Jan 25, 2019 | Advocacy, CMS
When the Centers for Medicare and Medicaid Services (CMS) removed total knee arthroplasty (TKA) from the inpatient-only list, it committed to suspending audits by Medicare Recovery Audit Contractors (RAC) for two years. The suspension was to serve as a grace period...
Dec 20, 2018 | Advocacy, CMS
As you know, the Centers for Medicare & Medicaid Services (CMS) recently identified current procedural terminology (CPT) codes 27130 (total hip arthroplasty) and 27447 (total knee arthroplasty) as potentially misvalued in the 2019 Medicare Physician Fee Schedule...
Dec 13, 2018 | CMS, In the News
Orthopedics This Week published an article, “Anthem Lobbying Hard to Slash TKA, THA Pay,” which provides in-depth insight on the previously reported CMS call for review of seven potentially misvalued CPT codes. The article explains that the call for review was...