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Paycheck vs Purchasing Power - Subscribe to Outpatient Surgery Magazine - January 2018

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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J A n U A R Y 2 0 1 8 • O U T PA T I E N TS U R G E R Y. N E T • 3 1 Legal Update Lisa Lucido and Jennifer Skeels Medicare Shifts Its Stance on Total Knees CMS will cover TKA in hospital outpatient departments, but not in ASCs. W hen CMS removed total knee arthroplasty from its inpa- tient-only list (IPO), many assumed it would cover knee replacements in ambulatory surgery centers. But that's not the case — at least not yet. While CMS no longer requires that TKA be performed solely in the inpatient setting, the agency also declined to include TKA on the ASC Covered Procedures List. Bottom line: Medicare will cover TKA performed in hospital outpatient depart- ments effective Jan. 1, but not in the ASC setting. This policy change will impact all hospitals with orthopedic programs — especially those participating in the Comprehensive Care for Joint Replacement (CJR) • TOTAL KNEES Medicare removed total knee arthroplasty from the inpatient-only list, but excluded it from the list of ambula- tory surgery center covered procedures.

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