Orthopedics

Latest Issue of OR Manager
March 2021

Bundled payments with copay waivers reduce surgery costs for patients, payers

Editor's Note A RAND Corporation study published in the March Health Affairs finds that health insurers and patients can achieve significant savings when they participate in a bundled payment program that waives cost-sharing for patients. Researchers examined a bundled payment program developed by a private insurer that ran from 2016…

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By: Judy Mathias
March 2, 2021
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Diligence in implant processing will decrease infection risks

Implants are foreign bodies, and they increase the risk of a surgical site infection. Processing implants requires strict adherence to the required steps because implants have sustained contact with sterile tissue. An implant is defined as a device that is placed into a surgically or naturally formed cavity of the…

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By: Susan Klacik, BS, CRCST, ACE, CIS, FCS
February 17, 2021
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Is a robotics program right for your ASC?

Global adoption of robotics technology has exploded in healthcare institutions, promising a less invasive and more precise means of conducting procedures. Although hospitals command the largest share of this market, analysts predict that ambulatory surgery centers (ASCs) will adopt this technology at a rapid clip. Robotics technology has changed greatly…

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By: Jennifer Lubell
February 17, 2021
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Joint Commission adds new performance measure for THKR certification

Editor's Note The Joint Commission, on January 20, announced that data collection for a new standardized performance measure assessing a patient’s functional and health status postoperatively will be required for the Advanced Certification for Total Hip and Total Knee Replacement (THKR) program. Organizations will be required to assess a patient’s…

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By: Judy Mathias
January 21, 2021
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CMS releases final 2021 Medicare payment rule for ASCs, HOPDs

Editor's Note The Centers for Medicare & Medicaid Services (CMS) on December 2 released its 2021 final payment rule for ASCs and hospital outpatient departments (HOPDs). CMS has finalized the addition of 11 procedures to the ASC covered procedures list, including total hip arthroplasty, autochondrocyte knee implant, and open complex…

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By: Judy Mathias
December 3, 2020
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ACS opposes proposed Medicare physician fee schedule

Editor's Note The American College of Surgeons (ACS) on August 4 announced that it is strongly opposed to the Centers for Medicare & Medicaid Services (CMS) Physician Fee Schedule proposed rule for CY 2021. In the fee schedule, which is set to take place January 1, 2021, Medicare payments will…

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By: Judy Mathias
August 6, 2020
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US News publishes 2020-2021 top hospitals list

Editor's Note US News & World Report on July 28 released its 2019-2020 Best Hospitals Honor Roll. The top five are: Mayo Clinic, Rochester, Minnesota Cleveland Clinic Johns Hopkins Hospital, Baltimore New York-Presbyterian Hospital-Columbia and Cornell, New York City, and UCLA Medical Center, Los Angeles (tie) Massachusetts General Hospital, Boston…

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By: Judy Mathias
July 29, 2020
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Monitoring implant contracts can save millions of dollars

Orthopedic implants comprise a significant percentage of an OR’s costs, so effectively managing contracts for these items can help OR leaders in hospitals and ambulatory surgery centers (ASCs) bolster the bottom lines of their organizations. “The contract is your best mechanism to control the influx of non-anticipated items, resolve overcharges,…

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By: Cynthia Saver, MS, RN
July 22, 2020
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Preoperative protocols enhance outpatient total joint outcomes

On January 1, 2020, the Centers for Medicare & Medicaid Services (CMS) began reimbursing healthcare providers for total hip arthroplasty performed in outpatient hospital settings and total knee arthroplasty in ambulatory surgery centers (ASCs), thereby opening the floodgates for explosive growth in outpatient total joint arthroplasty (TJA). About a million…

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By: Catherine Spader, RN
July 22, 2020
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Panel issues guidelines for safe resumption of elective orthopedic surgery

Editor's Note An expert panel from the American Association of Hip and Knee Surgeons on July 15 issued guidelines that include recommendations for when hospitals and surgical centers can resume elective orthopedic procedures. A set of 30 recommendations are presented in four categories: General—includes criteria based on factors, such as…

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By: Judy Mathias
July 20, 2020
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