CCM + Orthopedics
Chronic Care Management for Orthopedics — ALIS + CCN Health
Specialized CCM protocols for Orthopedics — integrated with ALIS, powered by CCN Health. Evidence-based workflows, automated documentation, and Medicare billing.
CCN Health provides a certified Chronic Care Management (CCM) integration with ALIS optimized for orthopedics practices. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
Chronic Care Management for Orthopedics with ALIS
Orthopedics practices managing total knee replacement recovery and total hip replacement recovery can leverage CCN Health's CCM integration with ALIS for disease-specific monitoring, automated documentation, and compliant billing.
Orthopedics Conditions Managed
- Total knee replacement recovery
- Total hip replacement recovery
- Rotator cuff repair
- Spinal surgery recovery
- Fracture rehabilitation
Clinical Protocols
- Daily pain and function assessment post-surgery
- Exercise compliance monitoring with therapy plans
- Range of motion progression tracking
- Red flag alerts for infection signs or regression
Key Monitoring Metrics
| Metric | Clinical Significance |
|---|---|
| Pain levels (VAS scale) | Tracked and trended for orthopedics management |
| Range of motion | Tracked and trended for orthopedics management |
| Exercise compliance | Tracked and trended for orthopedics management |
| Functional status | Tracked and trended for orthopedics management |
| Weight bearing tolerance | Tracked and trended for orthopedics management |
Recommended Devices for Orthopedics
| Device | Use Case |
|---|---|
| Pain assessment tool | Orthopedics monitoring |
| Range of motion tracker | Orthopedics monitoring |
| Activity monitor | Orthopedics monitoring |
| Exercise compliance tracker | Orthopedics monitoring |
Relevant ICD-10 Codes
- M17.x (Knee osteoarthritis)
- M16.x (Hip osteoarthritis)
- M75.x (Shoulder disorders)
- M54.x (Dorsalgia)
Clinical Evidence
RTM for orthopedic patients reduces post-surgical complications by 20-30% and improves therapy adherence rates by 35-45% compared to unsupervised recovery.
Billing & Reimbursement
| CPT Code | Reimbursement | Requirements |
|---|---|---|
| 99490 | ~$62/mo | 20+ minutes of clinical staff time per month |
| 99491 | ~$83/mo | 30+ minutes of physician/QHP time per month |
Monthly potential per patient: $62+
Frequently Asked Questions
How does CCM support orthopedics practices?
CCN Health's CCM integration provides orthopedics-specific monitoring protocols, automated documentation in ALIS, and compliant Medicare billing for total knee replacement recovery and related conditions.
What devices are recommended for orthopedics CCM?
For orthopedics patients, CCN Health recommends pain assessment tool, range of motion tracker, activity monitor based on the specific conditions being managed.
Can CCM data integrate with specialist workflows?
Yes. All CCM data flows into ALIS and is available for specialist review, care plan updates, and cross-program coordination.
Orthopedics
Orthopedics Protocols — clinical workflows configured to evidence-based guidelines and risk thresholds.
Specialist Coordination — automated alerts and reporting to referring specialists and primary care teams.
Outcome Tracking — longitudinal vitals data mapped to Orthopedics-specific quality measures.
Clinical Documentation — automated notes that satisfy specialist coding and audit requirements.
Purpose-built for Orthopedics workflows — integrated with the EHR your facility already uses.
Book a Discovery CallAI-Powered Alerts
Pattern recognition catches changes early
Smart Workflows
Automated routing and documentation
Automated Compliance
Real-time audit trail and billing validation
Advanced intelligence working behind the scenes — faster processing, smarter alerts, effortless documentation.


Technology that stays in the background — so care stays in the foreground.
Why CCN Health
Why Orthopedics Programs Choose CCN Health
Purpose-built technology that fits your clinical workflows and drives measurable outcomes.
Seamless EHR Integration
How CCN Health Works Inside ALIS
Your program data flows directly into ALIS — no exports, no manual entry, no disruption to your clinical workflow.
Care Coordination
Calls, Assessments, Care Plans
AI-Powered Platform
Intelligent data routing, anomaly detection, and automated documentation — working behind the scenes.
ALIS
Charts & Care Plans
What Flows Between Systems
Patient Demographics
Chronic conditions, medications, and problem lists from your EHR
Care Plan Updates
Treatment plans and goals sync bi-directionally
Contact Logging
Phone calls and check-ins documented with timestamps
Medication Reconciliation
Current medication lists kept in sync across platforms
Time Tracking
Care management minutes tracked for billing compliance
Billing Documentation
CPT 99490/99491 records generated automatically
“Every reading, every alert, every care plan update — available across all your programs. One integration, unlimited use cases.”
Infrastructure
Medicare Billing
Automated Medicare billing documentation — every qualifying encounter captured and coded.
Medicare Billing
Chronic Care Management (CCM)
3 billing codes
First 20 minutes of clinical staff time for CCM services
~$62
Monthly
Each additional 20 minutes of CCM clinical staff time
~$47
Monthly (additional)
First 30 minutes of physician/QHP time for complex CCM
~$83
Monthly
Common Questions
Frequently Asked Questions
Everything you need to know about Orthopedics — implementation, billing, and clinical workflows.
Yes. CCN Health integrates with the ALIS platform so that RPM readings sync directly into resident records, streamlining clinical workflows for senior living communities.
CCN Health transmits device data to ALIS through a secure API, ensuring vitals are available to caregivers inside the EHR they already use every day.
CCM is a Medicare program that reimburses providers for non-face-to-face care coordination for patients with two or more chronic conditions, billed under CPT codes 99490, 99439, and 99491.
Most facilities are fully operational within 2–4 weeks. CCN Health handles device provisioning, EHR integration setup, staff training, and ongoing clinical support.
Still have questions? We're happy to walk you through anything.
Talk to Our Team