{"id":448901,"date":"2025-11-04T08:23:45","date_gmt":"2025-11-04T13:23:45","guid":{"rendered":"https:\/\/www.billingparadise.com\/blog\/?p=448901"},"modified":"2026-06-04T04:25:53","modified_gmt":"2026-06-04T09:25:53","slug":"cms-team-model-for-orthopedic-practices","status":"publish","type":"post","link":"https:\/\/www.billingparadise.com\/blog\/cms-team-model-for-orthopedic-practices\/","title":{"rendered":"CMS TEAM Model 2026: What Orthopedic Leaders Must Know"},"content":{"rendered":"<section  id=\"one\" class=\"section no\"><div class=\"row\"><div id=\"left-side-col-blog\" class=\"wpb_column col-md-3 have-padding\">[vc_empty_space]<div class=\"text-block \" ><div class=\"simple-text \"><div class=\"addtoany_shortcode\"><div class=\"a2a_kit a2a_kit_size_32 addtoany_list\" data-a2a-url=\"https:\/\/www.billingparadise.com\/blog\/cms-team-model-for-orthopedic-practices\/\" data-a2a-title=\"CMS TEAM Model 2026: What Orthopedic Leaders Must Know\"><a class=\"a2a_button_linkedin\" href=\"https:\/\/www.addtoany.com\/add_to\/linkedin?linkurl=https%3A%2F%2Fwww.billingparadise.com%2Fblog%2Fcms-team-model-for-orthopedic-practices%2F&amp;linkname=CMS%20TEAM%20Model%202026%3A%20What%20Orthopedic%20Leaders%20Must%20Know\" title=\"LinkedIn\" rel=\"nofollow noopener\" target=\"_blank\"><\/a><a class=\"a2a_button_facebook\" href=\"https:\/\/www.addtoany.com\/add_to\/facebook?linkurl=https%3A%2F%2Fwww.billingparadise.com%2Fblog%2Fcms-team-model-for-orthopedic-practices%2F&amp;linkname=CMS%20TEAM%20Model%202026%3A%20What%20Orthopedic%20Leaders%20Must%20Know\" title=\"Facebook\" rel=\"nofollow noopener\" target=\"_blank\"><\/a><a class=\"a2a_button_twitter\" href=\"https:\/\/www.addtoany.com\/add_to\/twitter?linkurl=https%3A%2F%2Fwww.billingparadise.com%2Fblog%2Fcms-team-model-for-orthopedic-practices%2F&amp;linkname=CMS%20TEAM%20Model%202026%3A%20What%20Orthopedic%20Leaders%20Must%20Know\" title=\"Twitter\" rel=\"nofollow noopener\" target=\"_blank\"><\/a><a class=\"a2a_button_email\" href=\"https:\/\/www.addtoany.com\/add_to\/email?linkurl=https%3A%2F%2Fwww.billingparadise.com%2Fblog%2Fcms-team-model-for-orthopedic-practices%2F&amp;linkname=CMS%20TEAM%20Model%202026%3A%20What%20Orthopedic%20Leaders%20Must%20Know\" title=\"Email\" rel=\"nofollow noopener\" target=\"_blank\"><\/a><a class=\"a2a_button_copy_link\" href=\"https:\/\/www.addtoany.com\/add_to\/copy_link?linkurl=https%3A%2F%2Fwww.billingparadise.com%2Fblog%2Fcms-team-model-for-orthopedic-practices%2F&amp;linkname=CMS%20TEAM%20Model%202026%3A%20What%20Orthopedic%20Leaders%20Must%20Know\" title=\"Copy Link\" rel=\"nofollow noopener\" target=\"_blank\"><\/a><a class=\"a2a_dd addtoany_no_icon addtoany_share_save addtoany_share\" href=\"https:\/\/www.addtoany.com\/share\">Share on your feed<\/a><\/div><\/div>\n<\/div><\/div><div class=\"text-block \" ><div class=\"simple-text \"><h2 style=\"color: #273272;font-size: 22px\"><b>Table of contents<\/b><\/h2>\n<\/div><\/div><section  id=\"left-toc\" class=\"section no\"><div class=\"row\"><div class=\"wpb_column col-md-12 have-padding\"><div class=\"text-block \" ><div class=\"simple-text \"><p><strong>1.<\/strong> <a class=\"table-of-text\" href=\"#link-one\">How Orthopedic Practices Can Prepare For CMS TEAM Model 2026<\/a><\/p>\n<\/div><\/div><div class=\"text-block \" ><div class=\"simple-text \"><p><strong>2.<\/strong> <a class=\"table-of-text\" href=\"#link-two\">Learning from BPCI: The Foundation for the TEAM Approach<br \/>\n<\/a><\/p>\n<\/div><\/div><div class=\"text-block \" ><div class=\"simple-text \"><p><strong>3.<\/strong> <a class=\"table-of-text\" href=\"#three\">Navigating the CMS TEAM Model: Key Provisions And Impact<br \/>\n<\/a><\/p>\n<\/div><\/div><div class=\"text-block \" ><div class=\"simple-text \"><p><strong>4.<\/strong> <a class=\"table-of-text\" href=\"#four\">The TEAM Effect: What\u2019s Changing for Orthopedic Providers<br \/>\n<\/a><\/p>\n<\/div><\/div><div class=\"text-block \"  id=\"five\"><div class=\"simple-text \"><p><strong>5.<\/strong> <a class=\"table-of-text\" href=\"#five-link\">Episode Cost Calculations Under the CMS TEAM Model: What\u2019s Counted and What\u2019s Not<br \/>\n<\/a><\/p>\n<\/div><\/div><div class=\"text-block \" ><div class=\"simple-text \"><p><strong>6.<\/strong> <a class=\"table-of-text\" href=\"#six\">Preparing Your Orthopedic Practice to Succeed Under TEAM<br \/>\n<\/a><\/p>\n<\/div><\/div><div class=\"text-block \" ><div class=\"simple-text \"><p><strong>7.<\/strong> <a class=\"table-of-text\" href=\"#seven\">How RCM Solutions Help Orthopedic Practices Scale Under TEAM<br \/>\n<\/a><\/p>\n<\/div><\/div><div class=\"text-block \" ><div class=\"simple-text \"><p><strong>8.<\/strong> <a class=\"table-of-text\" href=\"#eight\">How BillingParadise Helps You Empower Your Orthopedic Practice in the TEAM Era<br \/>\n<\/a><\/p>\n<\/div><\/div><div class=\"text-block \" ><div class=\"simple-text \"><p><strong>9.<\/strong> <a class=\"table-of-text\" href=\"#nine\">From Volume to Value: Align, Adapt &amp; Advance Your Orthopedic Care Under TEAM Model<br \/>\n<\/a><\/p>\n<\/div><\/div><\/div><\/div><\/section><\/div><div id=\"right-column\" class=\"wpb_column col-md-9 have-padding\"><section  id=\"link-one\" class=\"section no\"><div class=\"row\"><div class=\"wpb_column col-md-12 have-padding\">[vc_empty_space]<div class=\"text-block \" ><div class=\"simple-text \"><h2 style=\"color: #ef662f;font-size: 30px\"><b>How Orthopedic Practices Can Prepare For CMS TEAM Model 2026<\/b><\/h2>\n<\/div><\/div>[vc_empty_space]<div class=\"text-block text \" ><div class=\"simple-text \"><p><span style=\"font-weight: 400\">In July 2025, the Centers for Medicare &amp; Medicaid Services (CMS) launched a game-changing regulation for hospitals and healthcare: the final rule for the <\/span><a href=\"https:\/\/www.cms.gov\/medicare\/payment\/prospective-payment-systems\/acute-inpatient-pps\/fy-2026-ipps-final-rule-home-page\" rel=\"nofollow\"><span style=\"font-weight: 400\">Fiscal Year 2026 IPPS<\/span><\/a><span style=\"font-weight: 400\"> and <\/span><a href=\"https:\/\/www.cms.gov\/medicare\/payment\/prospective-payment-systems\/long-term-care-hospital\" rel=\"nofollow\"><span style=\"font-weight: 400\">LTCH PPS<\/span><\/a><span style=\"font-weight: 400\"> officially released the TEAM (Transforming Episode Accountability Model) Alternative Payment Model also known as \u2018<a href=\"https:\/\/www.billingparadise.com\/blog\/cms-team-model-for-orthopedic-practices\/\">CMS TEAM Model<\/a>\u2019, and if you&#8217;re an orthopedics, this one hits close to home.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Starting January 1, 2026, the hospitals (and their affiliated providers) in selected regions across the United States, should mandatorily adopt TEAM.\u00a0 Yes, unlike the previous bundled payment models like BPCI (which were voluntary), TEAM is mandatory. And it will not just impact hospitals, it will redefine the financial and operational future of caregivers, especially orthopedic practices.