RCM tip of the day: Understand CMS' bundling program

As Medicare's first mandatory bundling program, CMS's proposed rule for the Comprehensive Care for Joint Replacement model has naturally raised a lot of questions. 


Jim Lazarus, Managing Director of Strategy and Innovation, Revenue Cycle Solutions Division, The Advisory Board Company: You have to understand the basics of this complex rule: the CCJR episode, the target price and the reconciliation process, in addition to gainsharing rules, program waivers and beneficiary considerations. 

Read my colleague's recent blog post "Your Questions About Comprehensive Care For Joint Replacement- Answered" to learn more about this rule and review frequently asked questions.

If you would like to share your RCM best practices, please email Carrie Pallardy at cpallardy@beckershealthcare.com to be featured in the "RCM tip of the day" series.

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