Orthopedics EHR

AI-Powered Orthopedics EHR: Chart Faster. See More Patients. Capture Every Procedure & Modifier.

An Orthopedics EHR built for the volume and procedural complexity of musculoskeletal care: AI ambient charting for orthopedic exams, joint-specific exam templates, joint injection workflows with auto-CPT and J-code capture, fracture care, and orthopedic surgical billing built in.

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25 Years
Serving Orthopedics EHR Nationwide
99%
Client Retention Rate
Why Physicians Switch

Why Orthopedic Surgeons & Sports Medicine Providers Are Switching
to MD Synergy’s Althea Smart EHR

Why Practices Switch
Orthopedic, Spine & Op Notes Take Hours After ClinicHigh patient volume, complex joint and spine exams, and procedure documentation pile up after every clinic day
Procedure Notes & Modifiers Slow Every EncounterJoint injection notes, spine injection codes, fracture care, and modifier-heavy coding require constant context-switching between charting and billing
Missed Modifiers, Procedure Codes & DMEPOS RevenueJoint injection codes under-captured, modifiers (-25, -59, -RT/-LT) missed, brace and DME billing overlooked
Hidden Fees and Surprise Costs
Training Takes Weeks
Switching Feels DisruptiveStaggered Go-Live, practice disruption for months
Switch Without the Risk
AI-Powered Orthopedic, Spine & Procedure Note GenerationFull structured notes drafted before the patient leaves the room, including ROM, special tests, dermatomal/myotomal exams, and injection procedures
Built-In Joint Injection & Procedure WorkflowsStructured procedure notes with auto-suggested CPT codes, J-codes, and laterality modifiers in one click
Built-In Orthopedic Billing, Modifier & DMEPOS Capture
No Setup Fees, Ever
2-Hour Training, Free
Free Data Migration, 100% Patient Go-Live Day 1

See How Easy Switching Can Be

Join orthopedic surgeons and sports medicine providers who left eClinicalWorks, athenahealth, and DrChrono behind, without missing a single patient day

Schedule Your Free Demo
How Does Althea Smart EHR Rate?

Rated #1 by Independent Physicians, on Capterra

See how Althea Smart EHR compares to every major competitor, rated and verified by real physicians, not marketing teams.
Platform Features

Everything Orthopedics Needs, Built Into One Platform

From joint-specific exam templates and validated PROMs to joint injection workflows, fracture care, and orthopedic billing, all included in Althea Smart EHR with no add-on fees.

Althea Smart EHR

Clinical Documentation
Built for Orthopedic Practice

Althea Smart EHR is purpose-built for the volume and procedural complexity of orthopedic care: joint-specific exam templates, structured ROM and special test documentation, fracture care workflows, pre-op and post-op visit templates, and longitudinal outcomes tracking. Every template is designed around how orthopedic surgeons and sports medicine providers actually practice.

AI-Powered Ambient Charting

Listens during orthopedic exams, post-op visits, and procedure encounters, automatically generating structured notes, range-of-motion findings, special test results, and assessment-and-plan documentation in real time. No scribes, no after-hours catch-up

AI Predictive Charting

Learns your clinical reasoning patterns and proactively suggests orthopedic diagnoses, imaging orders, injection considerations, surgical workup steps, and PT referrals during the encounter

Joint-Specific Orthopedic Exam Templates

Purpose-built templates for knee, hip, shoulder, spine, hand, foot, and ankle exams. Pre-loaded special tests include McMurray, Lachman, Hawkins-Kennedy, Spurling, Phalen, Tinel, and anterior drawer, with separate templates for new consults, post-op follow-ups, and procedure visits

Range of Motion (ROM) Structured Documentation

Standardized ROM fields for every major joint (flexion, extension, abduction, adduction, internal/external rotation), with side-by-side comparison across visits to track post-op recovery and rehabilitation progress at a glance

Validated Orthopedic PROMs (Patient-Reported Outcome Measures)

Built-in KOOS and HOOS (knee/hip), DASH and QuickDASH (upper extremity), Oswestry Disability Index (spine), VAS pain scale, and PROMIS measures, all embedded in intake and follow-up workflows with longitudinal score tracking and graphing for surgical outcomes