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The CMS has clearly outlined in the final rule that the practices will be held accountable for total episode costs, clinical outcomes, and care coordination from surgery through 30 days post-discharge.<\/span><\/p>\n<h3><b>What is The CMS TEAM Model?<\/b><\/h3>\n<p><span style=\"font-weight: 400\">The TEAM Model is a mandatory, episode-based payment program that holds hospitals responsible for the cost and quality of surgical care, spanning from the procedure through 30 days post-discharge.<\/span><\/p>\n<h3><b>The purpose of the TEAM Model<\/b><\/h3>\n<p><span style=\"font-weight: 400\">The TEAM Alternative payment is introduced only to restructure payments, but primarily to redefine how surgical care is delivered, tracked, and reimbursed. Through this new payment model, CMS aims to achieve the following:\u00a0\u00a0<\/span><\/p>\n<ul>\n<li><span style=\"font-weight: 400\">Standardized care costs<\/span><\/li>\n<li><span style=\"font-weight: 400\">Stronger care coordination<\/span><\/li>\n<li><span style=\"font-weight: 400\">Quality-first reimbursements\u00a0<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">Hence, your <\/span><a href=\"https:\/\/www.billingparadise.com\/blog\/orthopedic-revenue-cycle-kpis\/\"><span style=\"font-weight: 400\">Orthopedic practice\u2019s performance<\/span><\/a><span style=\"font-weight: 400\">, from surgical protocols to post-care follow-up, will have a direct influence on how much your hospital partner gets paid (or owes back to CMS).<\/span><\/p>\n<\/div><\/div><div class=\"text-block text-italic custom-font-text-1781010882-1829526319 \" ><div class=\"simple-text \"><p><em><strong>The Centers for Medicare &amp; Medicaid Services (CMS) recently unveiled the FY 2025 Inpatient Prospective Payment System (IPPS) final regulation, which estimates that TEAM will save the Medicare program approximately <a href=\"https:\/\/www.federalregister.gov\/documents\/2024\/08\/28\/2024-17021\/medicare-and-medicaid-programs-and-the-childrens-health-insurance-program-hospital-inpatient\" target=\"_blank\" rel=\"nofollow noopener\">$481 million<\/a> over the 5 performance years (2026 through 2030).<\/strong><\/em><\/p>\n<\/div><\/div><div class=\"text-block text \" ><div class=\"simple-text \"><h4><b>Scope and Timeline:<\/b><\/h4>\n<p><span style=\"font-weight: 400\">TEAM will run for five performance years (From January 1, 2026, through December 31, 2030), which covers five major surgical episodes. Under TEAM alternative payment model, acute care hospitals are financially responsible for the full continuum of care i.e, the entire episode of care, which usually starts with surgery and extends to 30 days post-discharge.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">For each episode, the CMS calculates a target bundled price, hospitals that deliver care below the threshold while meeting the quality metrics will receive bonus payments, whereas those that transcend the limits will face financial penalties.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">This approach gets the orthopedic and surgical teams on the same page to provide smooth, efficient, and top-notch care for their patients.<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/section><section  id=\"link-two\" class=\"section no\"><div class=\"row\"><div class=\"wpb_column col-md-12 have-padding\">[vc_empty_space]<div class=\"text-block \" ><div class=\"simple-text \"><h2 style=\"color: #ef662f;font-size: 30px\"><b>Learning from BPCI: The Foundation for the TEAM Approach<\/b><\/h2>\n<\/div><\/div><div class=\"text-block text \" ><div class=\"simple-text \"><p><span style=\"font-weight: 400\">Upon a decade of Medicare payment experimentation, the alternative payment model TEAM is introduced that goes beyond earlier orthopedic-focused bundled programs.<\/span><\/p>\n<\/div><\/div>[vc_single_image image=&#8221;449256&#8243; img_size=&#8221;full&#8221;]<div class=\"text-block text \" ><div class=\"simple-text \"><p><span style=\"font-weight: 400\">In FY2021, Medicare processed more than <\/span><a href=\"https:\/\/www.cms.gov\/cms-guide-medical-technology-companies-and-other-interested-parties\/payment\" target=\"_blank\" rel=\"nofollow noopener\"><span style=\"font-weight: 400\">1.1 billion fee-for-service (FFS) claims<\/span><\/a><span style=\"font-weight: 400\"> from over 1.5 million health care providers, making over $424 billion in Medicare payments.<\/span><\/p>\n<\/div><\/div>[vc_raw_html]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[\/vc_raw_html]<\/div><\/div><\/section><section  id=\"three\" class=\"section no\"><div class=\"row\"><div class=\"wpb_column col-md-12 have-padding\">[vc_empty_space]<div class=\"text-block \" ><div class=\"simple-text \"><h2 style=\"color: #ef662f;font-size: 30px\"><b>Navigating the CMS TEAM Model: Key Provisions And Impact<\/b><\/h2>\n<\/div><\/div><div class=\"text-block text \" ><div class=\"simple-text \"><p><span style=\"font-weight: 400\">The TEAM model is set to make a significant impact on orthopedic and other specialty surgical practices. And the notable thing about this new payment model is it is mandatory and it directly links the <\/span><a href=\"https:\/\/www.billingparadise.com\/blog\/rcm-directors-guide-get-reimbursed-new-codes-orthopedic-claims\/\"><span style=\"font-weight: 400\">reimbursement and (PROs)<\/span><\/a><span style=\"font-weight: 400\"> patient-reported quality outcomes. <\/span><\/p>\n<\/div><\/div>[vc_single_image image=&#8221;449260&#8243; img_size=&#8221;full&#8221;]<div class=\"text-block text \" ><div class=\"simple-text \"><h3><b>TEAM at a Glance: Covered Areas, Procedures, and Risks<\/b><\/h3>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Applies to hospitals in selected Core-Based Statistical Areas (CBSAs).<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Covers five high-impact surgical categories, including:<\/span>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Lower Extremity Joint Replacements (LEJR) (inpatient &amp; outpatient)<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Hip\/femur Fracture Treatments<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Spinal Fusions<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Coronary Artery Bypass Graft (CABG)<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Major Bowel Procedures<\/span><\/li>\n<\/ul>\n<\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Hospitals must manage costs below CMS-set target prices and meet quality benchmarks to earn shared savings.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\"><span style=\"font-weight: 400\">Poor performance can result in financial penalties.<\/span><\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">While hospitals are directly accountable, orthopedic practices are central to the quality, coordination, and cost-efficiency of each episode, making your performance mission-critical to TEAM outcomes.