Skip to main content

CJR is a payment model being tested for episodes of care related to total knee and total hip replacements (MS-DRG 469 and 470) under Medicare. One track of the CJR model qualifies as an Advanced APM under QPP.

The model began April 1, 2016, and will run through December 31, 2020 with a possibility that the model is extended for 3 years. CJR holds participant hospitals financially accountable for the quality and cost of an episode of care and incentivizes increased coordination among participating hospitals, physicians, and postacute care providers such as physical therapists. An episode of care begins with a patient’s hospital admission, continues upon hospital discharge, and ends 90 days postdischarge to cover the patient’s complete period of recovery.

As of December 2019, about 475 hospitals in various metropolitan statistical areas are participating in CJR. Physical therapists in these areas may be impacted.

Take a moment to learn about the model and determine if you should be thinking of marketing your practice to a CJR program.

Log in or create a free account to keep reading.


Join APTA to get unlimited access to content.


You Might Also Like...

Article

Telehealth Billing and Coding Considerations

Jun 24, 2020

What you need to know about documentation, coding, and billing consideration when providing telehealth services.

Article

Implementing Telehealth Into Your Practice

Jun 24, 2020

Using telehealth to deliver physical therapist services is expanding rapidly, and if you haven't already, you're probably considering it.

Article

Taking Precautions for Mobility and Exercise

Jun 22, 2020

Mobilization, exercise, and ambulation are potential aerosol-generating procedures, and PTs and PTAs should have access to appropriate protection.