Fracture Care Documentation & Global Period Tracking

Structured fracture care workflow with reduction documentation, casting/splinting notes, imaging review, and automatic 90-day global period tracking, ensuring related visits are correctly bundled or unbundled with appropriate modifiers

ICD-10 Diagnostic Coding for Musculoskeletal Conditions

ICD-10 lookup optimized for orthopedic coding, including laterality (-RT, -LT, bilateral), encounter type (initial, subsequent, sequela), and fracture-specific Gustilo/Salter-Harris classifications, supporting accurate billing across complex orthopedic cases

Longitudinal Outcomes & Recovery Tracking

KOOS, HOOS, DASH, and other PROMs graphed over time within the patient chart. Post-surgical recovery, pain trajectory, and functional restoration are immediately visible at every visit, supporting value-based orthopedic contracts

Apple Health Integration for Recovery Metrics

Integrated with Apple Health to surface objective recovery data alongside PROMs: step count, gait quality, walking asymmetry and steadiness, heart rate, workout history, sleep, and fall events. Pairs subjective patient-reported scores with passive activity metrics for a complete picture of post-op recovery and rehab progress

Orthopedic Medication Management & Drug Interaction Checking

Drug-drug interaction alerts calibrated for common orthopedic prescribing: NSAID-anticoagulant interactions, opioid-benzodiazepine co-prescribing warnings, GI bleed risk for chronic NSAIDs, and DVT prophylaxis safety checks

Dragon / Speech-to-Text Recognition

Dictate operative reports, complex orthopedic narratives, and surgical histories hands-free from any device, optimized for orthopedic and musculoskeletal terminology

Macros & Visit Carryforward

One-click documentation shortcuts and auto-populated prior visit data, eliminating repetitive charting for high-volume orthopedic clinics seeing 30+ patients per day

Referral Letter & PT/OT Coordination

Generate comprehensive orthopedic referral letters to physical therapy, occupational therapy, pain management, and primary care directly from the patient chart, with full clinical summary, imaging findings, and treatment plan pre-populated
See Althea Smart EHR in Action→
AI Suite

5 AI Tools Built for
Orthopedic Practice

No other orthopedic EHR bundles five distinct AI capabilities into one platform built to handle the patient volume, procedural complexity, and billing nuance that musculoskeletal care demands. All built-in, including AI-powered ambient charting, at no extra cost.
AI Ambient Charting Listens during orthopedic exams, post-op visits, and injection procedures. Generates structured notes, ROM findings, special test results, and procedure documentation in real time. No scribes, no after-hours catch-up
AI Predictive Charting Learns your clinical patterns and proactively suggests orthopedic diagnoses, imaging orders, injection planning, surgical referrals, and DMEPOS prescribing. The more you chart, the smarter it gets
AI Receptionist Automates orthopedic patient scheduling: new consult bookings, post-op follow-up reminders, injection series scheduling, and PT progress check-ins. Available 24/7 without staff involvement
AI Clinical Assistant Surfaces imaging review reminders, DVT prophylaxis prompts, post-op infection risk alerts, global period status, and prior authorization tracking for surgery and DME at the point of care
AI Billing Assistant Catches coding errors, suggests correct orthopedic CPT codes (E&M 99202–99215, joint injection 20610/20611, fracture care, surgical codes), applies modifiers (-25, -59, -RT, -LT, -50), captures DMEPOS billing, and reduces denials
See AI Features→
Imaging, Injections & Procedures

Joint Injections & Procedures,
Documented & Coded in One Click.

Orthopedic visits routinely combine an E&M with a same-day procedure: injections, fracture care, casting, splinting, DME dispensing. Every one of those needs precise documentation, the right CPT and J-codes, and the correct modifiers. Althea Smart EHR brings procedure templates, imaging orders, and billing logic into one workflow so nothing falls through the cracks.

