In private payer data, complex procedures in The Transforming Episode Accountability Model by @CMSGov were associated with more intensive care unit use, readmissions, and postacute care, but hospital payments often did not increase proportionally. ja.ma/4x5kDNL
ja.maOperative Complexity and Surgical Episode Payments Among Private PayersThis cohort study analyzes the rate of paid claims for Transforming Episode Accountability Model procedures coded as having increased operative services and their associated payments to evaluate the need for operative complexity risk adjustment.
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