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CMS issues final rule for cardiac bundled payments

December 27, 2016
by Pamela Tabar, Editor-in-Chief
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The Centers for Medicare and Medicaid Services (CMS) finalized its latest episode payment models Tuesday, including the much-discussed incentive model for cardiac rehabilitation.

Based on the mandatory bundled payments demonstrated earlier, the cardiac model targets Medicare beneficiaries who are treated for heart attacks or a coronary artery bypass graft. All related care within 90 days of the hospital discharge will be included in the episode of care.

Facilities that receive at least 25 percent of their payments from Medicare or for whom at least 20 percent of residents are Medicare beneficiaries qualify to take part in the payment programs.

The programs are scheduled to begin July 1, 2017 and will run for five years.

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