Balanced Budget Act's effect on LOS for joint replacements

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Working on a project and would appreciate input from Orthopedic units on how new regs on reimbursement and LOS are affecting them and how they are accomodating them...

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We continue to find out exactly how the new reimb. regs are gonna trouble us. We actually are being challenged more by our non-medicare 3rd party payers..almost to the point of providing a different standard of care... quite a tricky balancing act!

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Specializes in ORTHOPAEDICS-CERTIFIED SINCE 89.

We have one doc who is fast approaching a ZERO days LOS for total knees. Overnight obs (23hr) then off to the rehab facility. He really wants the folks kept overnight in PACU and never even reach the ortho floor.

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