<br \/>\n<\/span><\/p>\n<h3><b>Key Objectives of The Alternative Payment Model (TEAM) And What They Mean For Orthopedic Practices<\/b><\/h3>\n<\/div><\/div><div class=\"text-block text-italic custom-font-text-1781010882-1035944374 \" ><div class=\"simple-text \"><p><strong><i>Medicare\u2019s Trustees assume that starting in 2026, clinicians who are not in <\/i><a href=\"https:\/\/www.medpac.gov\/wp-content\/uploads\/2024\/03\/Mar24_MedPAC_Report_To_Congress_SEC.pdf\" target=\"_blank\" rel=\"nofollow noopener\"><i>advanced alternative payment models (A\u2013APMs)<\/i><\/a><i> will receive lower annual updates to their Medicare physician fee schedule payment rates (0.25 percent per year) than clinicians who are in A\u2013APMs (0.75 percent per year)<\/i><\/strong><\/p>\n<\/div><\/div>[vc_raw_html]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[\/vc_raw_html]<div class=\"text-block text \" ><div class=\"simple-text \"><h3><b>The CMS TEAM Model Financial Structure: What\u2019s at Stake<\/b><\/h3>\n<p><span style=\"font-weight: 400\">Hospitals are reimbursed through a retrospective reconciliation process. Here\u2019s how it works:<\/span><\/p>\n<ol>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">CMS sets target prices in advance for each episode, based on historical costs, adjusted for patient complexity and hospital characteristics.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">After care is delivered, CMS compares actual episode spending to the target.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">If costs are lower and quality metrics are met, the hospital earns a positive reconciliation payment.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">If costs exceed the target, the hospital owes money back to CMS, up to 20% of the total episode cost, depending on risk track.<\/span><\/li>\n<\/ol>\n<p><span style=\"font-weight: 400\">While hospitals bear this financial risk directly, orthopedic teams influence every cost driver: surgical supply use, OR time, post-acute care referrals, readmissions, and complications.<\/span><\/p>\n<h4><b>TEAM Participation Tracks &amp; Risk Levels<\/b><\/h4>\n<p><span style=\"font-weight: 400\">CMS offers three levels of financial risk through \u201ctracks\u201d:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><b style=\"font-weight: bold\">Track 1<\/b><span style=\"font-weight: 400\">: Upside-only (no penalties), capped gains. Available for all hospitals in year 1; extended through year 3 for safety-net facilities.<\/span><\/li>\n<li style=\"font-weight: 400\"><b style=\"font-weight: bold\">Track 2<\/b><span style=\"font-weight: 400\">: Moderate risk and reward (5% gain\/loss cap). For rural, sole community, and essential access hospitals.<\/span><\/li>\n<li style=\"font-weight: 400\"><b style=\"font-weight: bold\">Track 3<\/b>: Full-risk model (20% gain\/loss cap). Available to all participants throughout the model.<\/li>\n<\/ul>\n<\/div><\/div>[vc_single_image image=&#8221;449255&#8243; img_size=&#8221;full&#8221;]<\/div><\/div><\/section><div class=\"text-block text \" ><div class=\"simple-text \"><p><span style=\"font-weight: 400\">This structure gives hospitals time to adapt, but orthopedic partners must also scale up readiness in parallel.<\/span><\/p>\n<h3><b>The Strategic Impact of TEAM on Orthopedic Episode Care<\/b><\/h3>\n<p><span style=\"font-weight: 400\">Even though hospitals are the primary participants, the CMS TEAM Model reshapes the environment orthopedic surgeons operate in. Your clinical decisions, discharge plans, and care coordination all affect episode costs, readmissions, and patient outcomes.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Here\u2019s how TEAM impacts your practice:<\/span><\/p>\n<p><strong>Mandatory Participation in Many Regions<\/strong><\/p>\n<p><span style=\"font-weight: 400\">Unlike previous bundled payment models like BPCI, TEAM does not allow hospitals in selected regions to opt out. This means orthopedic groups must be prepared to participate, whether they feel ready or not.<\/span><\/p>\n<p><strong>High-Stakes Reimbursement Tied to Performance<\/strong><\/p>\n<p><span style=\"font-weight: 400\">CMS sets target episode prices that include built-in savings assumptions. To succeed, hospitals and providers must deliver care more efficiently than historical benchmarks, while maintaining or improving quality.<\/span><\/p>\n<p><strong>Stricter Quality &amp; Outcome Requirements<\/strong><\/p>\n<p><span style=\"font-weight: 400\">Hospitals must meet specific clinical and patient-reported outcome measures (PROMs) to qualify for shared savings. If your practice isn\u2019t already tracking outcomes consistently, you may be the weak link in the chain.<\/span><\/p>\n<p><span style=\"font-weight: 400\">So, it is crucial for orthopedic providers to strongly focus on collecting meaningful data than ever before. This also helps you to consistently deliver high-quality, and outcome-driven care to stay competitive and financially viable.<\/span><\/p>\n<h3><b>Why TEAM Poses New Financial Challenges for Orthopedic Practices<\/b><\/h3>\n<p><strong>Mandatory Participation That Increases Accountability<br \/>\n<\/strong><b><br \/>\n<\/b><span style=\"font-weight: 400\">Unlike previous models, orthopedic practices operating in TEAM-selected regions cannot opt out. This makes active participation and strategic alignment with hospital partners non-negotiable for financial survival.<\/span><\/p>\n<p><strong>Aggressive Target Pricing Demands Cost Control<br \/>\n<\/strong><b><br \/>\n<\/b><span style=\"font-weight: 400\">CMS sets target prices with built-in discounts, expecting providers to cut costs below historical averages to avoid penalties. For orthopedic episodes\u2014which typically involve high post-acute care variability, this requires precise control of care pathways and associated costs.<\/span><\/p>\n<p><strong>Quality and Outcomes Drive Payment Adjustments<br \/>\n<\/strong><b><br \/>\n<\/b><span style=\"font-weight: 400\">Under TEAM, quality reporting is not optional. Failure to meet performance benchmarks or to consistently collect and report Patient-Reported Outcome Measures (PROMs) can directly reduce potential incentive payments, no matter how much cost savings are achieved.<\/span><\/p>\n<\/div><\/div><section  id=\"four\" class=\"section no\"><div class=\"row\"><div class=\"wpb_column col-md-12 have-padding\">[vc_empty_space]<div class=\"text-block \" ><div class=\"simple-text \"><h2 style=\"color: #ef662f;font-size: 30px\"><b>The TEAM Effect: What\u2019s Changing for Orthopedic Providers<\/b><\/h2>\n<\/div><\/div><\/div><\/div><\/section><div class=\"text-block text \" ><div class=\"simple-text \"><p><span style=\"font-weight: 400\">Though TEAM accountability primarily falls on participating hospitals, orthopedic practices and surgeons play a direct and essential role in the model\u2019s outcomes.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Orthopedic procedures, particularly joint replacements, hip\/femur fracture repair, and spinal fusion, constitute some of Medicare\u2019s most common and cost-intensive episodes, making orthopedic teams crucial to success within TEAM.