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risk into revenue

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anchor stay intervention $5,000 Day 14 Day 30 $0 $10K $20K $30K
Unmanaged episode
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CMS TEAM Episodes
Live
All Episodes
Action Needed
Robert M. 71
Total Hip Replacement
SNF · Sunrise Skilled Nursing
⚠ Needs Review
Day 22/30
$18,200$27,500
Dorothy K. 68
Total Knee Replacement
SNF · Maplewood Rehab
⚠ Needs Review
Day 17/30
$14,800$25,500
Harold T. 74
Spinal Fusion
SNF · Cedar Grove Post-Acute
Day 20/30
$26,800$36,500
Patricia W. 66
Total Hip Replacement
Home Health · Comfort Care
Day 16/30
$11,200$27,500
Dorothy K. Age 68
Total Knee Replacement · CPT 27447 · Surgery Feb 17, 2026 · Episode ends Mar 19, 2026
Needs Review
Discharge by Mar 8 could save an estimated $3,700 vs. remaining SNF stay
No complications detected in Part B claims over last 3 days — candidate for earlier discharge
Notify SNF Care Team
Overview
Claims
Timeline
Cost to Date
$14,800
Incl. ~$8,160 SNF Part A accrual
Part A pending on discharge
Projected Episode Cost
$19,200
75% of benchmark
Under benchmark
Savings Opportunity
$3,700
Est. if discharged by Mar 8
Spend vs. Benchmark
$14,800 spent · Day 17 of 30 $25,500 target · Ends Mar 19
Location
SNF
Maplewood Rehab
SNF Stay
14 days
Since Feb 20
Benchmark
$25,500
CMS TEAM target

Prevent adverse outcomes before the episode closes

Post-acute LOS
Catch discharge-readiness signals before unnecessary days accrue
Readmissions
Flag at-risk patients before rehospitalization
Complications
Identify care escalations, therapy gaps, and delayed follow-ups

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