The Bundled Case Rate Advantage

You’ll discover efficiency, predictability and

streamlined operations

Bundled case rates are built around an “episode of care,” which is defined as a period of time beginning at the patient’s pre-operative appointment and ending at the first post-operative appointment with the surgeon.

Bundled case rates cover all medical costs incurred during this episode of care, including but not limited to: surgeon fees, facility costs, anesthesia, inpatient medication, inpatient physical therapy, and charges for other ancillary services rendered within this timeframe. These rates are pre-determined and paid in advance of the patient’s surgery date.

Continuum of Care:

PRE-OP

Surgeon pre-op visit*

  • MAY INCLUDE:
  • PRE-OPERATIVE TESTING
  • PHYSICIAN FEES
  • OFFICE VISIT

*Surgeon should provide any pre-admission testing requirements prior to episode of care. If additional studies are needed, it should be included in the case rate.

SURGERY

All professional services, facility charges and related expenses between pre-op and post-op

  • HOSPITAL ADMISSION
  • SURGERY
  • ANESTHESIA
  • DOCTORS’ FEES
  • IMPLANT DEVICE
  • FACILITY FEES
  • HOSPITAL STAY
  • LAB TEST
  • CARE COORDINATION

FOLLOW-UP

Any post-surgery care through first post-operative follow up visit

  • PHYSICAL THERAPY
  • HOME HEALTHCARE
  • SKILLED NURSING CARE
  • DME USED PRIOR TO FIRST POST OPERATIVE FOLLOW UP

BridgeHealth administers payment for the case rate

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