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Here&#8217;s how it impacts your practice:<\/span><\/p>\n<p><strong>Surgical Outcomes Drive Hospital Revenues<\/strong><\/p>\n<p><span style=\"font-weight: 400\">Team payments to hospitals are based on their Composite Quality Score (CQS), which includes orthopedic-specific measures like patient-reported outcome measures (PROMs), readmission, and discharge efficiency.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Your surgical outcomes, recovery process, and rehab coordination now directly tie to bottom-line performance.<\/span><\/p>\n<p><strong>Data and Reporting Requirements Increase<\/strong><\/p>\n<p><span style=\"font-weight: 400\">Hospitals and orthopedic staff must gather and report outcomes data, including patient-reported outcomes, a new measure in addition to clinical measures.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Orthopedic surgeons and administrators will need to enhance documentation systems and institute RCM systems capable of accommodating new reporting requirements.<\/span><\/p>\n<p><strong>New Opportunities for Financial Partnerships<\/strong><\/p>\n<p><span style=\"font-weight: 400\">Although orthopedic physician groups are not immediately in convening model status, TEAM can get hospitals to pledge co-management or gainsharing arrangements and compensate orthopedic providers engaged in cost and quality targets.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Practice groups that manage perioperative care more logically, lower readmissions, and optimize coordination can share profit.<\/span><\/p>\n<p><strong>Post-Acute Cost Control and Discharge Planning Are Most Important<\/strong><\/p>\n<p><span style=\"font-weight: 400\">Medicare statistics have revealed that orthopedic post-acute care (rehab, home health, and skilled nursing) are most likely to be the source of highest cost variation.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">This new alternative payment model TEAM promotes good discharge and recovery processes without compromising the outcomes. It is a great opportunity for your practice to show leadership and alignment with hospital efforts.\u200b<\/span><\/p>\n<p><strong>Integration with Digital and Remote Care<\/strong><\/p>\n<p><span style=\"font-weight: 400\">TEAM&#8217;s introduction aligns with CMS&#8217;s vision of virtual care and remote patient monitoring (RPM) in 2026.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Orthopedic practices embracing digital follow-up care and remote therapy modalities can reduce readmissions, improve outcomes, and improve value positioning in the model.<\/span><\/p>\n<\/div><\/div>[vc_raw_html]JTNDaWZyYW1lJTIwd2lkdGglM0QlMjIxMDAlMjUlMjIlMjBoZWlnaHQlM0QlMjIzMDAlMjIlMjBzY3JvbGxpbmclM0QlMjJubyUyMiUyMGZyYW1lYm9yZGVyJTNEJTIybm8lMjIlMjBhbGxvdyUzRCUyMmF1dG9wbGF5JTIyJTIwc3JjJTNEJTIyaHR0cHMlM0ElMkYlMkZ3LnNvdW5kY2xvdWQuY29tJTJGcGxheWVyJTJGJTNGdXJsJTNEaHR0cHMlMjUzQSUyRiUyRmFwaS5zb3VuZGNsb3VkLmNvbSUyRnRyYWNrcyUyRnNvdW5kY2xvdWQlMjUyNTNBdHJhY2tzJTI1MjUzQTIyMDgzODA5MTglMjZjb2xvciUzRCUyNTIzZmY1NTAwJTI2YXV0b19wbGF5JTNEZmFsc2UlMjZoaWRlX3JlbGF0ZWQlM0RmYWxzZSUyNnNob3dfY29tbWVudHMlM0R0cnVlJTI2c2hvd191c2VyJTNEdHJ1ZSUyNnNob3dfcmVwb3N0cyUzRGZhbHNlJTI2c2hvd190ZWFzZXIlM0R0cnVlJTI2dmlzdWFsJTNEdHJ1ZSUyMiUzRSUzQyUyRmlmcmFtZSUzRSUzQ2RpdiUyMHN0eWxlJTNEJTIyZm9udC1zaXplJTNBJTIwMTBweCUzQiUyMGNvbG9yJTNBJTIwJTIzY2NjY2NjJTNCbGluZS1icmVhayUzQSUyMGFueXdoZXJlJTNCd29yZC1icmVhayUzQSUyMG5vcm1hbCUzQm92ZXJmbG93JTNBJTIwaGlkZGVuJTNCd2hpdGUtc3BhY2UlM0ElMjBub3dyYXAlM0J0ZXh0LW92ZXJmbG93JTNBJTIwZWxsaXBzaXMlM0IlMjBmb250LWZhbWlseSUzQSUyMEludGVyc3RhdGUlMkNMdWNpZGElMjBHcmFuZGUlMkNMdWNpZGElMjBTYW5zJTIwVW5pY29kZSUyQ0x1Y2lkYSUyMFNhbnMlMkNHYXJ1ZGElMkNWZXJkYW5hJTJDVGFob21hJTJDc2Fucy1zZXJpZiUzQmZvbnQtd2VpZ2h0JTNBJTIwMTAwJTNCJTIyJTNFJTNDYSUyMGhyZWYlM0QlMjJodHRwcyUzQSUyRiUyRnNvdW5kY2xvdWQuY29tJTJGYmlsbGluZ3BhcmFkaXNlLTMwNjYwOTE1NyUyMiUyMHRpdGxlJTNEJTIyQmlsbGluZ1BhcmFkaXNlJTIyJTIwdGFyZ2V0JTNEJTIyX2JsYW5rJTIyJTIwc3R5bGUlM0QlMjJjb2xvciUzQSUyMCUyM2NjY2NjYyUzQiUyMHRleHQtZGVjb3JhdGlvbiUzQSUyMG5vbmUlM0IlMjIlM0VCaWxsaW5nUGFyYWRpc2UlM0MlMkZhJTNFJTIwJUMyJUI3JTIwJTNDYSUyMGhyZWYlM0QlMjJodHRwcyUzQSUyRiUyRnNvdW5kY2xvdWQuY29tJTJGYmlsbGluZ3BhcmFkaXNlLTMwNjYwOTE1NyUyRmhvdy1vcnRob3BlZGljLXByYWN0aWNlcy1zaG91bGQtcHJlcGFyZS1mb3ItdGhlLXRlYW0tYWx0ZXJuYXRpdmUtcGF5bWVudC1tb2RlbCUyMiUyMHRpdGxlJTNEJTIySG93JTIwT3J0aG9wZWRpYyUyMFByYWN0aWNlcyUyMFNob3VsZCUyMFByZXBhcmUlMjBmb3IlMjB0aGUlMjBURUFNJTIwQWx0ZXJuYXRpdmUlMjBQYXltZW50JTIwTW9kZWwlMjIlMjB0YXJnZXQlM0QlMjJfYmxhbmslMjIlMjBzdHlsZSUzRCUyMmNvbG9yJTNBJTIwJTIzY2NjY2NjJTNCJTIwdGV4dC1kZWNvcmF0aW9uJTNBJTIwbm9uZSUzQiUyMiUzRUhvdyUyME9ydGhvcGVkaWMlMjBQcmFjdGljZXMlMjBTaG91bGQlMjBQcmVwYXJlJTIwZm9yJTIwdGhlJTIwVEVBTSUyMEFsdGVybmF0aXZlJTIwUGF5bWVudCUyME1vZGVsJTNDJTJGYSUzRSUzQyUyRmRpdiUzRQ==[\/vc_raw_html]<section  id=\"five-link\" class=\"section no\"><div class=\"row\"><div class=\"wpb_column col-md-12 have-padding\">[vc_empty_space]<div class=\"text-block \" ><div class=\"simple-text \"><h2 style=\"color: #ef662f;font-size: 30px\"><b>Episode Cost Calculations Under the CMS TEAM Model: What\u2019s Counted and What\u2019s Not<\/b><\/h2>\n<\/div><\/div>[vc_empty_space height=&#8221;26px&#8221;]<div class=\"text-block text \" ><div class=\"simple-text \"><p><span style=\"font-weight: 400\">Under Medicare\u2019s TEAM (Transforming Episode Accountability Model), an \u2018episode\u2019 includes a patient\u2019s surgical hospitalization and all related care within 30 days after discharge.<\/span><span style=\"font-weight: 400\"><br \/>\n<\/span><span style=\"font-weight: 400\">CMS looks at the <\/span><i><span style=\"font-weight: 400\">entire recovery journey<\/span><\/i><span style=\"font-weight: 400\">, not just what happens in the OR.<\/span><\/p>\n<h3><b>What\u2019s Included in the Episode Cost Calculation Under TEAM Model<\/b><\/h3>\n<p><span style=\"font-weight: 400\">Each TEAM episode combines the total Medicare-covered costs from the index surgery and all medically related services post-discharge. Here\u2019s what counts:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><strong>Hospital stay (DRG payment)<\/strong><span style=\"font-weight: 400\"> \u2013 Medicare\u2019s bundled payment for the inpatient surgery.<\/span><\/li>\n<li style=\"font-weight: 400\"><strong>Readmissions<\/strong><span style=\"font-weight: 400\"> \u2013 Any unplanned hospital stays within 30 days.<\/span><\/li>\n<li style=\"font-weight: 400\"><strong>Physician and practitioner services (Part B)<\/strong><span style=\"font-weight: 400\"> \u2013 Such as the surgeon, consultants, anesthesiologist, and all post-op follow-ups.<\/span><\/li>\n<li style=\"font-weight: 400\"><strong>Post-acute care (PAC)<\/strong><span style=\"font-weight: 400\"> \u2013 Skilled nursing facility (SNF), inpatient rehab (IRF), home health (HHA), or long-term care hospital (LTCH) services.<\/span><\/li>\n<li style=\"font-weight: 400\"><strong>Outpatient services<\/strong><span style=\"font-weight: 400\"> \u2013 Services include imaging, physical therapy, labs, and emergency visits.<\/span><\/li>\n<li style=\"font-weight: 400\"><strong>Durable medical equipment (DME<\/strong><b>)<\/b><span style=\"font-weight: 400\"> \u2013 Including braces, walkers, or mobility aids.