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# CODE Technology | We Collect Patient Reported Outcomes: CODE Technology manages patient-reported outcome programs for hospitals and ASCs – from survey delivery to CMS reporting – so you achieve high survey capture rates, compliance confidence and meaningful quality insights.

## Sitemaps
[XML Sitemap](https://www.codetechnology.com/sitemap_index.xml): Includes all crawlable and indexable pages.

## Posts
- [THA/TKA PRO-PM and the TEAM Composite Quality Score: How the Measure Is Scored and What It Means for Your Hospital](https://www.codetechnology.com/blog/tha-tka-pro-pm-team-quality-score/): The THA/TKA PRO-PM is one of the quality measures making up the TEAM’s Composite Quality Score — and it’s directly tied to Medicare payment. This post explains how the measure is scored, what the 25-case and 50% capture thresholds mean in practice, and which patients actually count toward your RSIR.
- [MIPS Quality Measures for Heart Failure: A Provider’s Guide to CMS90 / MIPS #377](https://www.codetechnology.com/blog/mips-quality-measures-heart-failure/): CMS90v14 is the MIPS quality measure (#377) requiring heart failure providers to document both an initial and follow-up functional status assessment using a validated PROM tool. This guide covers eligibility, accepted instruments, reporting timelines, and what the proposed Ambulatory Specialty Model means for your practice.
- [The New CMS ASM Model Is Bringing Physician-Level Outcomes Accountability to Spine and Cardiology](https://www.codetechnology.com/blog/cms-asm-model-proms-spine-cardiology/): Here’s what spine and cardiology providers need to know about PROMs, Quality ID 377 and future Medicare reimbursement changes beginning in 2027.
- [CJR-X: Comprehensive Care for Joint Replacement – Expanded](https://www.codetechnology.com/blog/cjr-x-comprehensive-care-for-joint-replacement-expanded/): CJR-X is CMS’s proposed nationwide bundled payment model for joint replacement. It expands accountability across inpatient and outpatient episodes and introduces greater emphasis on quality performance, including patient-reported outcomes. Hospitals should begin preparing now to manage cost, capture, and compliance risk.
- [AAOS Registry Specification Changes: What Hospitals Need to Know and How CODE Is Supporting Clients Through the Transition](https://www.codetechnology.com/blog/aaos-registry-specification-changes/): AAOS is evolving registry requirements across AJRR, ASR and SER. Here’s what it means for your data, reporting and compliance.
- [Comprehensive Care for Joint Replacement – Expanded (CJR-X): Summary and Key Differences from the Original CJR Model](https://www.codetechnology.com/blog/cjr-x-model/): Learn how the CJR-X model expands CMS bundled payments nationwide, key differences from the original CJR program, and what hospitals must do to prepare for 2027.
- [Disease-Specific PROMs in Robotic (da Vinci) Colorectal Surgery: A Literature Review](https://www.codetechnology.com/blog/proms-robotic-colorectal-surgery/): Learn which PROMs are used in robotic colorectal surgery, including LARS, EORTC QLQ-C30/CR29 and IBDQ, across rectal cancer, IBD and incontinence.
- [Disease-Specific PROMs in Robotic Inguinal Hernia Surgery: A Literature Review](https://www.codetechnology.com/blog/proms-robotic-inguinal-hernia-surgery/): Explore the most common PROMs in robotic inguinal hernia surgery, including CCS and EuraHS-QoL, with comparison of use, validation and outcomes.
- [Case Study: A Leading Orthopedic Practice Turns Patient Outcomes into Market Advantage with CODE Technology](https://www.codetechnology.com/blog/orthopedic-patient-reported-outcomes-case-study/): Discover how a leading orthopedic practice leveraged CODE’s fully managed PROMs service to transform validated outcome data into a strategic marketing asset, build patient trust, and differentiate in a competitive market.
- [The Faster Path to Blue Distinction: How One Hospital Turned Existing Outcome Data Into National Recognition](https://www.codetechnology.com/blog/blue-distinction-orthopedic-case-study/): See how a community hospital achieved Blue Distinction® recognition through reliable PROMs collection and AJRR reporting with CODE’s fully managed program.
- [PROMs in the EHR: Hidden Costs of Managing Patient-Reported Outcome Measures in Epic and Other EHRs](https://www.codetechnology.com/blog/proms-in-ehr-hidden-costs/): Using Epic or another EHR for patient-reported outcome measures may sound efficient, but the real work of governance, reporting, and long-term follow-up often creates hidden operational costs.
- [CODE Technology Builds Momentum in 2025 Amid Rising Outcome-Based Care Requirements](https://www.codetechnology.com/blog/code-technology-builds-momentum-in-2025-amid-rising-outcome-based-care-requirements/): Fully managed PRO services, reporting-ready data for reimbursement and quality programs, and a growing national benchmarking registry set CODE apart as organizations faced increasing reporting and reimbursement risk.
- [Case Study: A Midwest Health System’s Response to PROMs Software Failure](https://www.codetechnology.com/blog/case-study-a-midwest-health-systems-response-to-proms-software-failure/): When missing PRO-PM data put reimbursement at risk, this health system turned to CODE for accurate PRO data, clinical support, and a dependable CMS-ready workflow.
- [PROMs vs. Patient Experience Surveys: Choose Your Vendor Wisely](https://www.codetechnology.com/blog/proms-vs-experience-surveys/): A PROMs partner can manage both outcomes and experience surveys like PIX. Learn why hospitals need one integrated partner to meet CMS PRO-PM and IPFQR requirements.
If your vendor can only handle experience surveys, they’re not equipped for the data rigor and governance CMS PROMs require. CODE delivers both.
- [2026 IPFQR Final Rule: What Inpatient Psychiatric Facilities Need to Know](https://www.codetechnology.com/blog/2026-ipfqr-final-rule/): CMS finalized updates to the IPFQR Program for FY 2026, including the new Psychiatric Inpatient Experience (PIX) Survey, measure removals, and revised reporting rules. Here’s what psychiatric and behavioral health facilities must know to stay compliant and protect reimbursement.
