PCM + Orthopedics
Principal Care Management for Orthopedics — Ethizo + CCN Health
Specialized PCM protocols for Orthopedics — integrated with Ethizo, powered by CCN Health. Evidence-based workflows, automated documentation, and Medicare billing.
CCN Health provides a certified Principal Care Management (PCM) integration with Ethizo optimized for orthopedics practices. The platform automates clinical documentation, enables real-time monitoring, and generates Medicare billing records for compliant reimbursement.
Principal Care Management for Orthopedics with Ethizo
For orthopedics patients in facilities using Ethizo, PCM enables continuous physiological monitoring with data flowing directly into the EHR.
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 |
|---|---|---|
| 99424 | ~$70/mo | 30+ minutes of clinical staff time per month |
| 99425 | ~$56/mo | Each additional 30 minutes of clinical time |
| 99426 | ~$80/mo | 30+ minutes of physician/QHP time |
| 99427 | ~$64/mo | Each additional 30 minutes of physician time |
Monthly potential per patient: $70+
Frequently Asked Questions
How does PCM support orthopedics practices?
CCN Health's PCM integration provides orthopedics-specific monitoring protocols, automated documentation in Ethizo, and compliant Medicare billing for total knee replacement recovery and related conditions.
What devices are recommended for orthopedics PCM?
For orthopedics patients, CCN Health recommends pain assessment tool, range of motion tracker, activity monitor based on the specific conditions being managed.
Can PCM data integrate with specialist workflows?
Yes. All PCM data flows into Ethizo 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 Ethizo
Your program data flows directly into Ethizo — no exports, no manual entry, no disruption to your clinical workflow.
Specialist Data
Condition Monitoring, Referrals
AI-Powered Platform
Intelligent data routing, anomaly detection, and automated documentation — working behind the scenes.
Ethizo
Charts & Care Plans
What Flows Between Systems
Patient Demographics
High-risk conditions, specialist data, and medications
Condition Tracking
Disease-specific metrics monitored and trended
Specialist Coordination
Referral data and specialist notes synchronized
Care Plans
Condition-specific treatment plans inform monitoring
Time Tracking
Care management minutes tracked for billing compliance
Billing Documentation
CPT 99424/99425/99426/99427 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
Principal Care Management (PCM)
2 billing codes
First 30 minutes of clinical staff time for PCM
~$70
Monthly
Each additional 30 minutes of PCM clinical staff time
~$54
Monthly (additional)
Common Questions
Frequently Asked Questions
Everything you need to know about Orthopedics — implementation, billing, and clinical workflows.
Yes. CCN Health integrates with the Ethizo practice management platform, enabling RPM and CCM data to flow into patient records for streamlined senior care workflows.
PCM focuses on patients with a single high-risk chronic condition, billed under CPT codes 99424 and 99425, covering care coordination and management services.
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 TeamGet Started
Ready to bring Principal Care Management to your Orthopedics program?
See how CCN Health can improve patient outcomes, support specialist coordination, and generate new Medicare revenue — all within the EHR your staff already uses.