Total knee replacement averages $21,500. Total hip runs $23,000. One recovered cancellation = 12 months of the Solo tier. The math is violent.
Industry no-show baseline for elective ortho is 8%. Six TKA/THA cases a week is a mid-volume joint replacement practice. Run the numbers.
TKA/THA cases require cardiology clearance, dental eval, PT consultation, anticoagulant holds, and day-of logistics — all by phone, all before 6am surgery. CaseFlow runs every step automatically.
CaseFlow automates the T-30 clearance checklist: cardiology sign-off, pre-anesthesia evaluation, dental clearance (joint replacement carries infection risk from dental bacteria), and PT pre-op evaluation. Each item gets a dedicated SMS confirmation with a staff flag if it goes unacknowledged.
Warfarin, DOACs, NSAIDs, and biologics each have different hold timing before joint surgery. CaseFlow sends drug-specific reminders at the correct interval for your protocol — aspirin, clopidogrel, Eliquis, Xarelto, methotrexate, and TNF inhibitors all get individualized stop-date messaging.
T-1 NPO reminder with solid/liquid cutoff times. Day-of arrival window, transportation confirmation, and a 30-minute early warning for patients who haven't confirmed they're en route. Catches the cases that cancel the morning of before they wreck the OR block.
Group practices see every surgeon's block grid — Mon–Fri, per surgeon — with utilization color-coded green / amber / red. Auto-fill wins are marked with a ✦ badge and a side panel tracks time-to-fill and revenue recovered. A group administrator can forward this view to the managing partner in one click. See it in the sandbox →
Joint replacement is the highest-dollar auth denial category — a single TKA or THA canceled for missing auth costs $20K–$35K in lost OR time. CaseFlow tracks every authorization per case, auto-chases the payer contact daily when surgery is within 7 days, and surfaces a red AUTH RISK badge with a one-click "Call payer now" link when approval is still missing within 24 hours. See it on the demo page →
Workers' comp and auto accidents represent 15–25% of joint replacement volume and live in spreadsheets today — Klara, Weave, and Luma don't touch it. CaseFlow tracks every WC/auto claim through the full lifecycle: adjuster comms, auto-chase at >5 business days, IME scheduling, state WC fee schedules (know if a carrier is underpaying before cashing the check), and lien management for PI cases. Open WC auth at T-7d automatically raises the case's cancellation risk score. Adjuster portal replaces the fax loop. See WC/Auto Tracker →
Every morning at 6am, your surgeons receive a personalized digest of tomorrow's cases: patient names, procedure types, OR times, no-show risk scores, clearance status, auth status, and any unread urgent triage flags — before they walk into the hospital. Staff don't have to brief them. The surgeon already knows. See a sample →
TKA/THA patients who score 9–10 on Day-30 NPS automatically receive a "recovery progress" framed one-tap Google review link. CaseFlow tracks clicks, sends a 48h confirmation check ("did it post?"), and surfaces a surgeon leaderboard — so your best outcomes compound into permanent local-SEO. Every review is a marketing asset you keep forever. See it on the demo page →
Collect $2,000 pre-surgery deposits for TKA/THA via a T-21d SMS → Stripe Payment Element (Apple Pay / Google Pay). Patients with a financial stake show up. Published data: deposits cut no-shows 30–50%. Late-cancel deposits convert to a 12-month credit — preserving the rebook relationship. Per-CPT rule editor lets you set amounts by procedure type without touching code. Try the demo →
Every CJR and BPCI-A bundle contract requires patient-reported outcome data. CaseFlow collects it automatically. A T-14d SMS sends a mobile-first KOOS-JR (knee) or HOOS-JR (hip) survey link — takes patients under 3 minutes. Post-op check-ins repeat at 6 weeks, 3 months, 6 months, and 1 year, matching CMS reporting windows. The surgeon dashboard shows gain curves from pre-op to 1 year with a national benchmark overlay, cohort completion rates (target ≥80% for CMS quality bonus), and red-flag alerts when a patient's score regresses vs. baseline. Exports to AJRR, MIPS Measure 459/460, and BPCI-A episode dashboard in one click. ~$2,000–$4,000 in quality bonus per Medicare bundle case at ≥80% completion. See PROM features →
DVT, wound infection, and dislocation are the three emergencies that turn a successful TKA/THA into a readmission. CaseFlow runs the check-in cadence and flags red-flag responses before they become ER visits.
Did you walk today? PT visit confirmed? Pain scale 1–10. Early ambulation compliance is the strongest predictor of 30-day outcome.
Calf warmth/swelling → DVT escalation. Increasing wound redness or drainage → infection escalation. Fever → immediate nurse alert.
