Clinical Partnerships

RTM built on validated
clinical infrastructure.

JointCoach delivers HOOS/KOOS-JR PROMs, discharge-criteria tracking, and a CMS-ready RTM billing pathway — backed by certified peri-operative platform technology and a multi-state physician network. No new staff. No new billing entity.

PROM Instruments HOOS · KOOS · EQ-5D · PROMIS
RTM Revenue Up to ~$1,600/yr per active patient
Physician Network Multi-state coverage, no new NPI
Platform Cert MDR Class IIa infrastructure

Validated PROM instruments

HOOS/HOOS-JR, KOOS/KOOS-JR, EQ-5D, PROMIS — the exact instruments required for CMS ACCESS MSK enrollment and CMS TEAM episode quality reporting.

CMS ACCESS ready

CMS mandate coverage

741 hospitals now accountable under CMS TEAM for 30-day post-joint-replacement outcomes. JointCoach is the aftercare pathway that converts that mandate from liability into documented margin.

TEAM live Jan 2026

RTM billing, end-to-end

CPT 98975–98981 reimbursed by Medicare and most commercial plans. Billed through our multi-state physician network — no new NPI, no new billing department. Standard Part B cost-sharing applies to the patient; supplemental plans often cover it in full.

Up to ~$1,600/yr per patient

Everything a peri-operative pathway requires.

JointCoach runs on a certified peri-operative monitoring platform: MDR Class IIa (EU MDR 2017/745), ISO 13485:2016. The infrastructure exists. The US patient experience is JointCoach.

Regulatory and billing infrastructure

Platform certification: EU MDR Class IIa / ISO 13485:2016. US classification: FDA MDDS Class I. Physician network: licensed physicians via altru.care — RTM orders billable from Day 1 in covered states. No new medical entity required for your practice.

EU MDR 2017/745 ISO 13485:2016 FDA MDDS Class I CMS 98975–98981 HIPAA

Pre-op to quarterly outcomes — one pathway

QR onboarding, baseline PROM capture, ASA/cardiac/pulmonary risk flags, post-discharge monitoring, wound documentation, physio HEP, pain check-ins, 6-week and quarterly outcome PROMs. One platform, full episode.

Provider triage dashboard

Health scores per patient, completion rate monitoring, deterioration flags, automated care-team alerts. Your coordinator sees the list; your surgeon sees the summary.

Motion capture — on device, private

MediaPipe pose estimation runs on the patient's phone. ROM angles computed locally. Numbers transmitted; video never leaves the device. HIPAA-compatible by architecture, not policy.

Wearable + EHR integration

Apple Health, Withings step/activity data ingested automatically. HL7 FHIR output for Epic, Cerner, athenahealth. Your data, your EHR.

Every monitoring session generates a billable data point.

Medicare and most commercial plans cover remote therapeutic monitoring, subject to standard Part B cost-sharing (often covered in full by supplemental plans). Rates below are 2026 CMS national non-facility rates.

CPT Code Description Frequency 2026 Rate
98975 Remote therapeutic monitoring — device supply and education Once per episode $22
98977 RTM — musculoskeletal device data collection, per 30 days Monthly $40/mo
98980 RTM — first 20 min clinical management, per 30 days Monthly $54/mo
98981 RTM — each additional 20 min clinical management Monthly (as needed) $41/mo
Active monitoring patient (annual, 98977 + 98980 × 12) Per year ~$1,600/yr
200-patient orthopedic practice Per year ~$320K/yr

Billed through the altru.care physician network (multi-state licensed). No new billing entity required. CMS billing entity = ordering/supervising provider. Patient cost share = zero for Medicare beneficiaries with supplement coverage. Commercial coverage varies; JointCoach verifies benefits pre-enrollment.

Two CMS programs. One infrastructure.

JointCoach's PROM instruments and monitoring pathway satisfy both the current TEAM mandate and the upcoming ACCESS MSK quality program — without separate technology stacks.

Live — January 2026
741
hospitals in mandatory CMS TEAM accountability

Transforming Episode Accountability Model (TEAM)

  • Mandatory for joint replacement, spinal fusion, CABG at selected hospitals
  • 30-day post-discharge quality accountability — now in effect
  • Discharge-to-home pathway required; JointCoach satisfies the aftercare documentation standard
  • ~$30B in annual episode spend; $500M in projected savings over 5 years
  • JointCoach + co-op.care companion care = the complete discharge-to-home system
Jan 1, 2027 — Applications Open
$180
per enrolled patient per year, 10-year federal contract

ACCESS MSK — Advancing Chronic Care with Effective Scalable Solutions

  • CMS 10-year model; MSK track, July 2026 start date (Cohort 1 passed; Cohort 2 Jan 2027)
  • PROM-based: KOOS/HOOS-JR and PROMIS — exactly JointCoach's instrument set
  • $180/yr per enrolled patient, outcome-adjusted performance payments
  • One of the few CMS programs where digital therapeutic monitoring is the primary data source
  • JointCoach's validated instruments make the application complete on day one

From your existing workflow to fully done-for-you.

JointCoach scales with your practice. Start with your own PT team using the platform; add coordinator support as volume grows; or hand the monitoring function entirely to JointCoach.

01

SaaS — Practice Managed

Best for: orthopedic practices with PT staff + bandwidth

Your PT team uses the JointCoach platform directly. You configure the pathway, set monitoring thresholds, review the dashboard. JointCoach provides the platform, the PROM instruments, and the billing rails. Your NPI, your patient relationship.

Your PT configures Your billing entity Platform license
02

Coordinator Supported

Best for: high-volume practices; ASCs; hospital outpatient

JointCoach provides a dedicated care coordinator for patient enrollment, daily monitoring review, and alert escalation. Your PT or surgeon reviews clinical flags. JointCoach handles the administrative monitoring load — you handle the clinical decisions.

JC coordinator Your clinical review Shared billing
03

Fully Outsourced

Best for: health systems; TEAM-mandated hospitals; payers

You sign the RTM order. JointCoach monitors, documents, manages PROM collection, flags deterioration, and bills under our multi-state physician network. You receive a quarterly outcomes report and shared savings from RTM revenue.

JC monitors + bills Revenue share Quarterly report

Three surfaces. One patient journey.

JointCoach is the monitoring layer. It connects upstream to patient education and downstream to the surgeon's practice OS — closing the loop that every orthopedic quality program is trying to measure.

Real outcomes data. Zero setup cost.

Start with a scoped pilot — 20 to 30 patients, one procedure type, your site. We measure what matters: PROM completion rates, RTM revenue generated, patient satisfaction, and care-coordinator time. Go/no-go at 90 days.

20–30

patients

One procedure type — total knee, total hip, or lumbar fusion. Pre-specified at enrollment.

90

days

Full peri-operative pathway: 2 weeks pre-op through 12 weeks post-op. CMS TEAM window covered.

5

go/no-go metrics

PROM completion rate · RTM revenue · readmission flags · patient adherence · coordinator time/patient.

Schedule a pilot conversation

Let's talk about your practice.

Whether you're running 50 joint replacements a year or 500, JointCoach scales to your volume. Tell us what you're working with and we'll design the right pathway.

Best fit for JointCoach
Orthopedic practices · ASCs · Hospital outpatient programs · PT practices with 20+ post-surgical patients/month · Health systems in TEAM-designated markets
Technology partners
If you're a clinical platform, certified pathway provider, or peri-operative software company exploring US integration — reach out directly. We're building the US RTM operating layer and are actively exploring clinical infrastructure partnerships.

Tell us about your practice

We respond within one business day. No sales pressure — we'll tell you if it's not a fit.