<\/span><\/li>\n<li style=\"font-weight: 400\"><strong>Hospice<\/strong><span style=\"font-weight: 400\"> \u2013 If initiated within 30 days of discharge.<\/span><\/li>\n<\/ul>\n<p><strong>Not included:<\/strong><b><br \/>\n<\/b><span style=\"font-weight: 400\">Unrelated elective surgeries or Medicare Part D prescription drug costs.<\/span><\/p>\n<p><strong>Example: A Typical TEAM Episode for Lumbar Spinal Fusion<\/strong><\/p>\n<p><span style=\"font-weight: 400\">Let\u2019s look at how a common orthopedic procedure, lumbar spinal fusion might add up under the CMS TEAM model.<\/span><\/p>\n<\/div><\/div>[vc_raw_html]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[\/vc_raw_html]<div class=\"text-block text \" ><div class=\"simple-text \"><p><span style=\"font-weight: 400\">Now, if CMS sets your region\u2019s target price at $35,000, you\u2019re $1,500 over target\u2014which could result in a repayment penalty.<\/span><\/p>\n<h3>How Medicare Establishes Episode Target Prices Under TEAM<\/h3>\n<p><span style=\"font-weight: 400\">Medicare bases episode target prices on regional spending history, typically the past three years of claims data.<\/span><span style=\"font-weight: 400\"><br \/>\n<\/span><span style=\"font-weight: 400\">They then apply a discount (around 1.5\u20133%) to ensure overall savings for Medicare.<\/span><\/p>\n<p><strong>Example:<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Regional average spending: $36,000<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">CMS discount: 3%<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Target price: $34,920<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">Hospitals must perform below this threshold to earn reconciliation bonuses.<\/span><\/p>\n<p><strong>Reconciliation: Bonuses and Penalties<\/strong><\/p>\n<p><span style=\"font-weight: 400\">Every six months, CMS compares your actual spending against your cumulative target price:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">If you spend <\/span><i><span style=\"font-weight: 400\">less<\/span><\/i><span style=\"font-weight: 400\"> than the target: you earn a bonus.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">If you spend <\/span><i><span style=\"font-weight: 400\">more<\/span><\/i><span style=\"font-weight: 400\"> than the target: you owe Medicare the difference.<\/span><\/li>\n<\/ul>\n<p><strong>Example:<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">150 spinal fusion episodes<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Target price: $35,000<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Actual cost per episode: $36,500<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">\u00a0$1,500 \u00d7 150 = $225,000 penalty owed to CMS<\/span><\/p>\n<p><span style=\"font-weight: 400\">If you bring costs down to $34,000 per episode, you save $150,000 total \u2014 and earn that as a bonus<\/span><b>.<\/b><\/p>\n<h3><strong>Risk Caps: Protecting Hospitals from Major Losses<\/strong><\/h3>\n<p><span style=\"font-weight: 400\">CMS caps potential gains and losses to balance accountability and protect hospitals:<\/span><\/p>\n<\/div><\/div>[vc_raw_html]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[\/vc_raw_html]<div class=\"text-block text \" ><div class=\"simple-text \"><p><span style=\"font-weight: 400\">So, if your hospital receives $5 million in annual TEAM payments, your max risk (or bonus) would be $1 million under a 20% cap.<\/span><\/p>\n<h3><b>How Quality Affects Payment Outcomes<\/b><\/h3>\n<p><span style=\"font-weight: 400\">TEAM isn\u2019t just about cost control, quality performance matters too<\/span><b>.<\/b><b><br \/>\n<\/b><span style=\"font-weight: 400\">Your reconciliation payment is adjusted based on metrics such as:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">30-day readmission rates<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Complication and infection rates<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Patient-reported outcomes (PROMs)<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Patient experience (HCAHPS)<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">High performance = higher bonus<\/span><\/p>\n<p><span style=\"font-weight: 400\">Low performance = reduced bonus or added penalty<\/span><\/p>\n<p><span style=\"font-weight: 400\">Typical quality adjustments range around \u00b13% of your total reconciliation amount.<\/span><\/p>\n<p><strong>Volume Weighting: Giving Weight Where It Matters<\/strong><\/p>\n<p><span style=\"font-weight: 400\">CMS gives more weight to procedures you perform more often.<\/span><\/p>\n<p><span style=\"font-weight: 400\">If your hospital does:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">200 spinal fusions<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">50 shoulder replacements<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">Spine outcomes account for 80% of your quality score.<\/span><span style=\"font-weight: 400\"><br \/>\n<\/span><span style=\"font-weight: 400\">This ensures your largest service lines influence your final score proportionately.<\/span><\/p>\n<p><strong>Quality Adjustment in Action<\/strong><\/p>\n<p><span style=\"font-weight: 400\">Let\u2019s revisit our earlier example:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">150 spinal fusion episodes<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Target: $35,000 \u2192 Total $5.25M<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Actual: $34,000 \u2192 $150,000 under target<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Quality bonus: +2%<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">Additional +2% of $5.25M = $105,000 bonus<\/span><\/p>\n<p><span style=\"font-weight: 400\">Total reconciliation = $150,000 + $105,000 = $255,000 reward<\/span><\/p>\n<p><span style=\"font-weight: 400\">If quality were -2%, you\u2019d lose $105,000 and reduce your savings to $45,000.<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/section><section  id=\"six\" class=\"section no\"><div class=\"row\"><div class=\"wpb_column col-md-12 have-padding\">[vc_empty_space]<div class=\"text-block \" ><div class=\"simple-text \"><h2 style=\"color: #ef662f;font-size: 30px\"><b>Preparing Your Orthopedic Practice to Succeed Under TEAM<br \/>\n<\/b><\/h2>\n<\/div><\/div><div class=\"text-block text \" ><div class=\"simple-text \"><ol>\n<li><strong> Prevent avoidable readmissions and complications<\/strong><b><br \/>\n<\/b><span style=\"font-weight: 400\"> Adopt typical pathways to prevent infection, support early mobilization and multimodal pain control. When you avoid readmissions, you can save reasonable costs.<\/span><\/li>\n<li><strong> Optimize discharge destinations<\/strong><b><br \/>\n<\/b><span style=\"font-weight: 400\"> Advise home discharge when necessary, home health is less expensive than SNF.\u00a0<\/span><\/li>\n<li><strong> Collaborate with efficient post-acute partners<\/strong><b><br \/>\n<\/b><span style=\"font-weight: 400\">Build connections with SNFs and home health agencies that foster shorter stays and better outcomes.