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Hip With the Times - July 2017 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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to 100 minutes. Depending on the implant, you can get by with 4 to 8 size-spe- cific instrument trays. And thanks to muscle- and tendon-sparing surgical techniques and innovative pain management proto- cols, patients are back in their recliners before they know it. They spend 2 hours in PACU and 1 overnight in an off-site recovery suite before they're discharged home. "It's come a long way since I first start- ed doing hips 20 years ago in the hospital," says Ms. Moretti, director of the Buffalo Surgery Center in Amherst, N.Y., which has devel- oped one of the coun- try's top same-day joint replacement pro- J U L Y 2 0 1 7 • O U T PA T I E N T S U R G E R Y. N E T • 3 7 Cost Service $10,000 ASC facility fee and supply costs * $4,000 Surgeon's fee $400 Surgical assistant's fee $1,800 Anesthesia fee $1,500 15 physical therapy sessions $200 Durable medical equipment ** $6,600 Post-acute care *** $2,000 Physical therapy $235 Post-op care **** * Facility fee includes $5,000 allowance for implant. ** DME includes walkers, canes, ice machines and DVT compression sleeves. *** Post-acute care includes home care, 1 overnight at the recovery suite, meals and nursing. **** Post-op care includes 3 post-op office visits and 2 X-rays. Let's say Buffalo Surgery Center receives a $26,735 bundled payment for each hip arthroplasty. This all-in, fixed-price pay- ment covers all services during an "episode of care" that extends from the surgical dis- cussion through 90 days global post-op. Services excluded from the bundle include pre-op testing and medical clearance, MRIs, hospital re-admissions due to com- plications, post-op pharmacy costs and revision procedures. Here's a line item look at what's included in the bundle. $26,735 BUNDLE BREAKDOWN Unraveling the Bundled Payment

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