Physical therapy compliance check — number of sessions completed, range of motion self-report, pain at rest vs. activity. Flags non-adherent patients before the 2-week visit.
Confirms wound closure is intact, incision site check with option to submit photo. Captures patients who haven't had staple removal scheduled.
Hip replacement patients: sudden severe pain, inability to bear weight, or visible deformity triggers immediate escalation — dislocation window is highest in first 6 weeks.
Stair climbing, distance walking, return to daily activities. Data feeds into your outcomes tracking and identifies patients who need extended PT.
CaseFlow blasts your waitlist the moment a cancellation is logged. First patient to confirm YES takes the slot. You don't touch the phone.
The moment a joint replacement case is marked cancelled — by your scheduler, your EHR, or manual entry — CaseFlow fires a text to every qualified waitlist patient filtered by procedure type and readiness status.
No race to answer the phone. No staff time. The first patient to reply YES gets a confirmation and instructions. The rest get a polite "slot filled" message. Your OR stays booked.
A TKA cancellation doesn't blast THA-only patients. CaseFlow's waitlist knows the difference — and only contacts patients whose procedure matches the open slot, so you don't get a knee patient showing up for a hip surgery date.
Joint replacement families sit in waiting rooms for 90+ minutes. Staff spend the day fielding "how's it going?" calls. The Family Update Loop ends that. Five automated texts fire at each milestone — checked in, surgery started, complete, in recovery, ready for pickup — in English or Spanish.
"They texted us every step of the way. We never had to wonder." — 5-star Google review, TKA family
See it in the sandbox →CaseFlow auto-assigns PROM surveys based on procedure type and sends bilingual SMS at the right cadence. Scores are benchmarked against population norms and surfaced on your surgeon dashboard — no configuration, no staff work.
No demo theater. We'll walk through your joint replacement procedure mix, show the waitlist fill in action, and give you the numbers for your exact case volume.
The No Surprises Act (Jan 2022) requires a written Good Faith Estimate for uninsured and self-pay patients at least 3 business days before surgery. For joint replacement (TKA/THA), that means an itemized estimate covering surgeon fee, ASC/HOPD facility fee, implant system, anesthesia, and post-op visits — each with CPT/HCPCS codes. Missing one costs up to $10,000 per violation. CaseFlow auto-generates the GFE when a self-pay case is scheduled and delivers it via SMS patient portal with e-acknowledgement and a 6-year audit trail.
Learn about our compliance stack →Auto-send a 4-minute joint replacement walkthrough at T-14d — bilingual, completion-tracked. Patients who don't engage are automatically flagged and receive a personalized surgeon outreach before they cancel.
CaseFlow tracks par levels for every knee and hip implant SKU — Stryker, Zimmer Biomet, DePuy Synthes, Arthrex. When stock hits par, it automatically fires a reorder PO to your vendor rep via SMS and email. Reps confirm with one click. No spreadsheets, no last-minute phone calls, no delayed cases.
CaseFlow's Complication Triage AI scores calf swelling +15 points on any post-knee case — because the DVT risk is higher. On-call surgeon gets an SMS with the patient's exact words, procedure, and day post-op within 60 seconds.
See Complication Triage AI →"my calf is really swollen and warm since yesterday, kind of scared"
Hip and knee replacement patients frequently carry CAD, COPD, diabetes, or morbid obesity that pushes them into ASA Class 3. CaseFlow auto-scores ASA class from the intake questionnaire, routes to your anesthesiologist for sign-off, and tracks required workups — EKG, echo, cardiology consult, dental clearance. Patient SMS nudges fire at T-21d, T-14d, T-7d, and T-3d. Cases not OR-ready at T-72h get flagged in Cancellation Prediction with a +30 risk boost so your coordinator can intervene before day-of.
CaseFlow's Reconciliation Engine creates a 90-day episode at discharge, rolls all post-acute spend, and projects whether you're trending toward gainshare or penalty — with CMS stop-loss caps applied automatically. PE-backed ortho rollups share a one-click anonymized view directly with their investment committee. HOPCo, OrthoAlliance, and USPI have no patient-comm vendor touching this layer today.
When you schedule a TKA or THA, CaseFlow auto-orders the CPM machine, walker, and cold therapy unit — then chases vendor confirmation at T-7d, T-3d, and T-24h. Patient gets a bilingual delivery confirmation SMS. If it's not confirmed 24h before surgery, your coordinator gets an escalation email and a dashboard alert.
Recover one cancelled total joint per year and CaseFlow costs you nothing. The math doesn't get cleaner than this.