Blog Post

The Yin and Yang of Total Knee Replacement
By Steven J Meyerson
Posted on 2/10/2018 


My interpretations of the Rule

Blog Post

CMS ODF: TKA Ain't Nuthin' Special

By Steven J Meyerson
Posted on 3/1/2017 

Total Knee Replacement- Inpatient or Outpatient?

All guidance in articles provided is based on my  personal interpretation of the CMS regulations and information provided in the Federal Register. This does not represent R1 RCM, Inc. official policy or guarantee any results on audit or appeal. 

2018 OPPS Final Rule 

Display version - the whole rule

Copyright © Ronald Hirsch. All rights reserved. The opinions expressed and references posted are those of the author and do not necessarily reflect the views, policies, or opinions of R1 RCM, Inc. or R1  Physician Advisory Services (R1 PAS®). There is no guarantee that references have not been subsequently updated and are no longer valid. This web site was set up in about 30 minutes, using GoDaddy.com Web Builder. I am a better case management professional and doctor than I am a web site designer.

Source Documents

TKR Commentary in

2018 OPPS Final Rule 

Display version - readable

Effect on BPCI and CJR Programs

Don't Forget Medical Necessity

TKR Commentary in

2018 OPPS Final Rule 

Federal Register version -use for page references in appeals

Other perspectives on TKR

2018 OPPS Final Rule 

Federal Register version -the whole rule

Blog Post

Outpatient Total Knee Arthroplasty? You Betcha.
By Steven J Meyerson
Posted on 11/3/2017 

RACmonitor.com

Another View…Total Knee Replacements
by Lisa Banker, MD, FACP, CCS, CCDS

February 27, 2018