- [Patient Experience & Satisfaction in Outpatient Total Joint Arthroplasty: Recent Findings from OSET](https://www.codetechnology.com/blog/patient-experience-satisfaction-outpatient-total-joint-arthroplasty/): A recent orthopedic study presented at OSET reveals patients undergoing outpatient total joint arthroplasty at ambulatory surgery centers report higher satisfaction than those treated in hospital outpatient departments.
- [Critical Spotlight on Information Transfer PRO-PM: Navigate the New CMS Requirements](https://www.codetechnology.com/blog/spotlight-on-information-transfer-pro-pm/): CMS’s Information Transfer PRO-PM requires hospitals to survey all HOPD patients 18+ on discharge instructions—creating new challenges for anonymous collection, continuous sampling, and turning data into quality improvements.
- [The PRO-PM Provider-Reported Narcotics Question | What You Should To Know](https://www.codetechnology.com/blog/the-pro-pm-provider-reported-narcotics-question/): Ever wondered why the THA/TKA PRO-PM, mandated by IQR, OQR, and ASCQR programs, includes a question on narcotic use 90 days before surgery?
- [Turning Patient Voice into Volume: Insights from CODE Technology and rater8 on PROMs and Reputation Management](https://www.codetechnology.com/blog/turning-patient-voice-into-volume-proms-online-reputation/): Learn how PROM data collection and AI-driven online reputation strategies are reshaping healthcare marketing and compliance. Get expert insights from CODE Technology and rater8 on navigating CMS PROM-PM requirements and optimizing patient engagement.
- [DNV Advanced Certification for Ortho & Spine: Your Roadmap to Quality and Differentiation](https://www.codetechnology.com/blog/dnv-advanced-certification-for-ortho-spine-your-roadmap-to-quality-and-differentiation/): Discover how PROMs move beyond compliance to help hospitals achieve DNV orthopedic and spine certification—driving measurable quality and patient trust.
- [Protect Millions in Reimbursement—Make PRO-PM Compliance Effortless](https://www.codetechnology.com/blog/protect-millions-in-reimbursement-make-pro-pm-compliance-effortless/): Learn how CODE helps hospitals protect reimbursement, streamline CMS PRO-PM compliance, and gain actionable insights for growth—without adding to staff workload.
- [rater8 and CODE Technology Partner to Advance PROs + Reputation](https://www.codetechnology.com/blog/rater8-code-technology-partnership-patient-outcomes-reputation/): rater8 and CODE Technology have partnered to integrate patient-reported outcomes with reputation management—helping practices stand out, meet CMS requirements, and streamline operations.
- [Webinar: Turn Patient Voices into Volume: How Outcomes + Reviews Drive Real Growth](https://www.codetechnology.com/blog/rater8-and-code-webinar/): Don’t miss this expert-led webinar on how leading health systems are using patient-reported outcomes and reviews to stay compliant and competitive — all while improving patient care.
- [CMS Clarifies Who Can Assess Chronic Narcotics Use—Here’s What That Means for You](https://www.codetechnology.com/blog/who-can-document-chronic-narcotic-use/): Registered nurses, pharmacists, and anesthesia staff can document chronic narcotic use for CMS THA/TKA PRO-PM, as long as it aligns with their scope of practice and is supported by clear workflow and policy. CMS does not require a physician to make the assessment.
- [Trailblazers in Orthopedics: Celebrating Women Leading the Industry](https://www.codetechnology.com/blog/trailblazers-in-orthopedics-celebrating-women-leading-the-industry/): Meet ten groundbreaking women transforming orthopedic surgery. From education and innovation to global advocacy and diversity, these leaders are shaping the future of musculoskeletal care.
- [Why Orthopedic Practices Should Start Reporting THA/TKA PROMs Now (Before CMS Makes It Mandatory for Outpatients)](https://www.codetechnology.com/blog/blog-outpatient-proms-cms-tha-tka-voluntary-reporting/): Under CMS's OPPS, outpatient orthopedic facilities must report PROs for THA/TKA by 2028 or face a 2% APU reduction. Learn why HOPDs and ASCs should take advantage of the current voluntary period to avoid penalties, improve outcomes, and gain a competitive edge.
- [CMS THA/TKA PRO-PM: Lessons from Health Systems – Webinar On-demand](https://www.codetechnology.com/blog/cms-tha-tka-pro-pm-webinar-lessons-on-patient-reported-outcomes/): Learn how health systems achieved CMS compliance for THA/TKA PRO-PM. Real-world advice on PROs strategy and pitfalls to avoid.
- [Introduction to CTM-3: What It Measures and Why](https://www.codetechnology.com/blog/3-item-care-transition-measure-ctm-3/): Explore the 3-Item Care Transition Measure (CTM-3)—a brief but effective patient-reported tool designed to evaluate discharge readiness and care transitions. Once a CMS-required HCAHPS measure, CTM-3 remains a valuable benchmark in patient experience.
- [Understanding the Psychiatric Inpatient Experience (PIX) Survey for CMS Reporting](https://www.codetechnology.com/blog/psychiatric-inpatient-experience-pix-survey-guide/): Learn about the PIX Survey structure, CMS reporting deadlines, patient experience domains, and best practices for compliance with inpatient psychiatric facility quality measures.
- [The Top FAQs About CMS Patient-Reported Outcome Measures (PROMs)](https://www.codetechnology.com/blog/the-top-faqs-about-cms-patient-reported-outcome-measures-proms/): CODE Technology hosted a national webcast, Crack the CODE on CMS PROs: Real-World Lessons from Health Systems, where leaders shared their experiences managing PROMs and meeting CMS requirements. This blog recaps the top frequently asked questions, with real-world answers and strategic takeaways.
- [How Confident Are You in Meeting the CMS THA/TKA PRO-PM?](https://www.codetechnology.com/blog/pro-pm-confidence-by-collection-method/): Struggling with CMS THA/TKA PRO-PM compliance? Learn how leading hospitals are achieving high patient-reported outcome (PRO) capture rates with third-party vendors—and why CODE Technology is the trusted choice for streamlined, compliant PROMs programs.