Electronic Imaging Orders & Results in Chart

Send X-ray, MRI, CT, and ultrasound orders electronically to imaging centers directly from the encounter, with diagnosis codes, laterality, and clinical indication pre-populated. Radiology reports return automatically and link to the originating visit, so findings are reviewable inline without leaving the chart

Joint Injection Procedure Workflows

Structured procedure note templates for corticosteroid, viscosupplementation (hyaluronic acid), and PRP injections covering major joint (20610/20611), intermediate joint (20605), small joint (20600), and ultrasound-guided variants, with auto-suggested CPT and J-codes for the injectable agent

Trigger Point & Tendon Sheath Injections

Streamlined documentation for trigger point injections (20552, 20553), tendon sheath injections (20550, 20551), bursa injections, and nerve blocks, with anatomical location capture, ultrasound guidance billing (76942), and laterality modifiers automatically applied

DMEPOS & Brace/Orthotic Dispensing

Built-in DMEPOS workflow for in-office brace, splint, walking boot, and orthotic dispensing, with automatic HCPCS L-code suggestion (L1832, L1843, L4360, L4386, L0631, etc.), Medicare DMEPOS supplier compliance, and prior authorization tracking

EPCS & PDMP for Post-Surgical Pain Management

Surescripts-certified EPCS for Schedule II–V medications with DEA-compliant two-factor authentication. PDMP is auto-triggered at every controlled substance prescription, ensuring compliant opioid stewardship for post-operative pain management without leaving the chart

Mobile Imaging Review & EPCS Prescribing

Review X-rays and MRI studies and send DEA-compliant prescriptions from your iPhone or iPad. Ideal for orthopedic surgeons covering multiple clinic locations, on-call coverage, or post-op rounding from the OR or hospital
Orthopedic Billing & Revenue Capture

Orthopedic Billing,
Capture Every Modifier & Procedure.

Orthopedic billing is among the most nuanced in outpatient medicine: E&M visits paired with same-day procedures, modifier-heavy coding, global periods, fracture care bundles, and DMEPOS. Althea Smart EHR’s AI Billing Assistant is purpose-built for orthopedic billing complexity.

Orthopedic & Spine E&M and Procedure CPT Auto-Capture

Automatic suggestion of orthopedic and spine CPT codes from documentation: new patient consults (99202–99205); established visits (99212–99215); joint injections (20600, 20605, 20610, 20611); spine injections (62321, 62323, 64493–64495, 64635); fracture care (closed/open treatment); spine surgical procedures (22551 ACDF, 22612/22633 lumbar fusion, 63030 microdiscectomy, 63047 laminectomy); and time-based or MDM-based level selection

Modifier Capture (-25, -59, -RT, -LT, -50)

Automatic application of modifier -25 when a significant separately identifiable E&M is performed with a same-day procedure (extremely common in orthopedics), plus laterality modifiers (-RT, -LT, -50), distinct procedural service (-59), and global period modifiers (-24, -57, -78, -79). These are the most consistently under-captured revenue in orthopedic billing

DMEPOS & J-Code Billing

Structured workflows for in-office DME dispensing (HCPCS L-codes for braces, boots, orthotics) and injectable J-code capture for cortisone, hyaluronic acid (Synvisc, Euflexxa, Orthovisc), and PRP, capturing high-value supply and drug revenue that’s routinely missed

Global Period Tracking & Surgical Billing

Automatic 10-day, 90-day, and post-op global period tracking for every surgical CPT, with appropriate modifier application (-24 unrelated E&M, -57 decision for surgery, -58 staged, -78 unplanned return, -79 unrelated procedure). No revenue is left bundled when it shouldn’t be

Multi-Level Spine Surgery & Instrumentation Billing

Automatic capture of multi-level spine surgical billing including primary procedure plus level add-on codes (22552, 22585, 22614, 22634), instrumentation per segment (22840–22853, 22845), interbody devices (22853, 22854), bone graft (20930–20938 autograft/allograft), and intraoperative neuromonitoring documentation. Multiple-procedure modifier (-51) and bilateral logic applied automatically so no level is left off the claim

Prior Authorization & Conservative Care Documentation

Insurance pre-authorization status tracked for every scheduled procedure, surgery, MRI, viscosupplementation, and DME order, with automatic alerts when authorization is missing, expired, or requires renewal. For spine surgery specifically, the system tracks payer-required conservative care milestones (PT duration, ESI trials, NSAID failure, imaging correlation) so prior auth submissions and peer-to-peer reviews include the documentation payers demand. Prevents day-of-surgery cancellations and denied claims

MIPS & Quality Reporting for Orthopedics

Built-in MIPS dashboard with orthopedic quality measures: functional outcome assessment (PROMs), pain assessment and follow-up, opioid stewardship, perioperative VTE prophylaxis, and care coordination. Built for value-based and bundled-payment orthopedic contracts
See Billing Features →
Telemedicine & Patient Engagement

Better Recovery, Less Friction.
Engage Patients From Pre-Op to Discharge.

