Amount of CMS Reduction in Facility Reimbursement following removal of Total Hip Arthroplasty from the Inpatient Only List Far Exceeds Reduction of Actual Care Cost

Starting in 2020, Centers for Medicare& Medicaid Services (CMS) removed total hip arthroplasty (THA) from the inpatient only list, resulting in an average of $1,637 per case reduction in facility reimbursement. The purpose of this study was to determine if the reduction in reimbursement is justified by comparing the difference in true facility costs between inpatient and outpatient THA.

Source: The Journal of Arthroplasty - August 20, 2020 Category: Orthopaedics Authors: Jeffrey C. Lynch, Michael Yayac, Chad A. Krueger, P. Maxwell Courtney Source Type: research