- [CollaboRATE Measure: Shared Decision Making](https://www.codetechnology.com/blog/collaborate-measure-shared-decision-making/): The quick, 3-question nature of the CollaboRATE tool makes implementation into clinical practice easy for both patients and clinical staff.
- [Short Form-12 (SF-12): Assessing Patient Quality of Life Efficiently](https://www.codetechnology.com/blog/patient-reported-outcomes-short-form-12-sf-12-guide/): As a measure of general health, the SF-12 can be utilized for any orthopedic condition or following any orthopedic intervention.
- [Toronto Extremity Salvage Score (TESS): Comprehensive Guide to Assessment & Scoring](https://www.codetechnology.com/blog/toronto-extremity-salvage-score-tess-comprehensive-guide-to-assessment-scoring/): The broad scope of the questions and well-established psychometric properties make TESS an ideal for research, however its length may limit its capture rate if used for daily clinical practice.
- [Understanding the Pediatric IKDC (Pedi-IKDC) Knee Evaluation Tool](https://www.codetechnology.com/blog/pediatric-ikdc/): The Pedi-IKDC form is a modification of the original IKDC, tailored specifically for patients ages 10 to 18. By adapting question wording and splitting select items for better comprehension, the 21-item Pedi-IKDC delivers reliable, valid, and responsive assessments of knee injuries, diseases, and procedures.
- [Discover the Pedi-ASES, an Adaptation of the Validated ASES](https://www.codetechnology.com/blog/pedi-ases-shoulder-elbow-outcomes-pediatric-adolescent/): The Pediatric and Adolescent ASES (Pedi-ASES) Score is a modified version of the adult ASES survey, carefully adapted to evaluate shoulder and elbow issues in patients aged 10–18.
- [Parsley Symptom Index (PSI): e-PROM Tool for Telehealth Symptom Assessment](https://www.codetechnology.com/blog/parsley-symptom-index-telehealth-eprom/): PSI is a new e-PROM that demonstrates significant promise in simplifying the collection of patient-perceived health across body systems in the telehealth setting while displaying early acceptable validity. Future studies should be performed to solidify its clinical relevance in holistic medicine.
- [Understanding the Olerud-Molander Ankle Score (OMAS)](https://www.codetechnology.com/blog/understanding-the-olerud-molander-ankle-score-omas/): As one of the most commonly utilized PROs for ankle fracture recovery, the OMAS is a quick tool to monitor patients in the vital post-injury recovery period. However, other surveys should be considered if looking for a well-validated PROM for research purposes.
- [Majeed Pelvic Score: Assessing Pelvic Fracture Outcomes](https://www.codetechnology.com/blog/what-is-the-majeed-pelvic-score/): Discover how the Majeed Pelvic Score evaluates pelvic fracture outcomes, measuring everything from pain and work ability to sexual function and sitting tolerance. Learn how this proven tool empowers clinicians to tailor treatments, boost patient satisfaction, and enhance overall care.
- [KCCQ: Enhancing Heart Failure Care & Quality of Life](https://www.codetechnology.com/blog/kansas-city-cardiomyopathy-questionnaire-kccq/): The Kansas City Cardiomyopathy Questionnaire (KCCQ) is a validated tool that captures essential data on heart failure symptoms, functional limitations, and quality of life. By leveraging KCCQ’s insights, healthcare teams can tailor treatments and enhance patient-centered care.
- [Addressing the Gaps in Kidney Transplantation with the IOTA Model](https://www.codetechnology.com/blog/addressing-the-gaps-in-kidney-transplantation-with-the-iota-model/): In order to address the growing demand for kidney transplants, CMS introduced the Increasing Organ Transplant Access (IOTA) Model.
- [CY 2025 OPPS and ASC Final Rule: What’s Changed?](https://www.codetechnology.com/blog/cy-2025-opps-and-asc-final-rule-whats-changed/): The CY 2025 OPPS and ASC Final Rule brings significant updates, including a $4.7 billion increase in payments and new reporting requirements.
- [Is Your PROM Program Going To Meet The Measure?](https://www.codetechnology.com/blog/is-your-prom-program-going-to-meet-the-measure/): If you have concerns regarding your organization’s ability to meet the CMS THA/TKA PRO-PM or want to understand the financial impact, this blog is a great first step.
- [How HonorHealth Is Improving Spine Surgery Outcomes With PRO-Driven Decision-Making](https://www.codetechnology.com/blog/how-honorhealth-is-improving-spine-surgery-outcomes-with-pro-driven-decision-making/): By using the ODI and NDI to set recovery benchmarks, HonorHealth is turning patient feedback into an actionable roadmap for quality improvements.
- [How to Sell a Patient-Reported Outcomes Program to Your CFO](https://www.codetechnology.com/blog/how-to-sell-a-patient-reported-outcomes-program-to-your-cfo/): Some things you know about your CFO: who they are, their title, and how stern they sound going over projections in the semi-annual meeting.Some things you may not know about your CFO: how can you solicit their buy-in for initiatives? What talk tracks get them excited and willing to allocate funds towards projects? When is the best time to start a conversation?
- [CMS’s SDOH Measures | Deep Dive Into SDOH-1, SDOH-2 and HCHE](https://www.codetechnology.com/blog/cms-sdoh-measures/): The health community has known for a long time that social risk factors can negatively impact a person’s health, including worse outcomes and more time spent in hospitals. We’ve authored several blogs on the subject of Social Determinants of Health (SDOH)- What is SDOH and why it matters , SDoH Studies/Research, SDOH Screening tools, and Government Support for Social Determinants of Health (SDOH) Programs. The purpose of this blog is to talk through the CMS Measure Details: SODH-1, SDOH-2, and Hospital Commitment to Health Equity (HCHE). This blog will objectively lay out the rules and requirements, then offer a perspective on what we are seeing in the market and our thoughts on how to approach these measures.
- [Join HonorHealth and CODE Technology at the 2024 DNV Healthcare Symposium](https://www.codetechnology.com/blog/join-honorhealth-and-code-technology-at-the-2024-dnv-healthcare-symposium/): CODE partners with HonorHealth to present on how PRO data can enhance surgical outcomes at the DNV Healthcare Symposium.