Orthopedic and spine care extends well beyond the clinic visit. Pre-op education, conservative care tracking before spine surgery, post-op recovery check-ins, PT progress, and DME questions all happen between visits. Althea Smart EHR brings telemedicine, secure messaging, and patient self-service tools into one platform, reducing no-shows, improving outcomes, and freeing up staff phones for the work that actually needs them.

Telemedicine: Built-In Video Visits

Fully integrated video visits, ideal for post-op follow-ups, suture checks, imaging review with patients, and rehab progress check-ins. No third-party app required. AI Ambient Charting works identically during telehealth visits, generating structured notes in real time

Althea Health Patient Portal

Secure online access for patients to view visit summaries, imaging reports, complete digital intake forms, request appointments, message their provider, pay balances, and access pre-op and post-op education materials, supporting recovery between visits

Althea Kiosk, Patient Self Check-In & Digital Intake

iPad-based kiosk where patients complete check-in, demographic and insurance updates, workers’ comp and lien intake, injury and surgical history, and pre-visit PROMs (KOOS, HOOS, DASH, Oswestry, VAS pain) before the visit. Pre-populates the orthopedic exam template and eliminates front-desk bottlenecks in high-volume clinics seeing 30+ patients per day

Secure Two-Way Patient Texting

HIPAA-compliant two-way SMS messaging between patients and your practice. Ideal for appointment reminders, post-op recovery check-ins, brace fitting questions, PT progress updates, and pre-op preparation instructions

AI Receptionist

24/7 automated orthopedic patient scheduling that manages new consult bookings, post-op follow-ups, injection series scheduling, and telemedicine visit setup without staff involvement

Automated Appointment Reminders & Follow-Ups

Instant booking confirmations and scheduled reminders before every visit, including pre-op preparation reminders, post-op follow-up prompts, and injection series scheduling. Significantly reduces no-show rates in high-volume orthopedic clinics

Automated Balance Reminders & AutoPay

Automatic patient balance notifications with integrated payment collection. Reduces A/R without staff follow-up, and supports the high-deductible balances common in orthopedic care after surgery and DME dispensing
See Telemedicine & Engagement Features→
Practice Management & Medical Billing

Integrated Billing
Built for Orthopedic Coding

Orthopedic billing is complex, balancing E&M codes paired with same-day procedures, surgical global periods, modifier accuracy, DMEPOS supply billing, and prior auth workflows. Althea Smart EHR handles it automatically, reducing denials and accelerating reimbursement.

Appointment Scheduling

Flexible, intelligent scheduling with multi-provider support for new consults, post-op follow-ups, injection visits, telemedicine encounters, OR block management, and PA/NP shared schedules

Patient Self-Scheduling

Patients book their own appointments 24/7 via AI Receptionist or the Patient Portal, reducing call volume in high-volume orthopedic clinics

Real-Time Insurance Eligibility Verification

Instantly verify patient orthopedic coverage, deductible status, and DME benefits before every visit and procedure to prevent claim denials at the source

Electronic Claims Submission

Submit clean claims electronically through clearinghouse to all major payers directly from the platform

Claim Scrubbing

Automated pre-submission claim review catches orthopedic-specific coding errors (missing modifiers like -25, -59, -RT/-LT, global period violations, NCCI edit conflicts) before they reach the payer

Workers’ Compensation & Lien Billing Support

Flexible fee schedule management for workers’ comp, motor vehicle accident liens, and IME workflows, with state-specific WC fee schedules, attorney communication tracking, and lien documentation common in orthopedic and sports medicine practices

Text-to-Pay & AutoPay, Credit Card Processing

Modern patient payment collection via text link, card-on-file, and automated payment plans, reducing A/R on the high-deductible balances typical after orthopedic surgery and DME dispensing

Reporting & Analytics

Comprehensive financial, clinical, and operational reporting with dashboards for orthopedic practice owners, surgeons, and administrators, including procedure volume, surgical revenue, DME margins, and provider productivity

Medical Billing Services: Full-Service RCM Option

Prefer to outsource? MD Synergy offers full-service medical billing managed by our expert orthopedic billing team, experienced with surgical coding, modifier-heavy claims, DMEPOS, and workers’ comp
See Billing Features→
Mobile-First Design

Full Orthopedic EHR,
In Your Pocket.