<\/span><\/li>\n<li><strong> Eliminate unnecessary utilization<\/strong><b><br \/>\n<\/b><span style=\"font-weight: 400\">Minimize your ED visits by avoiding multiple consults, limiting unneeded imaging, and doing robust post-discharge follow-up.<\/span><\/li>\n<\/ol>\n<p><strong>Internal vs. External Cost Control<\/strong><\/p>\n<ul>\n<li style=\"font-weight: 400\"><strong>Internal savings<\/strong><span style=\"font-weight: 400\"> includes negotiating implant prices, improving OR efficiency etc, which helps to increase hospital margins under fixed DRG payments.<\/span><\/li>\n<li style=\"font-weight: 400\"><strong>External savings<\/strong><span style=\"font-weight: 400\"> from fewer readmissions, shorter SNF stays will help you lower Medicare\u2019s total spend, and directly improve your reconciliation performance.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">To align your practice under TEAM and <\/span><a href=\"https:\/\/www.billingparadise.com\/blog\/expand-orthopedic-practice-rcm-growth-strategies\/\"><span style=\"font-weight: 400\">orthopedic revenue cycle management<\/span><\/a><span style=\"font-weight: 400\"> goals, orthopedic programs need to balance clinical excellence, efficient usage of resources, and proactive care coordination.<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/section><section  class=\"section no\"><div class=\"row\"><div class=\"wpb_column col-md-12 have-padding\">[vc_raw_html]%3Cstyle%3E%0A%20%20%20%20.slider-container%20%7B%0A%20%20%20%20%20%20position%3A%20relative%3B%0A%20%20%20%20%20%20overflow%3A%20hidden%3B%0A%20%20%20%20%20%20background-color%3A%20%23fff%3B%0A%20%20%20%20%20%20border-radius%3A%2010px%3B%0A%20%20%20%20%20%20box-shadow%3A%200%204px%2015px%20rgba%280%2C%200%2C%200%2C%200.1%29%3B%0A%20%20%7D%0A%20%20%0A%20%20.slider%20%7B%0A%20%20%20%20%20%20display%3A%20flex%3B%0A%20%20%20%20%20%20transition%3A%20transform%200.5s%20ease-in-out%3B%0A%20%20%7D%0A%20%20%0A%20%20.slide%20%7B%0A%20%20%20%20%20%20min-width%3A%20100%25%3B%0A%20%20%20%20%20%20transition%3A%20opacity%200.5s%20ease%3B%0A%20%20%7D%0A%20%20%0A%20%20img%20%7B%0A%20%20%20%20%20%20width%3A%20100%25%3B%0A%20%20%20%20%20%20height%3A%20auto%3B%0A%20%20%20%20%20%20display%3A%20block%3B%0A%20%20%7D%0A%20%20%0A%20%20.controls%20%7B%0A%20%20%20%20%20%20width%3A%20100%25%3B%0A%20%20%20%20%20%20display%3A%20flex%3B%0A%20%20%20%20%20%20justify-content%3A%20center%3B%0A%20%20%20%20%20%20align-items%3A%20center%3B%0A%20%20%7D%0A%20%20%0A%20%20.control-btn%20%7B%0A%20%20%20%20%20%20background-color%3A%20%23fff%3B%0A%20%20%20%20%20%20border%3A%20none%3B%0A%20%20%20%20%20%20font-size%3A%2022px%3B%0A%20%20%20%20%20%20padding%3A%2010px%3B%0A%20%20%20%20%20%20margin%3A%200%2020px%3B%0A%20%20%20%20%20%20cursor%3A%20pointer%3B%0A%20%20%20%20%20%20border-radius%3A%2050%25%3B%0A%20%20%20%20%20%20box-shadow%3A%200%204px%2010px%20rgba%280%2C%200%2C%200%2C%200.1%29%3B%0A%20%20%7D%0A%20%20%0A%20%20%23slide-indicator%20%7B%0A%20%20%20%20%20%20font-size%3A%201em%3B%0A%20%20%20%20%20%20color%3A%20%23333%3B%0A%20%20%7D%0A%20%20%0A%20%20%2F%2A%20Mobile%20responsiveness%20%2A%2F%0A%20%20%40media%20%28max-width%3A%20768px%29%20%7B%0A%20%20%20%20%20%20.slider-container%20%7B%0A%20%20%20%20%20%20%20%20%20%20width%3A%2095%25%3B%0A%20%20%20%20%20%20%7D%0A%20%20%0A%20%20%20%20%20%20.control-btn%20%7B%0A%20%20%20%20%20%20%20%20%20%20font-size%3A%201.5em%3B%0A%20%20%20%20%20%20%20%20%20%20margin%3A%200%2010px%3B%0A%20%20%20%20%20%20%7D%0A%20%20%0A%20%20%20%20%20%20%23slide-indicator%20%7B%0A%20%20%20%20%20%20%20%20%20%20font-size%3A%200.9em%3B%0A%20%20%20%20%20%20%7D%0A%20%20%7D%0A%20%20%3C%2Fstyle%3E%0A%20%20%3Cdiv%20class%3D%22slider-container%22%3E%0A%20%20%20%20%20%20%3Cdiv%20class%3D%22slider%22%3E%0A%20%20%20%20%20%20%20%20%20%20%3Cdiv%20class%3D%22slide%20active%22%3E%0A%20%20%20%20%20%20%20%20%20%20%20%20%20%20%3Cimg%20src%3D%22https%3A%2F%2Fwww.billingparadise.com%2Fblog%2Fwp-content%2Fuploads%2F2025%2F11%2FHow-RCM-Solutions-Help-Orthopedic-Practices-Scale-Under-TEAM.webp%22%20alt%3D%22How%20RCM%20Solutions%20Help%20Orthopedic%20Practices%20Scale%20Under%20TEAM%22%3E%0A%20%20%20%20%20%20%20%20%20%20%3C%2Fdiv%3E%0A%20%20%20%20%20%20%20%20%20%20%3Cdiv%20class%3D%22slide%22%3E%0A%20%20%20%20%20%20%20%20%20%20%20%20%20%20%3Cimg%20src%3D%22https%3A%2F%2Fwww.billingparadise.com%2Fblog%2Fwp-content%2Fuploads%2F2025%2F11%2FUnify-data-for-Real-Time-Decisions.webp%22%20alt%20%3D%20%22Unify%20data%20for%20Real%20-Time%20Decisions%22%3E%0A%20%20%20%20%20%20%20%20%20%20%3C%2Fdiv%3E%0A%20%20%3Cdiv%20class%3D%22slide%22%3E%0A%20%20%20%20%20%20%20%20%20%20%20%20%20%20%3Cimg%20src%3D%22https%3A%2F%2Fwww.billingparadise.com%2Fblog%2Fwp-content%2Fuploads%2F2025%2F11%2FAutomate-Compliance-Reporting.webp%22%20alt%3D%22Automate%20Compliance%20%26%20Reporting%22%3E%0A%20%20%20%20%20%20%20%20%20%20%3C%2Fdiv%3E%0A%0A%20%20%3Cdiv%20class%3D%22slide%22%3E%0A%20%20%20%20%20%20%20%20%20%20%20%20%20%20%3Cimg%20src%3D%22https%3A%2F%2Fwww.billingparadise.com%2Fblog%2Fwp-content%2Fuploads%2F2025%2F11%2FImprove-Coding-Denial-Management.webp%22%20alt%3D%22Improve%20Coding%20%26%20Denial%20Management%22%3E%0A%20%20%20%20%20%20%20%20%20%20%3C%2Fdiv%3E%0A%20%20%20%20%3Cdiv%20class%3D%22slide%22%3E%0A%20%20%20%20%20%20%20%20%20%20%20%20%20%20%3Cimg%20src%3D%22https%3A%2F%2Fwww.billingparadise.com%2Fblog%2Fwp-content%2Fuploads%2F2025%2F11%2FOptimize-Collaboration-Predictive-Monitoring.webp%22%20alt%3D%22Optimize%20Collaboration%20%26%20Predictive%20Monitoring%22%3E%0A%20%20%20%20%20%20%20%20%20%20%3C%2Fdiv%3E%0A%0A%20%20%3Cdiv%20class%3D%22slide%22%3E%0A%20%20%20%20%20%20%20%20%20%20%20%20%20%20%3Cimg%20src%3D%22https%3A%2F%2Fwww.billingparadise.com%2Fblog%2Fwp-content%2Fuploads%2F2025%2F11%2FRCM-solutions-turn-operational-complexity-into-opportunity.webp%22%20alt%3D%22RCM%20solutions%20turn%20operational%20complexity%20into%20opportunity%22%20%3E%0A%20%20%20%20%20%20%20%20%20%20%3C%2Fdiv%3E%0A%20%0A%20%0A%20%20%20%20%20%3C%21--%20Add%20more%20slides%20as%20needed%20--%3E%0A%20%20%20%20%20%20%3C%2Fdiv%3E%0A%20%20%0A%20%20%20%20%20%20%3C%21--%20Slider%20controls%20--%3E%0A%20%20%20%20%20%20%3Cdiv%20class%3D%22controls%22%3E%0A%20%20%20%20%20%20%20%20%20%20%3Cbutton%20id%3D%22prev%22%20class%3D%22control-btn%22%3E%26%239664%3B%3C%2Fbutton%3E%0A%20%20%20%20%20%20%20%20%20%20%3Cspan%20id%3D%22slide-indicator%22%3E1%2F6%3C%2Fspan%3E%0A%20%20%20%20%20%20%20%20%20%20%3Cbutton%20id%3D%22next%22%20class%3D%22control-btn%22%3E%26%239654%3B%3C%2Fbutton%3E%0A%20%20%20%20%20%20%3C%2Fdiv%3E%0A%20%20%3C%2Fdiv%3E%20%20%0A%20%20%0A%20%20%3Cscript%20type%3D%22text%2Fjavascript%22%3E%0A%20%20%20%20%20%20const%20slides%20%3D%20document.querySelectorAll%28%27.slide%27%29%3B%0A%20%20%20%20%20%20const%20prevBtn%20%3D%20document.getElementById%28%27prev%27%29%3B%0A%20%20%20%20%20%20const%20nextBtn%20%3D%20document.getElementById%28%27next%27%29%3B%0A%20%20%20%20%20%20const%20slideIndicator%20%3D%20document.getElementById%28%27slide-indicator%27%29%3B%0A%20%20%20%20%20%20let%20currentSlide%20%3D%200%3B%0A%20%20%20%20%20%20const%