In the dynamic field of healthcare, adaptability is not only valued, but essential. With CMS' 2019 emphasis on joint replacement revisions, notably total knee and total hip orthopedic procedures, health systems are entering a new era of accountability and precision. This shift was born from CMS’s intent to alleviate procedure costs for Medicare and Medicaid, spotlighting warranties and ask providers to explore cost-effective alternatives like no-charge replacements or securing credits.