- [CMS’s TEAM | Three Big Concepts Every Hospital Needs to Know](https://www.codetechnology.com/blog/cms-team-three-big-concepts-every-hospital-needs-to-know/): We cover three key concepts of TEAM that are crucial to understanding how the new mandatory model aims to enhance care coordination and manage costs effectively.
- [What are Box and Whisker Plots?](https://www.codetechnology.com/blog/what-are-box-whisker-plots/): The box-and-whisker plots are very effective and easy to read. They summarize data much better than just a simple ‘average’, and provide a deeper insight into the distributional characteristics of a group of scores. Learn how to read Box and Whisker Plots and Reports with examples.
- [Introducing TEAM in CMS’ FY2025 IPPS Final Ruling](https://www.codetechnology.com/blog/introducing-team-in-cms-fy2025-ipps-final-ruling/): Starting January 1, 2026, CMS is rolling out TEAM (Transforming Episode Accountability Model) as part of the FY2025 IPPS Final Rule.
- [Impact On Outcomes: Nonoperative Management For Osteoarthritis Prior To Joint Replacement Surgery](https://www.codetechnology.com/blog/impact-on-outcomes-nonoperative-management-for-osteoarthritis-prior-to-joint-replacement-surgery/): As the population ages, rates of knee and hip osteoarthritis (OA) are on the rise with a subsequent spike in elective total knee and total hip replacement surgeries. Total joint replacement, also known as total joint arthroplasty (TJA), is the most effective treatment for management of pain caused by end-stage (or bone-on-bone) OA. As such, TJA is one of the most frequently performed procedures in the United States, with over 1 million performed annually. Furthermore, TJA represents the single largest procedural cost for Medicare, leading to several policy changes surrounding reimbursement, preoperative optimization, and postoperative care standards.
- [PROMIS Global Health Versions](https://www.codetechnology.com/blog/promis-global-health-versions/): The PROMIS Global Health is an overall evaluation of an adult (ages 18+) patient’s physical and mental health. The measure is generic rather than disease-specific and looks at a patient’s general health. There is only a fixed-length version consisting of 10 questions and is available at healthmeasures.net.
- [CMS Hospital PRICE Transparency Rule](https://www.codetechnology.com/blog/cms-hospital-price-transparency-rule/): The Hospital PRICE Transparency Rule was first implemented by Center for Medicare & Medicaid Services (CMS) on January 1, 2021 with the goal of “empowering patients with the necessary information to make informed health care decisions.” This ruling sets a standard for all hospitals to report pricing and care costs in a publicly available document on the CMS website, promoting healthcare affordability and ultimately a value-based care model.
- [CODE Technology Selected for AAOS PROMs Vendor Program](https://www.codetechnology.com/blog/code-technology-selected-for-aaos-proms-vendor-program/): Minneapolis, MN – June 25, 2024 – CODE Technology is excited to announce its selection for the American Academy of Orthopaedic Surgeons’ (AAOS) PROMs Vendor Program . This recognition highlights our commitment to helping orthopedic clients streamline the process of collecting Patient-Reported Outcome Measures (PROMs) and reporting to AAOS' registries. This distinction underscores our commitment to facilitating clinicians’ ability to implement and utilize PROMs at the point of care.
- [TEAMing Up For Better Care: CMS’ Newest Payment Model Impacting IPPS](https://www.codetechnology.com/blog/teaming-up-for-better-care/): In April of this year, the Centers for Medicare & Medicaid Services (CMS) announced a proposed update to the FY 2025 Hospital Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital Prospective Payment System (LTCH PPS) Proposed Rule (CMS-1808-P). Among the updates  related to this measure, this blog will focus on the new standout mandatory 5-year, episode-based alternative payment model (APM) called TEAM—short for the Transforming Episode Accountability Model.
- [Unpacking CMS Shadow Bundles](https://www.codetechnology.com/blog/unpacking-cms-shadow-bundles/): One bundled payment model introduced within the comprehensive specialty strategy is shadow bundling. Shadow bundles are reimbursement arrangements that are unique to a procedural or condition-specific episode of care, beginning at admission or date of surgery, and extending through the 90-day postoperative or post-discharge period. In February 2024, the Centers for Medicare & Medicaid Services (CMS) started giving Medicare Shared Savings Program (MSSP) and Realizing Equity, Access, and Community Health (REACH) Accountable Care Organizations (ACOs) shadow bundle reporting on 29 inpatient, three outpatient, and two multi-setting episodes based on a modified version of the BPCI Advanced program that presents consolidated cost and quality data of specialists engaged with ACOs. This serves as a benchmark or reference for costing and the evaluation of specialist performance.
- [Government Support for Social Determinants of Health (SDoH) Programs](https://www.codetechnology.com/blog/government-support-for-social-determinants-of-health-sdoh-programs/): Government involvement in supporting Social Determinants of Health (SDOH) initiatives in the United States healthcare system reflects an increasing recognition of the importance of addressing disparities and promoting health equity.
- [Social Determinants of Health Tools](https://www.codetechnology.com/blog/social-determinants-of-health-tools/): As we’ve established, there's a heightened focus on understanding and addressing social determinants of health (SDOH). Screening tools and surveys, new and existing, have emerged as essential instruments in  enabling healthcare providers to identify and mitigate factors influencing patient outcomes. The healthcare industry has made significant strides in recent decades in developing and validating screening tools across various disciplines. Now, similar tools are emerging to address the complex landscape of SDOH.
- [Knee injury and Osteoarthritis Outcomes Score – Anterior Cruciate Ligament (KOOS-ACL)](https://www.codetechnology.com/blog/knee-injury-and-osteoarthritis-outcomes-score-anterior-cruciate-ligament-koos-acl/): The Knee injury and Osteoarthritis Outcomes Score - Anterior Cruciate Ligament (KOOS-ACL) is an abbreviated version of the KOOS designed specifically to evaluate young, active patients with ACL deficiency.  The creators of KOOS-ACL wanted to mitigate the weaknesses of the more general KOOS in this specific patient population and develop a shorter, less burdensome tool. 