Whether you’re rounding post-op in the hospital, reviewing imaging between OR cases, or checking a fracture follow-up after hours, Althea Smart EHR’s native iOS app gives you the full clinical record, including imaging, from any location on iPhone, iPad, or Apple Watch.

Native iPhone & iPad App

Full EHR access from iOS: review orthopedic charts and imaging reports, send prescriptions, conduct telemedicine visits, document notes, and manage your OR and clinic schedule from your phone or tablet

Mobile EPCS & e-Prescribing

Send DEA-compliant Schedule II–V prescriptions and routine e-prescriptions from your iPhone or iPad with two-factor authentication, with automatic PDMP check before every controlled substance send for compliant post-operative pain management on the go

Apple Watch Alerts

Imaging report reminders, post-op check-in alerts, urgent message notifications, and OR schedule updates delivered to your Apple Watch, keeping you clinically informed during clinic, surgery, and rounds

Secure Messaging & Care Team Chat

HIPAA-compliant messaging between orthopedic surgeons, PAs, NPs, physical therapists, athletic trainers, and referring physicians, supporting coordinated musculoskeletal care from any device

99.9% Uptime SLA

Enterprise-grade reliability. Your orthopedic practice never goes down during clinic hours, OR coordination, or trauma call coverage
See Mobile Features→

Want to See These Features Live?

See exactly how Althea Smart EHR works for Orthopedics.

See Althea Smart EHR in Action for Orthopedics →
Certified & Recognized

Independently Rated. Federally Certified.
Physician Approved.

Rated & Reviewed by Peers
Certified & Compliant
See Why Physicians Choose Althea Smart EHR →
How Does Althea Smart EHR Compare?

The MD Synergy Difference for Orthopedics

See how Althea Smart EHR stacks up against traditional EHR platforms across the decisions that matter most to your orthopedic or sports medicine practice.

Features Althea Smart EHR Traditional EHRs
Native Mobile AppiPhone, iPad & Apple Watch: full chart, e-prescribing & OR schedule ✓ ⚠Limited mobile access
AI Ambient ChartingReal-time orthopedic exam & procedure note generation, built-in ✓ ⚠Add-on or not available
Telemedicine: Built-InIntegrated video visits with AI charting, no third-party app ✓ ✗Third-party app required
Electronic Imaging Orders & ResultsOrders sent electronically · Reports return to chart, linked to encounter ✓ ⚠Add-on fee required
Joint & Spine Injection Procedure WorkflowsStructured templates with auto-CPT (20610, 20611, 62321, 62323, 64493) and J-code capture ✓ ✗Manual or not available
Validated Orthopedic & Spine PROMsKOOS, HOOS, DASH, Oswestry, NDI, SRS-22, VAS embedded & longitudinally tracked ✓ ✗Not built-in
Apple Health IntegrationSteps, gait, walking asymmetry, HR, workouts, sleep, falls into the chart ✓ ✗Not available
Modifier Capture (-25, -59, -RT, -LT, -50)Automatically applied from documentation, never missed ✓ ✗Manual entry only
Multi-Level Spine Surgery & Instrumentation BillingLevel add-ons (22552, 22585, 22614), instrumentation (22845–22853), interbody & bone graft codes captured automatically ✓ ✗Manual or not available
Conservative Care Documentation for Spine Surgery AuthPT duration, ESI trials, NSAID failure & imaging tracked for prior auth and peer-to-peer review ✓ ✗Not available
DMEPOS & J-Code BillingIn-office brace, splint, boot, orthotic, and injectable J-code capture ✓ ✗Not available
Setup Fees$0 setup, no hidden costs, ever ✓$0, Ever ✗$1,000–$10,000+
Data MigrationComplete records migrated, 100% Go-Live Day 1 ✓Free, Always ✗$500–$5,000 fee
EHR Training TimelineFree training, live and operational fast ✓As little as 2 Hours ✗Days to weeks
Contract FlexibilityNo penalties, no fees, no questions asked ✓Cancel in 30 Days ✗1–3 year contracts
Data Export FeeWe reimburse your current vendor’s fee ✓We Cover It ✗$500–$3,000 charged
Capterra RatingIndependently verified by real physicians 5.0 ★33 Verified Reviews 3.3–3.9Industry average
From the MD Synergy Blog

Orthopedics EHR Insights

Practical guides, clinical insights, and product updates written specifically for orthopedic surgeons and sports medicine providers.

