Free · no signup · CMS’s own published files
Is your hospital in TEAM — and what’s the target?
The Transforming Episode Accountability Model is mandatory for hospitals in selected regions — no opt-out. Three of its five 30-day surgical episodes are orthopedic: hip/knee replacement, hip/femur fracture treatment, and spinal fusion. The hospital holds the episode; your documentation, implant choice, and discharge disposition move what it actually spends against CMS’s target.
A CCN is public information (find yours on your hospital’s Medicare cost report or NPI registration). Nothing is stored, logged to an account, or shown to anyone else.
What actually moves the gap
TEAM reconciles the hospital’s actual 30-day episode spend — facility stay, implant, readmissions, and every post-acute claim tied to the episode — against the regional target price above. A surgeon does not bill TEAM directly, but four of their choices are most of the variance a hospital carries:
- Implant selection. Device cost is a direct, first-dollar line in the episode.
- Discharge disposition. Home versus skilled nursing versus inpatient rehab is typically the single largest post-acute cost swing in a joint or spine episode.
- Readmission avoidance. A 30-day readmission is folded into the same episode and directly enlarges it.
- Documentation that supports the coded severity. Complication and comorbidity coding drives which MS-DRG — and which target price — the episode is measured against in the first place.
RTM data on recovery and adherence — the same monitoring stream behind the RTM rail — is also the earliest signal a hospital has of a patient heading toward a readmission inside that window.
What this tool will not do
- It will not tell you a hospital is exempt. CMS updates the participant list quarterly. Absence from this snapshot (read 2026-09-21) is not confirmation of anything.
- It will not reconcile an episode. The gap shown is a raw dollar difference against CMS’s own published target price — it does not apply CMS’s quality/composite-score adjustment, stop-loss, or stop-gain corridors.
- It will not estimate your Part B payment. TEAM adjusts hospital payment, not an individual surgeon’s Part B — for that, see the separate ASM check.
- It is not billing, legal or financial advice. Confirm anything that matters with your hospital’s finance office or CMS directly.
Data: CMS TEAM Model Participant List (cms.gov/team-model-participant-list, snapshot as of August 18, 2026) and CMS TEAM PY1 Preliminary Target Prices (DRG-Region level, dated 2025-12-10). Both read 2026-09-21. Both are CMS’s own published files, embedded here as a dated snapshot — not a live feed. Questions: blaine@co-op.care