20totalSlides%20%3D%20slides.length%3B%0A%20%20%20%20%20%20%0A%20%20%20%20%20%20%2F%2F%20Show%20the%20current%20slide%20based%20on%20the%20index%0A%20%20%20%20%20%20function%20showSlide%28index%29%20%7B%0A%20%20%20%20%20%20%20%20%20%20slides.forEach%28%28slide%2C%20i%29%20%3D%3E%20%7B%0A%20%20%20%20%20%20%20%20%20%20%20%20%20%20slide.style.display%20%3D%20%27none%27%3B%20%20%2F%2F%20Hide%20all%20slides%0A%20%20%20%20%20%20%20%20%20%20%7D%29%3B%0A%20%20%20%20%20%20%20%20%20%20slides%5Bindex%5D.style.display%20%3D%20%27block%27%3B%20%20%2F%2F%20Show%20the%20current%20slide%0A%20%20%20%20%20%20%20%20%20%20slideIndicator.textContent%20%3D%20%60%24%7Bindex%20%2B%201%7D%2F%24%7BtotalSlides%7D%60%3B%0A%20%20%20%20%20%20%7D%0A%20%20%20%20%20%20%0A%20%20%20%20%20%20%2F%2F%20Move%20to%20the%20next%20slide%0A%20%20%20%20%20%20function%20nextSlide%28%29%20%7B%0A%20%20%20%20%20%20%20%20%20%20currentSlide%20%3D%20%28currentSlide%20%2B%201%29%20%25%20totalSlides%3B%0A%20%20%20%20%20%20%20%20%20%20showSlide%28currentSlide%29%3B%0A%20%20%20%20%20%20%7D%0A%20%20%20%20%20%20%0A%20%20%20%20%20%20%2F%2F%20Move%20to%20the%20previous%20slide%0A%20%20%20%20%20%20function%20prevSlide%28%29%20%7B%0A%20%20%20%20%20%20%20%20%20%20currentSlide%20%3D%20%28currentSlide%20-%201%20%2B%20totalSlides%29%20%25%20totalSlides%3B%0A%20%20%20%20%20%20%20%20%20%20showSlide%28currentSlide%29%3B%0A%20%20%20%20%20%20%7D%0A%20%20%20%20%20%20%0A%20%20%20%20%20%20%2F%2F%20Auto-scroll%20every%205%20seconds%0A%20%20%20%20%20%20let%20autoScroll%20%3D%20setInterval%28nextSlide%2C%205000%29%3B%0A%20%20%20%20%20%20%0A%20%20%20%20%20%20%2F%2F%20Manual%20control%20for%20next%2Fprev%20buttons%0A%20%20%20%20%20%20nextBtn.addEventListener%28%27click%27%2C%20%28%29%20%3D%3E%20%7B%0A%20%20%20%20%20%20%20%20%20%20nextSlide%28%29%3B%0A%20%20%20%20%20%20%20%20%20%20resetAutoScroll%28%29%3B%0A%20%20%20%20%20%20%7D%29%3B%0A%20%20%20%20%20%20%0A%20%20%20%20%20%20prevBtn.addEventListener%28%27click%27%2C%20%28%29%20%3D%3E%20%7B%0A%20%20%20%20%20%20%20%20%20%20prevSlide%28%29%3B%0A%20%20%20%20%20%20%20%20%20%20resetAutoScroll%28%29%3B%0A%20%20%20%20%20%20%7D%29%3B%0A%20%20%20%20%20%20%0A%20%20%20%20%20%20%2F%2F%20Reset%20the%20auto-scroll%20interval%20after%20manual%20interaction%0A%20%20%20%20%20%20function%20resetAutoScroll%28%29%20%7B%0A%20%20%20%20%20%20%20%20%20%20clearInterval%28autoScroll%29%3B%0A%20%20%20%20%20%20%20%20%20%20autoScroll%20%3D%20setInterval%28nextSlide%2C%205000%29%3B%0A%20%20%20%20%20%20%7D%0A%20%20%20%20%20%20%0A%20%20%20%20%20%20%2F%2F%20Initialize%20the%20slider%20by%20showing%20the%20first%20slide%0A%20%20%20%20%20%20showSlide%28currentSlide%29%3B%0A%20%20%3C%2Fscript%3E%0A%20%20[\/vc_raw_html][vc_raw_js]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[\/vc_raw_js]<\/div><\/div><\/section><section  id=\"seven\" class=\"section no\"><div class=\"row\"><div class=\"wpb_column col-md-12 have-padding\">[vc_empty_space]<div class=\"text-block \" ><div class=\"simple-text \"><h2 style=\"color: #ef662f;font-size: 30px\"><b>How RCM Solutions Help Orthopedic Practices Scale Under TEAM<br \/>\n<\/b><\/h2>\n<\/div><\/div><div class=\"text-block text \" ><div class=\"simple-text \"><p><strong>1. Unify Clinical and Financial Data for Real-Time Decision-Making<\/strong><\/p>\n<p><span style=\"font-weight: 400\">RCM solutions that integrate clinical documentation, quality metrics, and billing data help orthopedic providers to manage the entire patient episode, before, during, and after surgery. This gives your real-time visibility into the orthopedic practice performance and allows you to identify risks at the early stage and perform timely interventions.<\/span><\/p>\n<p><strong>2. Automate Compliance and Quality Reporting<\/strong><\/p>\n<p><span style=\"font-weight: 400\">One of the effective ways to reduce administrative burden and ensure compliance with TEAM\u2019s quality standards is to streamline PROMs collection and reporting. <\/span><a href=\"https:\/\/www.billingparadise.com\/\"><span style=\"font-weight: 400\">BillingParadise<\/span><\/a><span style=\"font-weight: 400\"> offers automated RCM workflow to help you with accurate and timely claim submissions, and strengthen your billing foundation.<\/span><\/p>\n<\/div><\/div><div class=\"text-block text-italic custom-font-text-1781010882-326670895 \" ><div class=\"simple-text \"><p><strong><i>Medicare\u2019s Trustees assume that starting in 2026, clinicians who are not in <\/i><a href=\"https:\/\/www.medpac.gov\/wp-content\/uploads\/2024\/03\/Mar24_MedPAC_Report_To_Congress_SEC.pdf\" target=\"_blank\" rel=\"nofollow noopener\"><i>advanced alternative payment models (A\u2013APMs) <\/i><\/a><i>will receive lower annual updates to their Medicare physician fee schedule payment rates (0.25 percent per year) than clinicians who are in A\u2013APMs (0.75 percent per year)<\/i><\/strong><\/p>\n<\/div><\/div><div class=\"text-block text \" ><div class=\"simple-text \"><p><strong>3. Improve Coding Accuracy and Denial Management<\/strong><\/p>\n<p><span style=\"font-weight: 400\">This episode-based billing under the TEAM model comes with certain complexities. In order to deal with that, you need precise, procedure-specific billing expertise such as certified medical coders and technology-enabled RCM services providers.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">By <a href=\"https:\/\/www.billingparadise.com\/specialties\/orthopedic\/billing.html\">outsourcing to a billing partner<\/a>, you will substantially <\/span><span style=\"font-weight: 400\">prevent coding errors,<\/span><span style=\"font-weight: 400\"> increase first-pass claim acceptance rates, and master denial management to recover lost revenue quickly.<\/span><\/p>\n<p><strong>4. Optimize Post-Acute Care Collaboration<\/strong><\/p>\n<p><span style=\"font-weight: 400\">Coordination across care settings is critical to controlling costs and minimizing readmissions.<\/span> <span style=\"font-weight: 400\">The automated RCM systems will track referrals, discharge plans, and utilization of followup-care, which help your orthopedic practice to remain aligned with care plans that support cost-efficiency and quality care goals.<\/span><\/p>\n<p><strong>5. Enable Predictive Performance Monitoring<\/strong><\/p>\n<p><span style=\"font-weight: 400\">Predictive analytics tools within <a href=\"https:\/\/www.billingparadise.com\/specialties\/orthopedic\/\">RCM platforms<\/a> identify financial and clinical risks before they impact reimbursement. This enables orthopedic practices to proactively adjust workflows, optimize resource use, and continuously improve their performance under TEAM.<\/span><\/p>\n<p><span style=\"font-weight: 400\">As an RCM solutions provider, we understand the operational complexity and financial pressure this model imposes, and how advanced <\/span><a href=\"https:\/\/www.billingparadise.com\/revenue-cycle-management\/\"><span style=\"font-weight: 400\">revenue cycle management<\/span><\/a><span style=\"font-weight: 400\"> strategies can turn risk into opportunity.