Ortho & Spine · DME Coordination

Patient shows up without crutches.
That ends today.

CaseFlow auto-orders DME the moment a case is scheduled, chases vendor confirmation, texts the patient when it ships, and tracks returns — all without a single fax.

The real cost of DME chaos

1 in 8

Ortho discharges delayed

Due to missing or unconfirmed DME at day of surgery

$850

Avg. OR minute cost

A 20-min delay searching for a missing CPM costs $17K in OR time

4 hrs

Staff time saved weekly

Eliminated vendor phone calls and fax follow-ups per practice

How the DME Engine works

From case scheduling to return tracking — fully automated, no coordinator touchpoints required.

1
Auto-trigger on scheduling

Case scheduled → DME ordered in seconds

When you schedule a TKA, ACL repair, or spinal fusion, CaseFlow maps the CPT code to the standard DME kit and auto-creates purchase orders. TKA → CPM + walker + cold therapy. ACL → hinged brace + crutches. Spine fusion → TLSO + raised toilet seat.

TKA → CPM + Walker + Cold Therapy ACL → Hinged Brace + Crutches TLSO + Shower Chair (Spine)
2
Vendor confirmation loop

PO fires to vendor — T-7d/T-3d/T-24h escalation

Vendor receives an email PO with a one-click confirmation portal. No response at T-7d? SMS nudge. Still silent at T-3d? Escalation text. T-24h before surgery with no confirmation? Red-alert banner on the coordinator dashboard + escalation email to the practice manager. Vendors can reply YES to confirm — no login required.

3
Patient delivery confirmation

Patient texts back YES — or the care team is alerted

T-72h pre-surgery: patient receives a bilingual SMS. "Your crutches + cold therapy unit should arrive by [date]. Reply YES once received." If no YES by T-24h, a hard alert fires on the surgeon dashboard so staff can intervene before the morning of surgery.

4
Pre-op training engine

Fitting video sent T-7d — bilingual, no app needed

Items that need fitting — CAM boot, hinged knee brace, TLSO — trigger a bilingual training video link via SMS at T-7d. Completion feeds the Same-Day Readiness Engine: a patient who hasn't watched their fitting video is deprioritized in the waitlist blast when a slot opens. Completion tracked automatically.

5
Return tracking

CPM machines don't disappear — T+14/21/28d return reminders

Rental items (CPM, cold therapy units) get automated return reminders at 14, 21, and 28 days post-surgery. The operator dashboard surfaces every overdue return with dollar value — practices get charged for lost equipment, so this directly protects your margin. Average recovery: $400–800/unit saved per quarter.

One kanban. Every order. No spreadsheets.

The DME kanban surfaces every order by status, flags at-risk cases in red, and includes a vendor scorecard so you know which vendors need replacing.

DME Dashboard — Sunrise Orthopaedics

24

Active Orders

91%

On-Time Rate

3

At Risk (≤3d)

$2,400

Returns Due

Ordered 6

CPM Machine

J. Smith · TKA · Jul 15

Hinged Knee Brace

T. Park · ACL · Jul 16

PO Sent 5

CAM Boot

M. Jones · ORIF · Jul 14

Confirmed 7

Cold Therapy Unit

A. Chen · TKA · Jul 13

Ready 3

Walker

R. Davis · THR · Jul 12

Delivered 3

TLSO Brace

B. Wilson · Fusion · Jul 8

✓ Confirmed

42 DME SKUs. 8 vendor relationships. Pre-built.

Every item ships with HCPCS codes, insurance allowable rates, and prior auth flags. Billing-queue export to your RCM system included.

🦴

Joint Replacement

  • • CPM Machine (knee / shoulder)
  • • Walker / Rollator
  • • Cold Therapy Unit
  • • Raised Toilet Seat
  • • Shower Chair

Sports Medicine

  • • Hinged Knee Brace (ACL / PCL)
  • • Crutches (axillary / forearm)
  • • Cold Therapy Unit
  • • Sling (shoulder)
  • • Bone Stimulator (E0221)
🔩

Spine

  • • TLSO Brace (LSO / rigid)
  • • Raised Toilet Seat
  • • Shower Chair
  • • Bone Stimulator
  • • Lumbar Support Pillow

Pre-loaded vendors: Breg · DonJoy · Ossur · Aspen · Bledsoe · ProCare · Trulife · 3-Point Products

Wired into the rest of CaseFlow

Cancellation Prediction

Unconfirmed DME within 72h drops the patient's readiness score and bumps waitlist blast priority so the slot fills before it empties.

OR Performance Suite

DME arrival delays tag to the FCOTS root-cause log automatically — so your block utilization report shows exact equipment-attributed delay minutes.

Daily Manager Brief

Every morning, the 7am Practice Manager Brief shows tomorrow's unconfirmed DME orders with vendor contact info — one click to escalate.

Close the loop. Stop the delays.

The DME Coordination Engine is available on all CaseFlow plans. It ships as part of the ortho/spine module — no separate setup.

Also on: Joint Replacement · Sports Medicine · Spine