- [Brief Review of Studies on Social Determinants of Health](https://www.codetechnology.com/blog/brief-review-of-studies-on-social-determinants-of-health/): As the topic of SDOH continues to gain traction, an increasing amount of research is being published, illuminating the significant impact of social determinants of health (SDOH) on clinical decision-making, patient outcomes, and healthcare costs across various medical domains. Here are a few studies we've bookmarked.
- [Unpacking the Hospital VBP Program | When Inpatient Quality Reporting (IQR) Measures Are Not Met](https://www.codetechnology.com/blog/unpacking-the-hospital-vbp-program/): The Hospital Inpatient Quality Reporting (IQR) Program, established by the Centers of Medicare & Medicaid Services (CMS), has been instrumental in enhancing healthcare quality since its passing in 2003 under the Medicare Prescription Drug, Improvement and Modernization Act (MMA). The IQR program is a pay-for-reporting quality program, and hospitals that fail to meet these requirements face a reduction in their Annual Payment Update (APU) under IPPS. This quality enhancement shift to reporting was not kept internal but was made publicly available on the Care Compare website through CMS.
- [CMS THA/TKA PRO-PM | 3 Reports You Must Have](https://www.codetechnology.com/blog/cms-tha-tka-pro-pm-3-reports-you-must-have/): It is imperative for organizations impacted by CMS’ THA/TKA PRO-PM to track PROM capture rate and functional improvement scores.  There are three reports CODE is using that have proven to be ‘mission critical’ to monitor performance: 1) Capture Rate, 2) Data Completeness, and 3) Functional Improvement. If you are collecting PROs, you should be able to pull these reports in less than 10 minutes, and should be reviewing the data on a monthly basis. Here we go:
- [Understanding The Impact Of Social Determinants Of Health (SDoH)](https://www.codetechnology.com/blog/understanding-the-impact-of-social-determinants-of-health-sdoh/): In the realm of public health, understanding the intricacies of health outcomes goes beyond medical diagnoses and treatment plans. It delves into the broader landscape of social determinants of health (SDOH). SDoH encompass the conditions and circumstances in which individuals live, work, learn, and age, ultimately shaping their health and well-being. From economic stability to access to education, healthcare, and safe neighborhoods, SDOH encapsulates a wide array of factors that influence health outcomes and disparities.
- [Optimizing Trauma PRO Collection & Utilization | A Client Success Story](https://www.codetechnology.com/blog/optimizing-trauma-pro-collection-utilization-case-study/): Orthopedic trauma is a challenging area to measure the quality of care. Patients typically arrive in the ER with little warning and may have other injuries. Patient-reported outcomes (PROs) have been validated in trauma literature as both a reliable and reproducible way to quantify the quality of care delivered and the functional outcome. The challenge for any trauma center is reaching the patients after discharge.
- [Understanding Bariatric Accreditation and PROMs](https://www.codetechnology.com/blog/understanding-bariatric-accreditation-and-proms/): Advancements in bariatric surgery have made it less invasive, safer, and more prevalent. In 2021, over 260,000 bariatric surgeries were conducted in the United States, as reported by the American Society for Metabolic and Bariatric Surgery (ASMBS). However, it's important to note that the procedure still carries inherent risks, which is why accreditation is so important. At the forefront of bariatric accreditation is MBSAQIP.
- [OAS CAHPS | What ASCs And HOPDs Should Know](https://www.codetechnology.com/blog/oas-cahps-what-ascs-and-hopds-should-know/): In the rapidly evolving landscape of outpatient and ambulatory surgery centers (ASCs), understanding and complying with the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) measure is crucial to receiving maximum reimbursement. As a leading innovator in patient-reported outcome collection, including patient experience surveys, CODE Technology is here to guide you through the intricacies of OAS CAHPS, offering a comprehensive understanding of the mandatory measure to ensure your ASC excels in reporting.
- [Breaking Down the CMS Final Rule: The PRO-PM For Outpatient THA/TKA](https://www.codetechnology.com/blog/breaking-down-the-cms-final-rule-the-pro-pm-for-outpatient-tha-tka/): On November 2, 2023, the Centers for Medicare & Medicaid Services (CMS) finalized the Outpatient Prospective Payment System (OPPS) and the Ambulatory Surgical Center (ASC) Payment System for calendar year (CY) 2024. CMS moved forward with adopting the Risk-Standardized Patient Reported Outcome-Based Performance Measure (PRO-PM) Following Elective Primary Total Hip Arthroplasty (THA) and/or Total Knee Arthroplasty (TKA) in the ASC Setting (THA/TKA PRO-PM). The only change from the proposed ruling related to this measure was a modification to extend the voluntary reporting through CY 2027 followed by mandatory reporting beginning one year later than originally proposed with the CY 2028 reporting period.
- [Quality Metrics with PRO Response Rate Requirements Case Study](https://www.codetechnology.com/blog/quality-metrics-with-pro-response-rate-requirements/): The trend towards value-based reimbursement programs is picking up steam in the healthcare industry, especially on a state based level. These programs often require PRO data collection and reporting. Take Michigan's Spine Surgery Improvement Collaborative (MSSIC), for example. It's a state-wide initiative for orthopedic surgeons and neurosurgeons in Michigan working together to improve the quality of care for patients undergoing spine surgery.
- [What is AAAHC? Understanding the Core of Ambulatory Health Care Accreditation](https://www.codetechnology.com/blog/what-is-aaahc/): Established in 1979, Accreditation Association for Ambulatory Health Care (AAAHC) plays a vital role in accrediting diverse ambulatory health care organizations in the U.S., including ambulatory surgery centers, endoscopy centers and more. With deemed status from CMS, AAAHC certifies ambulatory surgery centers (ASCs) for Medicare.
- [ACHC Accreditation: An Overview](https://www.codetechnology.com/blog/achc-healthcare-accreditation/): In the ever-evolving landscape of healthcare, accreditation organizations play a pivotal role in ensuring the highest standards of patient care and safety. One such organization that has been gaining recognition and trust in the medical community is the Accreditation Commission for Health Care (ACHC).
