND SAVE! KEYNOTES BY 16TH ANNUAL FUTURE OF SPINE + THE SPINE, ORTHOPEDIC AND PAIN MANAGEMENT-DRIVEN ASC CONFERENCE JUNE 14-16, 2018 SWISSÔTEL | CHICAGO, ILLINOIS 140 PHYSICIANS SPEAKING, PRIMARILY SPINE & ORTHOPEDIC SURGEONS 222+ SPEAKERS TOTAL REGISTER HERE beckersasc.com/june-conference registration@beckershealthcare.com jcole@beckershealthcare.com sbecker@beckershealthcare.com or 800.417.2035. BECKER'S ASC REVIEW JOE MONTANA Former American Football Quarterback, San Francisco 49ers, Kansas City Chiefs FRANK PHILLIPS MD, Director, Division of Spine Surgery, Professor, Orthopaedic Surgery, Rush University Medical Center ANDREW HAYEK Chief Executive Officer, OptumHealth and Chief Executive Officer, Surgical Care Affiliates RICHARD WOHNS MD, JD, MBA, Founder, President and Board Certified Neurosurgeon, NeoSpine TUCKER CARLSON Host, Tucker Carlson Tonight and Founder, The Daily Caller JAMES LYNCH MD, FRCSI, FA ANS, Spinal Neurosurgeon and Founder/Chairman, SpineNevada I. NAYA KEHAYES Principal, ECG Management Consultants HOLLY BUCKLEY JD, Partner, McGuireWoods LLP

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