<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/section><section  class=\"section no\"><div class=\"row\"><div class=\"wpb_column col-md-12 have-padding\">[vc_video link=&#8221;https:\/\/youtu.be\/dxSUckx8aK0&#8243;]<\/div><\/div><\/section><section  id=\"eight\" class=\"section no\"><div class=\"row\"><div class=\"wpb_column col-md-12 have-padding\">[vc_empty_space]<div class=\"text-block \" ><div class=\"simple-text \"><h2 style=\"color: #ef662f;font-size: 30px\"><b>How BillingParadise Helps You Empower Your Orthopedic Practice in the TEAM Era<br \/>\n<\/b><\/h2>\n<\/div><\/div><div class=\"text-block text \" ><div class=\"simple-text \"><p><span style=\"font-weight: 400\">The transition to the CMS Transforming Episode Accountability Model (TEAM) marks a pivotal shift for orthopedic practices, from retrospective reconciliation to prospective episode-based TEAM Alternative payments tied to quality, efficiency, and equity.<\/span><\/p>\n<p><span style=\"font-weight: 400\">We help your practice not just adapt, but lead, in this new value-driven framework.<\/span><\/p>\n<p><strong>Unify Clinical, Financial, and Quality Insights<\/strong><\/p>\n<p><span style=\"font-weight: 400\">Integrated dashboards bring together cost data, quality metrics, and patient-reported outcome measures (PROMs) across every orthopedic episode.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Gain real-time visibility into episode cost drivers, risk-adjusted benchmarks, and quality performance to stay ahead of CMS target thresholds.<\/span><\/p>\n<p><strong>Streamline TEAM Compliance &amp; Quality Reporting<\/strong><\/p>\n<p><span style=\"font-weight: 400\">The TEAM model links payment to quality and health equity metrics. At BillingParadise, we help you automate PROMs capture, documentation, and submission, directly within your EHR or billing system, reducing manual effort and ensuring accurate, timely reporting for each episode of care.<\/span><\/p>\n<p><strong>Optimize Episode Performance &amp; Denial Prevention<\/strong><\/p>\n<p><span style=\"font-weight: 400\">TEAM participation increases financial risk exposure tied to episode cost and quality outliers.<\/span><span style=\"font-weight: 400\"><br \/>\n<\/span><span style=\"font-weight: 400\">Our AI-powered <\/span><a href=\"https:\/\/www.billingparadise.com\/specialties\/orthopedic\/denial-management.html\"><span style=\"font-weight: 400\">denial management solution<\/span><\/a><span style=\"font-weight: 400\"> identifies coding errors, improper episode attribution, and documentation gaps before claims submission, safeguarding revenue integrity and minimizing post-episode penalties.<\/span><\/p>\n<p><strong>Enable Strategic Forecasting &amp; Reconciliation Readiness<\/strong><\/p>\n<p><span style=\"font-weight: 400\">We model episode-level cost projections and target price variances, helping orthopedic groups forecast financial outcomes under TEAM\u2019s risk-adjusted payment methodology.<\/span><span style=\"font-weight: 400\"><br \/>\n<\/span><span style=\"font-weight: 400\">This enables proactive decisions, from care coordination to cost containment, before CMS reconciliation.<\/span><\/p>\n<p><strong>Align Operations Across the Care Continuum<\/strong><\/p>\n<p><span style=\"font-weight: 400\">TEAM emphasizes collaboration across hospitals, post-acute providers, and specialists.<\/span><span style=\"font-weight: 400\"><br \/>\n<\/span><span style=\"font-weight: 400\">We help you bridge operational silos, ensuring seamless episode coordination, shared data visibility, and documentation alignment across every partner involved in the orthopedic care pathway.<\/span><\/p>\n<p><span style=\"font-weight: 400\">With our RCM solutions, orthopedic practices gain the operational intelligence and automation needed to succeed in a prospective, performance-based payment world.<\/span><span style=\"font-weight: 400\"><br \/>\n<\/span><span style=\"font-weight: 400\"> We help you lead with data, strengthen compliance, and drive financial success \u2014 not just participate in the TEAM transition.<\/span><\/p>\n<\/div><\/div><\/div><\/div><\/section><section  id=\"nine\" class=\"section no\"><div class=\"row\"><div class=\"wpb_column col-md-12 have-padding\">[vc_empty_space]<div class=\"text-block \" ><div class=\"simple-text \"><h2 style=\"color: #ef662f;font-size: 30px\"><b>From Volume to Value: Align, Adapt &amp; Advance Your Orthopedic Care Under TEAM Model<\/b><\/h2>\n<\/div><\/div><div class=\"text-block text \" ><div class=\"simple-text \"><p><span style=\"font-weight: 400\">The CMS TEAM Model represents a watershed shift in how orthopedic episodes are reimbursed and managed, mandating deeper integration, accountability, and data-driven care.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Orthopedic practices that proactively adapt operational, clinical, and financial systems will thrive under TEAM, enhancing both patient outcomes and practice sustainability.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Starting now, orthopedic practice leaders must engage their hospital partners, optimize revenue cycle workflows, embrace quality measurement, improve care coordination, and build financial agility.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">With the right strategies, the TEAM Model can transform orthopedic care delivery into a more efficient, patient-centered, and financially rewarding enterprise.<\/span><\/p>\n<\/div><\/div>[vc_raw_html]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[\/vc_raw_html]<\/div><\/div><\/section><\/div><\/div><\/section>\n","protected":false},"excerpt":{"rendered":"[vc_empty_space]Share on your feed Table of contents 1. How Orthopedic Practices Can Prepare For CMS TEAM Model 2026 2. Learning from BPCI: The Foundation for the TEAM Approach 3. Navigating the CMS TEAM Model: Key Provisions And Impact 4. The TEAM Effect: What\u2019s Changing for Orthopedic Providers 5. Episode Cost Calculations Under the CMS TEAM [...]","protected":false},"author":14,"featured_media":449265,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[744],"tags":[],"class_list":["post-448901","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-rcm"],"modified_by":"Erika Regulsky","_links":{"self":[{"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/posts\/448901","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/users\/14"}],"replies":[{"embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/comments?post=448901"}],"version-history":[{"count":70,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/posts\/448901\/revisions"}],"predecessor-version":[{"id":450619,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/posts\/448901\/revisions\/450619"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/media\/449265"}],"wp:attachment":[{"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/media?parent=448901"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/categories?post=448901"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.billingparadise.com\/blog\/wp-json\/wp\/v2\/tags?post=448901"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}