CJR-X is coming.
Do you know your episode cost?
CMS just proposed the first nationwide mandatory episode-based payment model for hip, knee, and ankle replacements. 2,500+ hospitals. 90-day episodes. No opt-out. Performance year begins October 2027.
SurgeonValue was built for this. Nine AI agents that scan your panel, model your episode cost, find the billable codes hiding inside your 90-day window, and collect the PROMs CMS will demand. Enter your NPI — see what we'd catch on your real panel.
Every post-op decision now has a dollar sign.
Under CJR-X, CMS sets a target price for every joint replacement episode. That target covers the procedure plus everything for 90 days after discharge — physical therapy, follow-up visits, imaging, DME, readmissions.
Come in under the target? Your hospital shares in the savings. Come in over? Your hospital absorbs the difference.
Which SNF. How many PT visits. When to see the patient back. These are now financial decisions, not just clinical ones.
What to do now — not in 2027.
18 months from rule to performance year. The hospitals that wait are already late. The work below is what wins the first measurement period.
Know your episode cost
What does a total knee actually cost over 90 days? Most surgeons can't answer. The winners will know before performance year starts.
Audit your billing
RTM 98975–98981, CCM 99490–99491, prolonged services 99417, caregiver training 96202–96203 — every unbilled code is money left on the table that won't help you hit target.
Track post-acute utilization
SNF days, home health visits, ED visits, readmissions — all count against your episode. Understand your referral patterns now or pay for them in 2027.
Collect patient-reported outcomes
PROMIS, HOOS, KOOS at baseline and 90 days. Required under TEAM and almost certainly under CJR-X. Start collecting now or you'll have no data when CMS asks.
SurgeonValue was designed for episode-based payment.
Six of the nine agents below were built specifically for the CJR-X / TEAM workflow. Each one with a deterministic trigger, a physician attestation checkpoint, and audit-defensible output.
Wonder Bill
Finds the revenue hiding inside your 90-day episode window.
Episode Cost Tracker
Models total episode cost against CMS target prices in real time.
Prior Auth Agent
Eliminates auth delays that extend episodes and blow your target.
PROM Collector
Collects PROMIS / HOOS / KOOS at baseline and 90-day passively.
Documentation Agent
Ensures every encounter supports the codes billed in the episode.
RTM / CCM Enrollment
Captures 98975–98981, 99490, 99491 within every active episode.
CJR-X roadmap.
18 months to performance year.
See what we'd catch.
Enter your NPI. SurgeonValue scans your last 90 days of joint cases, models your episode cost against the proposed CJR-X target prices, and shows you exactly which billable codes are sitting unbilled inside your existing window.
Try SurgeonValue with your NPI →