ExpiredInsights into the Financial & Risk Management Aspects of the CMS CJR Payment Initiatives

  • May 10, 2016
    3:00 pm - 4:30 pm

CMS is rolling out the Comprehensive Care for Joint Replacement Model in April, 2016 which will hold hospitals accountable for the quality of care they deliver to Medicare fee-for-service beneficiaries for hip and knee replacements from surgery through recovery. Through this retrospective bundled payment model, hospitals in 67 geographic areas in 30 states will receive additional payments if quality and spending performance are strong or, if not, potentially have to repay Medicare for a portion of the spending for care surrounding a lower extremity joint replacement (LEJR) procedure. The model’s goal is to give hospitals a financial incentive to work with physicians, home health agencies, skilled nursing facilities, hospices, home care agencies and other providers to make sure beneficiaries get the coordinated care they need. Within this model, there can be risk but also opportunity. This webinar will assist attendees in gaining insights into the financial and risk management aspects of this bundled payment initiative.

Webinar Presenters:

David Broyles, Attorney, Poyner Spruill LLP – David’s practice focuses on representing health care providers, with an emphasis on regulatory and operations issues, licensure and certification, Certificate of Need, and reimbursement-related matters. He regularly advises clients on state and federal regulatory compliance ranging from daily operations to strategic planning, in addition to reimbursement matters dealing with governmental and commercial payors, including provider credentialing, payment denial appeals, audits and recoupments. David also represents various types of health care providers and entities in transactions involving Certificate of Need, as well as the litigation of Certificate of Need awards and denials.

Andy Page, Partner with Dixon Hughes Goodman’s National Healthcare Advisory Practice – Andy has spent his entire professional career, spanning more than 15 years, focusing solely on Post-Acute Healthcare & Senior Living. His primary service areas include third party reimbursement, operations strategy, and advisory services for Skilled Nursing Facilities, Assisted Living Communities, Continuing Care Retirement Communities, Home Health Agencies, and Hospice Providers. Andy is a recognized thought leader on post-acute healthcare regulation and a frequent presenter on various industry-specific topics related to post-acute healthcare.

Registration Fee:  Member rate is $169 – Non-members $269.  Indicate if you will be calling into the live webinar or purchasing the audio recording (fee is the same).  The live webinar includes the opportunity to ask questions of the presenters.  If you desire to purchase both the live webinar and the audio recording, pay the registration fee and an additional $30.

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