Featured Post How AI Ambient Charting Is Replacing Traditional Medical Documentation
May 06, 2026 · AI in Healthcare, Althea Smart EHR, Ambient AI Charting, Digital Health, Healthcare Technology, primary care EHR software
How AI Ambient Charting Is Replacing Traditional Medical Documentation
Medical documentation has long been one of the biggest challenges in healthcare. Physicians spend hours completing notes after patient visits, often leading to burnout and reduced time for patient care. Today, AI ambient charting is changing that reality. By capturing conversations during patient visits and converting them into structured clinical notes in real time, this […]
Read full article →
April 15, 2026 · AI in Healthcare, Althea Smart EHR, EHR alternatives, EHR comparison, Healthcare Technology, MD Synergy Solutions, Primary Care EHR, Value-Based Care
Best EHR Alternatives in 2026: How to Choose the Right System for Your Practice

Explore the best EHR alternatives in 2026 and learn how modern AI powered systems are transforming clinical workflows, improving efficiency, and helping practices deliver better patient care while increasing revenue.

Read more →
April 08, 2026 · AICharting, AmbientCharting, ArizonaHealthcare, CaliforniaHealthcare, HealthcareAI, NevadaHealthcare, Pain Management, Pain Management EHR
How AI is Transforming Pain Management Documentation

AI is transforming pain management documentation by reducing charting time, improving accuracy, and helping clinics stay compliant and profitable.

Read more →
Visit the Blog for More Orthopedics Insights →
What Physicians Say

Real physicians. Real practices. Real results.

Hear from orthopedic surgeons who made the switch to Althea Smart EHR.

★★★★★

After a brief online training session we were able to immediately begin practicing with telemedicine. Both our doctor and patients have easily been able to use this and are grateful that during this time we were able to give and they were able to receive medical care in a safe way. We have also been receiving reimbursements through insurance companies already and easily with the CPT codes provided. This has been a very beneficial program for our office as well as our patients. I would definitely recommend this for any practice.

JKM
John Kaufman, MD
Orthopedics, Valencia, CA
★★★★★

“Thank you to the Althea Staff for their quick responsiveness to the urgent need of Telehealth and provide continued patient care during the Covid-19 pandemic. We are grateful for your development of the easy to use telehealth platform and your contribution to the medical field.”

OS
Orthopedic Surgeon
Private Practice, New York, NY
See What Our Clients Say →
Frequently Asked Questions

Althea Smart EHR for Orthopedics

Everything an orthopedic surgeon or sports medicine provider needs to know before making the switch to Althea Smart EHR.

Orthopedic Documentation
How does Althea Smart EHR handle orthopedic exam and procedure note documentation?

Althea Smart EHR includes purpose-built orthopedic exam templates covering joint-specific physical exams (range of motion, special tests like McMurray, Lachman, Hawkins-Kennedy, Spurling), pre-operative evaluations, post-op visit notes, fracture care, and joint injection procedure notes. AI Ambient Charting listens during visits and generates structured notes in real time, with separate templates for new consults, post-op follow-ups, and procedure visits.

Imaging Orders
How does Althea Smart EHR handle imaging orders and results for orthopedics?

Althea Smart EHR streamlines orthopedic imaging workflows: electronic imaging orders flow directly to imaging centers, and radiology reports return to the patient chart automatically and link to the originating encounter. Providers can review the radiologist’s report inline, attach findings to the assessment, and order follow-up studies without leaving the chart.

Joint Injections
Does Althea Smart EHR support joint injection and procedure documentation?

Yes. Althea Smart EHR includes structured procedure note templates for joint injections (corticosteroid, viscosupplementation, PRP), ultrasound-guided injections, trigger point injections, and fracture care procedures, with automatic CPT code suggestion (20610, 20611, 20550, 20551, 20552, 20553) and J-code capture for injectable medications and supplies.

PROMs
Does Althea Smart EHR include validated orthopedic patient-reported outcome measures?

