Joint Replacement Model: It’s All Coming Together
The FY 2027 IPPS final rule launches CJR-X, a mandatory nationwide episode-based payment model for hip, knee and ankle replacements starting January 1, 2028.
Resources
Beyond the ASA Code: Why Capturing CPT Codes First Creates Better Data, Stronger Compliance and Greater Revenue Protection
Why anesthesia groups should capture the surgical CPT code before crosswalking to the ASA code to improve analytics, audit readiness and revenue integrity.
2027 IPPS Final Rule: Quality Programs – Part II
For the last couple of weeks, we have brought to our readers the major highlights of Medicare’s Inpatient Prospective Payment System (IPPS) final rule…
Considering the Alternative: Behind the Push for Alternative Payment Models
Learn how Advanced APMs and ACOs offer anesthesiologists an alternative to MIPS, including QP thresholds, incentive payments and 2027 Shared Savings changes.
2027 IPPS Final Rule: Quality Programs – Part I
Review the 2027 IPPS final rule and its hospital quality program changes, including reporting measures, payment implications and Promoting Interoperability updates.
The ASC Windfall—The Anesthesia Shortfall
Explore the financial disconnect between ambulatory surgery center growth and anesthesia reimbursement, and the challenges facing anesthesia providers.
340B Rebate Model Pilot Program
What’s all this I’m hearing about the 340B program, and what does that actually reference? If you’re asking these questions, you’re probably not alone. …
2027 PFS Proposed Rule: Anesthesia Adjacent Issues
We recently published an alert concerning the Centers for Medicare and Medicaid Services (CMS) release of the 2027 Medicare Physician Fee Schedule (PFS) proposed…
The True Meaning of Cyber
Yes, it’s time, once more, to delve into the world of cyberspace and the inevitable perils found therein. In other words, we need to…
Obstetric Anesthesia at an Inflection Point
Mature Volumes, Rising Acuity and a New Documentation Imperative For decades, obstetric anesthesia has been one of healthcare’s greatest success stories. The widespread adoption…
Beyond Units: Anesthesia as the Enabler
Across the country, hospitals and ambulatory surgery centers continue to face significant anesthesiologist and CRNA staffing challenges. Recruiting remains difficult, labor costs continue to…
Hocus POCUS? Point of Care Ultrasound is No Magic Trick
It doesn’t take an illusionist intoning “abracadabra” over an empty hat or Ali Baba uttering “open sesame” to a closed cavern to understand that…
