CMS THA/TKA PRO-PM Guide
Refreshed with New Insights for 2026!
With mandatory CMS PRO collection for THA/TKA having began in April 2024, many orthopedic care departments at hospitals and ASCs are looking to organize around this new mandate. Those with well developed digital care infrastructure are making strategic pivots to ensure regulatory compliance, while others are reaching out to data partners to lay the necessary groundwork for the first mandatory reporting cycle.
With the relevant CMS regulations regarding the THA/TKA PRO-PM being split across several substantial rule-making documents, finding the right information can be frustrating. To that end, our team has developed a single source of information for all of your questions about the CMS mandate, including:
- Cohort and Outcome Measure Calculation
- Required Data Elements
- Submission Process through the Hospital Quality Reporting (HQR) system
- Voluntary and Mandatory Data Collection and Reporting Timelines for Inpatient, Outpatient, and ASCs
- Mandatory Reporting Thresholds and Associated Penalties
- Benefits of Voluntary Reporting for HOPDs and ASCs
- Key Considerations and Recommendations to Guarantee Compliance
Get access to learnings from quality leaders at the country's best hospitals, and gain insights into some of the biggest challenges faced by hospitals that have already completed voluntary reporting successfully. Learn how hospitals overcame issues including:
- Missing the 1-Year 50% Matched PROMs Collection and Reporting Requirement
- Time-Intensive Data Collection, Extraction, and Submission Processes
- Staff Burdens and Lack of Capacity