- [Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Overview](https://www.codetechnology.com/blog/opps-and-asc-overview/): The Medicare Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Proposed Rule, unveiled annually by the Centers for Medicare & Medicaid Services (CMS), outlines the anticipated payment rates and policies for hospital outpatient and ASC services. This annual proposal aims to establish transparent guidelines and reimbursement structures, driving safe, patient-centered care. The rule holds considerable significance for healthcare providers as it not only affects approximately 3,500 hospitals and 6,000 ASCs but also aligns with key Administration goals, including health equity, expanded behavioral health access, and improved transparency.
- [Understanding the Inpatient Prospective Payment System](https://www.codetechnology.com/blog/understanding-the-inpatient-prospective-payment-system/): Explore CMS' IPPS, its impact on hospitals and patient care, quality programs, challenges, staffing, and more.
- [PROs Take Center Stage in Healthcare: A Game-Changer for Clinicians](https://www.codetechnology.com/blog/pros-game-changer-for-clinicians/): Patient-reported outcomes (PROs) are revolutionizing healthcare as we know it. No longer are they undervalued; instead, they are becoming an essential tool for clinicians and researchers to provide better care. In a recent podcast, Bre Cunningham, the founder, and CEO of CODE Technology, sheds light on the value of PROs, challenges of licensing, and the infrastructure behind collecting, scoring, and reporting PRO data.
- [Threats to PROMs](https://www.codetechnology.com/blog/threats-to-proms/): Over the last decade, patient-reported outcome (PRO) data has emerged as a primary metric for assessing the effectiveness of orthopedic procedures. It has gained prominence in various value-based payment models and is now a mandatory requirement for hospitals performing total hip and knee replacements. These payer initiatives are actively promoting the adoption of patient-reported outcome measures (PROMs). At CODE, our mission is to assist clinicians in efficiently collecting, utilizing, and loving outcome data- so naturally, we’re excited about the integration of PROMs into the healthcare delivery model. Nonetheless, we have identified some issues that are cause for concern. We believe if these issues are not addressed, it could unravel years of work that has been done driving PROs in musculoskeletal quality programs.
- [Introduction to CMS’s CY 2024 OPPS/ASC Proposed Rule & THA/TKA PRO-PM](https://www.codetechnology.com/blog/introduction-to-cmss-cy-2024-opps-asc-proposed-rule-tha-tka-pro-pm/): July 13, 2023, CMS released the Calendar Year (CY) 2024 Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System proposed rule. As part of the OPPS/ASC proposed rule, CMS is proposing several changes to the Hospital Outpatient Quality Reporting (OQR) and Ambulatory Surgical Center Quality Reporting (ASCQR) programs, including a new measure that impacts elective primary Total Hip and/or Total Knee Arthroplasty. The final rule will be issued in early November 2023. This blog gives a background on the OPPS/ASC Payment System, the OQR/ASCQR Programs, an overview of the Risk-Standardized Patient-Reported Outcomes Following Elective Primary Total Hip and/or Total Knee Arthroplasty performance measure (THA/TKA PRO-PM), and specific information for organizations impacted by the measure.

## Pages
- [Contact Us](https://www.codetechnology.com/contact-us/): PROMs is often framed as a “turnkey” technology decision. In reality, success is driven by the strategy and operations behind it. For organizations navigating CMS PRO-PMs and other reporting mandates, how your program is set up, how patients are engaged over time and whether your data holds up matters far more than the platform itself.
- [CMS Reporting](https://www.codetechnology.com/patient-reported-outcomes-platform/cms-reporting/): Patient-reported outcomes are becoming central to quality reporting and reimbursement for healthcare organizations. Here’s a snapshot of the ones CODE is tracking.
- [AAOS | Preferred PROM Vendor](https://www.codetechnology.com/aaos-preferred-prom-vendor/): Experts manage all aspects of your registry without burdening  your staff.
- [Implementation Project Manager](https://www.codetechnology.com/careers/implementation-project-manager/): LOCATION:  Remote
- [Newsletter Signup](https://www.codetechnology.com/newsletter-sign-up/): What’s changing, what’s working and what to do next with PROMs
- [Industry-Leading Capture Rates](https://www.codetechnology.com/industry-leading-capture-rates/): Without Adding Staff or Workflow Burden
- [Put PROMIS Tools to Work — Without the Work](https://www.codetechnology.com/code-promis/): PROMIS surveys measure key aspects of a patient’s health experience — but turning that insight into action requires more than just a great instrument.
- [PRO Measures Resources](https://www.codetechnology.com/resource-center/pro-measures/): Patient-reported outcome data is powerful.  There are many validated PRO surveys, and selecting the correct measures to use is key to success. Choosing PRO measures is no easy task, but we’ve got you covered. We highlight the good, the bad, and the nuances associated with the most commonly used PRO tools. 
- [Payment Model Guides Resources](https://www.codetechnology.com/resource-center/payment-model-guides/): In the evolving era of value-based care, there are many alternative payment models that deviate from the traditional fee-for-service system. These alternative financial arrangements aim to either reduce costs or increase quality. APMs are becoming more popular and will continue to expand and evolve as we transition out of a fee-for-service payment model. Understanding the program design and target metrics is critical to success when entering into an APM. Learn more about the inner workings of some of the most popular APMs in today’s market.
- [Patient-Reported Outcomes Performance Measure (PRO-PM)](https://www.codetechnology.com/resource-center/patient-reported-outcomes-performance-measure-pro-pm/): Patient-reported outcome data is powerful.  There are many validated PRO surveys, and selecting the correct measures to use is key to success. Choosing PRO measures is no easy task, but we’ve got you covered. We highlight the good, the bad, and the nuances associated with the most commonly used PRO tools. 
- [CODE Guides and Downloads](https://www.codetechnology.com/resource-center/code-guides-and-downloads/): Need more help with your PRO related questions? CODE can help! Schedule a call with a CODE expert today to get you on your way to better harnessing your patient reported outcomes.
- [Client Resources | Maximizing PROs](https://www.codetechnology.com/resource-center/client-resources/): Are you a CODE client? If so, this section is for you. We have tips and tricks for navigating the reporting and CODE application that you can reference at any time.
