Title 42, Part 510 — Comprehensive Care for Joint Replacement Model
31 sections
Section 510.1
Basis and scope.
Section 510.2
Definitions.
Section 510.100
Episodes being tested.
Section 510.105
Geographic areas.
Section 510.110
Access to records and retention.
Section 510.115
Voluntary participation election.
Section 510.120
CJR participant hospital CEHRT track requirements.
Section 510.200
Time periods, included and excluded services, and attribution.
Section 510.205
Beneficiary inclusion criteria.
Section 510.210
Determination of the episode.
Section 510.300
Determination of episode quality-adjusted target prices.
Section 510.301
Determination of reconciliation target prices.
Section 510.305
Determination of the NPRA and reconciliation process.
Section 510.310
Appeals process.
Section 510.315
Composite quality scores for determining reconciliation payment eligibility and quality incentive payments.
Section 510.320
Treatment of incentive programs or add-on payments under existing Medicare payment systems.
Section 510.325
Allocation of payments for services that straddle the episode.
Section 510.400
Quality measures and reporting.
Section 510.405
Beneficiary choice and beneficiary notification.
Section 510.410
Compliance enforcement.
Section 510.500
Sharing arrangements under the CJR model.
Section 510.505
Distribution arrangements.
Section 510.506
Downstream distribution arrangements.
Section 510.510
Enforcement authority.
Section 510.515
Beneficiary incentives under the CJR model.
Section 510.600
Waiver of direct supervision requirement for certain post-discharge home visits.
Section 510.605
Waiver of certain telehealth requirements.
Section 510.610
Waiver of SNF 3-day rule.
Section 510.615
Waiver of certain post-operative billing restrictions.
Section 510.620
Waiver of deductible and coinsurance that otherwise apply to reconciliation payments or repayments.
Section 510.900
Termination of the CJR model.