Bundled Payments for Joint Replacement: Billing Challenges Orthopedic Practices Must Solve

Orthopedic practices across the United States are facing a major reimbursement shift as bundled payment models continue to expand in joint replacement care. Programs led by Centers for Medicare & Medicaid Services have changed how providers are paid for procedures such as total knee and hip replacements, placing greater financial accountability on hospitals, surgeons, and billing teams. Under bundled payments, providers receive one fixed reimbursement for the entire episode of care instead of separate payments for every service delivered.