- [Case Studies](https://www.codetechnology.com/resource-center/case-studies/): CODE’s mission is to help people collect, use, and love outcome data. Get inspired by learning how CODE clients are using their patient outcomes data to lower costs, improve outcomes, and drive up the value of care.
- [Building A PRO Program Resources](https://www.codetechnology.com/resource-center/building-a-pro-program/): Creating a reliable and sustainable system for managing PRO data requires some up-front preparation, but when implemented well, it can become one of your biggest patient care assets. From understanding the costs and selecting the right PRO tools, to successfully utilizing the data – CODE has created tools that help walk people through each step of the process.
- [CODE Technology Home](https://www.codetechnology.com/): CODE Technology manages patient-reported outcome programs - from survey delivery to CMS reporting - so you achieve high survey capture rates, compliance confidence and meaningful quality insights with ZERO additional FTEs.
- [Resource Center](https://www.codetechnology.com/resource-center/): Your go-to source for patient-reported outcomes including PRO tools, data registries, and more
- [rater8](https://www.codetechnology.com/rater8/): Want More 5-Star Reviews? rater8 Can Help.
- [PROM Replacement](https://www.codetechnology.com/patient-reported-outcomes-platform/prom-replacement/): What Could Your Team Accomplish If You Didn't Have to Run PROMs?
- [Privacy Policy](https://www.codetechnology.com/privacy-policy/): CODE Technology operates the https://www.codetechnology.com/ website, which provides the SERVICE.
- [Ensure Compliance](https://www.codetechnology.com/ensure-compliance/): Without Adding Staff or Workflow Burden
- [About Us](https://www.codetechnology.com/about-us/): At CODE Technology, we help healthcare organizations across the country collect, manage, and leverage patient-reported outcome measures (PROMs) without adding to their staff's workload. By combining cutting-edge technology with hands-on service, we support clients from every angle and provide the cleanest results to a thriving outcomes program.
- [Blog](https://www.codetechnology.com/blog/)
- [Patient-Reported Outcomes Platform](https://www.codetechnology.com/patient-reported-outcomes-platform/): Confidence in your patient-reported outcomes. Without the operational burden.
- [Schedule a Call](https://www.codetechnology.com/schedule-a-call/): PROMs is often framed as a “turnkey” technology decision. In reality, success is driven by the strategy and operations behind it. For organizations navigating CMS PRO-PMs and other reporting mandates, how your program is set up, how patients are engaged over time and whether your data holds up matters far more than the platform itself.
- [Telehealth is here to stay](https://www.codetechnology.com/telehealth/): The last year has shown how healthcare needs to be flexible to meet the ever-changing landscape of care. this has been especially true with the advancements in telehealth. CODE’s out of office outcomes collection simplifies this transition for our customers.

## Resources
- [CJR-X: The Complete Guide to CMS’s Proposed Nationwide Bundled Payment Model](https://www.codetechnology.com/resource/cjr-x-guide/): CMS has proposed CJR-X — Comprehensive Care for Joint Replacement Expanded — a mandatory nationwide bundled payment model for hip, knee, and inpatient ankle replacements. If finalized, it will affect every eligible acute care hospital in the country beginning October 1, 2027.
- [PRO Vendor Buyers Guide](https://www.codetechnology.com/resource/pro-vendors-buyers-guide/): A list of questions to help evaluate which patient-reported outcome vendor can best help you meet your data collection goals.
- [Simplify PROM Data Submission to AAOS ](https://www.codetechnology.com/resource/simplify-aaos-submission/): As an AAOS Registry Program Authorized Vendor, CODE provides registry participants with seamless integration for data submission.
- [CMS THA/TKA PRO-PM | The Complete Resource](https://www.codetechnology.com/resource/cms-tha-tka-pro-pm/): This whitepaper is your ticket to understanding and acing the THA/TKA PRO-PM CMS Measure reporting requirements.
- [Understanding the HOPD Patient-Reported Outcome Performance Measure Brochure](https://www.codetechnology.com/resource/understanding-the-hopd-patient-reported-outcome-performance-measure-brochure/): This whitepaper is your ticket to acing CMS' THA/TKA Patient-Reported Outcome Performance Measure reporting requirements for HOPDs.
- [Understanding the ASC Patient-Reported Outcome Performance Measure Brochure](https://www.codetechnology.com/resource/understanding-the-asc-patient-reported-outcome-performance-measure-brochure/): This whitepaper is your ticket to acing CMS' THA/TKA Patient-Reported Outcome Performance Measure reporting requirements for ASCs.
- [CJR Simplified. A Practical Guide to Understanding & Preparing for CJR](https://www.codetechnology.com/resource/cjr-simplified-a-practical-guide-to-understanding-preparing-for-cjr/): Medicare Comprehensive Care for Joint Replacement (CJR) program will pay hospitals based on a ‘target price’ for joint replacement services.
- [A Guide to Orthopedic Payment Models: MIPS, APMs, Bundles, and More](https://www.codetechnology.com/resource/a-guide-to-orthopedic-payment-models-mips-apms-bundles-and-more/): How can organizations and providers achieve the best possible patient outcomes for the lowest cost? Find out with CODE's Guide to Orthopedic Payment Models.
- [Guide: Hip Patient-Reported Outcome Measures](https://www.codetechnology.com/resource/guide-hip-patient-reported-outcome-measures/): A comprehensive guide to the most popular Hip PRO measures: AAOS Hip & Knee Score, Harris Hip Score, HOS, HOOS, HOOS, JR., and more.
- [Guide: Knee Patient-Reported Outcome Measures](https://www.codetechnology.com/resource/guide-knee-patient-reported-outcome-measures/): A comprehensive guide to the most popular Knee PRO measures: IKDC, Knee Society Score, KOOS, KOOS, JR., Lysholm, MARX, Oxford Knee Score, and WOMAC.
- [Using Registry Data | Hip Replacement](https://www.codetechnology.com/resource/using-registry-data-hip-replacement/): Uncover how hip replacement PRO data can be reimagined as a catalyst business advancement with our innovative examples.