Yes. Althea Smart EHR includes built-in KOOS and HOOS (knee/hip), DASH and QuickDASH (upper extremity), Oswestry Disability Index (spine), VAS pain scale, and PROMIS measures, all embedded in intake and follow-up workflows. Scores are tracked longitudinally and graphed in the patient chart for surgical outcomes monitoring and value-based care reporting.

Apple Health
Does Althea Smart EHR integrate with Apple Health?

Yes. Althea Smart EHR is integrated with Apple Health to surface objective recovery data alongside patient-reported outcomes: step counts, gait quality, walking asymmetry and steadiness, heart rate, workout history, sleep, and fall events. Pairing passive activity metrics with KOOS, HOOS, DASH, and other PROMs gives orthopedic surgeons a complete picture of post-op recovery, rehabilitation progress, and return-to-activity readiness.

Orthopedic Billing
How does Althea Smart EHR handle orthopedic billing and surgical coding?

Althea Smart EHR’s AI Billing Assistant automatically suggests correct orthopedic CPT codes including E&M visits (99202–99215), joint injections (20610, 20611), fracture care, arthroscopy and joint replacement codes, with appropriate modifiers (-25, -59, -RT, -LT, -50). The system flags global period conflicts, missing modifiers, and DMEPOS billing opportunities before claim submission.

AI Charting
How does AI ambient charting work for orthopedic documentation?

Althea Smart EHR’s AI Ambient Charting listens during orthopedic exams, post-op follow-ups, and procedure visits and generates structured documentation in real time: history, physical exam with ROM and special tests, imaging review, assessment, and treatment plan. Most documentation is complete before the patient leaves the room.

EHR Switching
What is involved in switching to a new EHR system?

MD Synergy eliminates all three disruption sources: free data migration before go-live, 2-hour training required for Althea Smart EHR for the provider, and 100% patient go-live on Day 1.

EPCS & PDMP
Does Althea Smart EHR support EPCS and PDMP for post-surgical pain management?

Yes. Althea Smart EHR is Surescripts-certified for EPCS covering Schedule II–V medications, with real-time PDMP integration that auto-triggers at the point of prescribing for any controlled substance. For orthopedic surgeons managing post-operative pain, this ensures compliant opioid stewardship without leaving the chart.

How does Althea Smart EHR capture orthopedic modifiers (-25, -59, -RT, -LT, -50)?

Althea Smart EHR’s AI Billing Assistant automatically applies orthopedic modifiers from documentation: -25 when a significant separately identifiable E&M is performed with a same-day procedure, plus -59, -RT, -LT, -50, and global period modifiers (-24, -57, -78, -79). These are the most consistently under-captured modifiers in orthopedic billing, and Althea ensures every qualifying claim is coded correctly.

DMEPOS Billing
Does Althea Smart EHR support DMEPOS and in-office brace/orthotic billing?

Yes. Althea Smart EHR includes a built-in DMEPOS workflow for in-office dispensing of braces, splints, walking boots, and orthotics, with automatic HCPCS L-code suggestion (L1832, L1843, L4360, L4386, L0631, etc.), Medicare DMEPOS supplier compliance tracking, and prior authorization management for high-dollar items.

Choosing an EHR
What should orthopedic surgeons look for when choosing an EHR?

Six criteria that matter for orthopedics: (1) AI ambient charting for orthopedic exams and procedure notes, (2) Joint injection and procedure workflows with auto-CPT and J-code capture, (3) Validated PROMs (KOOS, HOOS, DASH, Oswestry) embedded and longitudinally tracked, (4) Orthopedic CPT auto-capture including modifier accuracy and DMEPOS billing, (5) Fracture care and global period tracking, (6) No setup fees and flexible contract terms. Althea Smart EHR meets all six, rated 5.0 ★ on Capterra.

Physician Burnout
How can an EHR help reduce physician burnout in orthopedics?

Orthopedic surgeons see some of the highest patient volumes in outpatient medicine: 30+ patients a day, with complex joint exams, post-op visits, and procedure documentation. Practices using Althea Smart EHR reported cutting their charting time in half, with most notes completed before the patient leaves the room, giving surgeons back hours every day.

Still Have Questions About Althea Smart EHR for Orthopedics?

Our team is happy to answer any question, whether clinical, technical, or financial, with no pressure and no hard sell.

Schedule Your Free Orthopedics Demo →