HCPro, JustCoding Inpatient - 2018 Issue 4 (January)
Healthcare News: CMS launches voluntary payment model for 29 inpatient clinical episodes
January 23rd, 2018
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Article Overview
This article covers the launch of CMS’s Bundled Payments for Care Improvement Advanced model and explains the broad structure of the program, including its episode-based design, quality measurement framework, participation requirements, and application timeline. It is relevant to Medicare providers, hospital billing and coding professionals, care management teams, and anyone tracking CMS payment model updates and value-based care initiatives.
Why This Topic Matters
The announcement outlines a major CMS alternative payment model that can affect how providers manage inpatient and selected outpatient episodes, report quality, and plan participation. Understanding the program’s scope and timing helps organizations evaluate operational impact and prepare for model-year requirements.
What You Will Learn
- The purpose and scope of CMS’s BPCI Advanced model
- How the program is structured around clinical episodes and quality measures
- The general participation requirements and timeline for the model
- Where to look for CMS resources and additional program details
Who Should Read This
- Medical coders
- Billing specialists
- Hospital revenue cycle staff
- Case management teams
- Compliance officers
- Physician practice administrators
- Value-based care and reimbursement professionals
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