The Centers for Medicare & Medicaid Services (CMS) announced earlier this month that it expected to release Performance Year 3 (PY3) reconciliation payments for Comprehensive Care for Joint Replacement (CJR) participants on July 25 to hospitals that did not submit an appeal.
If your facility earned a PY3 reconciliation payment and MedBen Analytics performs gainshare distribution services for you, we will calculate the distribution based upon the facility’s collaborator agreement. And if MedBen Analytics doesn’t currently perform this service for you, we’ll take this opportunity to remind you that for an additional fee, we can calculate gainshare distribution for your facility as well.
Please note that CJR gainshare distribution takes place just once every 12 months following each performance year reconciliation (i.e., for 2019, based on episodes that ended on or before December 31, 2018). Additionally, if a facility submitted a Calculation Error (CE) Form to CMS to appeal a finding in the PY3 report, gainshare distribution will be delayed until the appeal process has been finalized.
If you have questions about your PY3 reconciliation payment, or are interested in setting up gainshare calculation and distribution services through MedBen Analytics, please contact Manager of Operations Cari Coventry at 800-423-3151, ext. 405 or firstname.lastname@example.org.