- [Using Registry Data | Best MSK Care For Your Patients](https://www.codetechnology.com/resource/using-registry-data-best-msk-care-for-your-patients/): Explore examples of turning PRO data from musculoskeletal care into a strategic asset for decision-making and business growth.
- [Using Registry Data | Acute Knee Surgery](https://www.codetechnology.com/resource/using-registry-data-acute-knee-surgery/): Discover how to leverage PRO data in acute knee surgery to create impactful collateral with CODE's insightful guide.
- [Transforming Episode Accountability Model (TEAM) Guide](https://www.codetechnology.com/resource/transforming-episode-accountability-model-team-guide/): Download the TEAM Guide to master CMS' new 30-day episode-based payment model and ensure your hospital is prepared for the 2026 mandate.
- [The Risks Of Building A PRO Program Through An EHR](https://www.codetechnology.com/resource/the-risks-of-building-a-pro-program-through-an-ehr/): Should you invest time in constructing your own outcome program and administer surveys through our EHR, or partner with a vendor?
- [Spearheading an Outcomes Program | 8 Step Guide](https://www.codetechnology.com/resource/spearheading-an-outcomes-program/): Take a PRO program from concept to reality. This spearheading guide prepares you for each milestone you'll hit while launching a program.
- [Patient-Reported Outcome Acronym Guide](https://www.codetechnology.com/resource/patient-reported-outcome-acronym-guide/): Decode complex healthcare terms effortlessly with CODE's Acronym Guide: a reference for patient-reported outcomes (PROs) and more.
- [Most Popular Orthopedic PRO Measures](https://www.codetechnology.com/resource/most-popular-orthopedic-pro-measures/): Wonder what PRO tools are trending in orthopedics? Download our one page guide to the most popular PRO measures.
- [List of Hospitals Impacted By TEAM Guide](https://www.codetechnology.com/resource/list-of-hospitals-impacted-by-team-guide/): Is your organization impacted by CMS’ TEAM? Access our list of hospitals impacted by TEAM to see the 700+ hospitals mandated to participate.
- [Knee-Deep in CMS: THA/TKA PRO-PM On-Demand Webinar](https://www.codetechnology.com/resource/knee-deep-in-cms-tha-tka-pro-pm-on-demand-webinar/): Discover CMS' THA/TKA PRO-PM essentials in this on-demand webinar led by CODE Technology's CEO, Breanna Cunningham.
- [Guide: Spine Patient-Reported Outcome Measures](https://www.codetechnology.com/resource/guide-spine-patient-reported-outcome-measures/): A comprehensive guide to the most popular Spine PRO measures: The Neck Disability Index (NDI), and the Oswestry Disability Index (ODI).
- [Guide: Shoulder and Upper Extremity Patient-Reported Outcome Measures](https://www.codetechnology.com/resource/guide-shoulder-and-upper-extremity-patient-reported-outcome-measures/): A comprehensive guide to the most popular Shoulder and Upper Extremity PROMs: ASES, DASH Score, OSS, PENN, SPADI, UCLA Shoulder Score, and WOSI.
- [Guide: Popular Pediatric PRO Tools Download](https://www.codetechnology.com/resource/guide-popular-pediatric-pro-tools-download/): Choosing the right Pediatric PRO measures can be challenging. CODE is here to help, with a thorough guide on most popular PRO measures.
- [Guide: Global Health Patient-Reported Outcome Measures](https://www.codetechnology.com/resource/guide-global-health-patient-reported-outcome-measures/): A comprehensive guide to the most popular Global Health patient-reported outcome measures: PROMIS Global-10, EQ-5D, SF-36, and VR-12.
- [Raising the Bar: A Guide to Orthopedic Benchmarking & Reporting](https://www.codetechnology.com/resource/raising-the-bar-a-guide-to-orthopedic-benchmarking-reporting/): As innovators in the PROM collection and benchmarking space, CODE has compiled everything you want to know about orthopedic benchmarking
- [Guide: Foot and Ankle Patient-Reported Outcome Measures](https://www.codetechnology.com/resource/guide-foot-and-ankle-patient-reported-outcome-measures/): A comprehensive guide to the most popular Foot and Ankle patient-reported outcome measures: FAAM, and AOFAS.

## Categories
- [Building a PRO Program](https://www.codetechnology.com/blog/category/patient-reported-outcomes/building-a-pro-program/)
- [Case Studies](https://www.codetechnology.com/blog/category/case-studies/)
- [Client Resources](https://www.codetechnology.com/blog/category/patient-reported-outcomes/client-resources/)
- [CODE](https://www.codetechnology.com/blog/category/code/)
- [Healthcare Data](https://www.codetechnology.com/blog/category/healthcare-data/)
- [Healthcare Data Registry](https://www.codetechnology.com/blog/category/healthcare-data-registry/)
- [IPPS](https://www.codetechnology.com/blog/category/healthcare-data/ipps/)
- [Measurement Tools](https://www.codetechnology.com/blog/category/measurement-tools/)
- [News Release](https://www.codetechnology.com/blog/category/news-release/)
- [OPPS](https://www.codetechnology.com/blog/category/healthcare-data/opps/)
- [Patient Centered Care](https://www.codetechnology.com/blog/category/patient-centered-care/)
- [Patient Reported Outcomes](https://www.codetechnology.com/blog/category/patient-reported-outcomes/)
- [Patient-Reported Outcomes Performance Measure (PRO-PM)](https://www.codetechnology.com/blog/category/patient-reported-outcomes/pro-measures/)
- [Payment Model Guides](https://www.codetechnology.com/blog/category/value-based-healthcare/payment-model-guides/)
- [Value Based Healthcare](https://www.codetechnology.com/blog/category/value-based-healthcare/)

## Resource Types
- [Building a PRO Program](https://www.codetechnology.com/blog/resource-type/building-a-pro-program/)
- [Client Resources](https://www.codetechnology.com/blog/resource-type/client-resources/)
- [Patient-Reported Outcomes](https://www.codetechnology.com/blog/resource-type/patient-reported-outcomes/)
- [Payment Model Guides](https://www.codetechnology.com/blog/resource-type/payment-model-guides/)
- [PRO Measures](https://www.codetechnology.com/blog/resource-type/pro-measures/)