Four Considerations for CJR Payment Reconciliation: Is Your Organization Prepared?

The first year of the CMS-mandated Comprehensive Care for Joint Replacement (CJR) model is over. In just a few weeks, CMS will release CJR files to the approximately 800 acute care hospitals included as CJR participants. The release of this data will trigger the initial reconciliation process of comparing actual episode spending to quality-adjusted target spending to determine potential reconciliation payments (or repayment in future performance years) for CJR episodes.

Published May 17, 2017