The CY 2025 OPPS and ASC Final Rule brings significant updates, including a $4.7 billion increase in payments and new reporting requirements.
CY 2025 OPPS and ASC Final Rule: What’s Changed?
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Healthcare Data
Is Your PROM Program Going To Meet The Measure?
If you have concerns regarding your organization’s ability to meet the CMS THA/TKA PRO-PM or want to understand the financial impact, this blog is a great first step.
Spotlight on Information Transfer PRO-PM
Of the new items proposed in the measure, what stood out to CODE Technology is the Information Transfer PRO-PM. We dig into the details.
CMS’ TEAM | Three Big Concepts Every Hospital Needs to Know
We cover three key concepts of TEAM that are crucial to understanding how the new mandatory model aims to enhance care coordination and manage costs effectively.
What are Box and Whisker Plots?
The box-and-whisker plots are very effective and easy to read. They summarize data much better than just a simple ‘average’, and provide a deeper insight into the distributional characteristics of a group of scores. Learn how to read Box and Whisker Plots and Reports with examples.
The PRO-PM Provider-Reported Narcotics Question | What You Should To Know
Ever wondered why the THA/TKA PRO-PM, mandated by IQR, OQR, and ASCQR programs, includes a question on narcotic use 90 days before surgery?
Introducing TEAM in CMS’ FY2025 IPPS Final Ruling
Starting January 1, 2026, CMS is rolling out TEAM (Transforming Episode Accountability Model) as part of the FY2025 IPPS Final Rule.
Impact On Outcomes: Nonoperative Management For Osteoarthritis Prior To Joint Replacement Surgery
As the population ages, rates of knee and hip osteoarthritis (OA) are on the rise with a subsequent spike in elective total knee...
CMS Hospital PRICE Transparency Rule
The Basics The Hospital PRICE Transparency Rule was first implemented by Center for Medicare & Medicaid Services (CMS) on...
TEAMing Up For Better Care: CMS’ Newest Payment Model Impacting IPPS
What is the TEAM In April of this year, the Centers for Medicare & Medicaid Services (CMS) announced a proposed update to...
CMS THA/TKA PRO-PM | 3 Reports You Must Have
It is imperative for organizations impacted by CMS’ THA/TKA PRO-PM to track PROM capture rate and functional improvement...
OAS CAHPS | What ASCs And HOPDs Should Know
Navigating OAS CAHPS in ASCs and HOPDs In the rapidly evolving landscape of outpatient and ambulatory surgery centers (ASCs),...