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Potential Financial Effects on Hospitals of the Removal of Common Orthopaedic and Spinal ...

Published on 1/14/2022

Overview:
When treating Medicare beneficiaries, orthopaedic surgeons must follow Centers for Medicare & Medicaid Services (CMS) policies regarding whether to perform surgical treatments under inpatient or outpatient status. This peer-reviewed paper explores the estimated differences in payment for hospitalizations under inpatient versus outpatient status for common orthopaedic/spinal procedures with a mean duration of stay of <2 days, whose status would be most subject to change from inpatient to outpatient by its removal from the Inpatient Only list.


Full Title:
Potential Financial Effects on Hospitals of the Removal of Common Orthopaedic and Spinal Procedures From Medicare's “Inpatient-Only” List: A Comparison of the Medicare Fee-for-service Payment Model Versus Maryland's Global Budget Revenue Model


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