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Ready CDI teams for CMS' proposed expansion of mandatory ortho episode payment models
If your hospital resides in one of the 67 metropolitan statistical areas (MSA) required to participate in the Comprehensive Joint Replacement Model (CJR), you will also be required to participate in a new orthopedic payment model called 'SHFFT' (surgical hip and femur fracture treatment) if an August 2 proposed rule is finalized. The impact? The following assigned MS-DRGs will no longer define hospital reimbursement:
- Major Joint Replacement or Reattachment of Lower Extremity (MS-DRGs 469, 470)
- Hip and Femur Procedures Except Major Joint (MS-DRGs 480, 481, 482)
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