Integrated Post-Acute Orthopedics is a non-interventional orthopedic specialty service for skilled nursing facilities. We deliver comprehensive musculoskeletal assessments, systematized surgeon coordination, and function-first recovery planning — billed through Medicare Part B, so our visits sit outside your Part A per-diem.
Most orthopedic coverage in SNFs is an afterthought: a surgeon follow-up visit every few weeks, a nurse practitioner who rotates through, a pain consult when things go sideways. We designed this service around how post-acute care actually works.
We don't inject, we don't operate, and we don't have a surgery center to fill. Our recommendations are driven by what the patient needs — not what pays better for us. When a procedure is the right call, we refer to the right specialist.
Full examination of the affected region and the kinetic chain around it. Gait, posture, alignment, strength, range of motion, neurovascular status. The kind of visit that takes time and catches problems before they show up as a re-admission.
The goal is always the same: return to pre-morbid function at the highest achievable baseline. That means integrated care planning with therapy, targeted bracing and DME, bone health planning for fragility fractures, and a clean handoff at discharge.
Our E&M visits are billed under Medicare Part B — separate from the Part A bundle. Your facility gets specialist orthopedic coverage without absorbing the cost inside the per-diem, and our documentation supports continued skilled need for concurrent review.
Every recommendation we make is filtered through the same question an experienced administrator asks first: who pays for this? Our bedside evaluations are billed under Medicare Part B by our practice — they don't compete with the Part A bundle your facility is working inside.
When we recommend bracing, DME, imaging, or medications, we tell you which category each one falls into. No surprises at month-end.
A specialist layer that complements your in-house attending physicians, APRNs, and therapy team — without duplicating primary care.
Incision monitoring, pain trajectory review, DVT/PE surveillance, and structured escalation to the operating surgeon. Procedure-specific red-flag screening for arthroplasty, spine surgery, and fracture fixation.
Full evaluation of joint and musculoskeletal conditions — arthritis, fractures, sprains, contractures, tendonitis, chronic soft tissue pain — with attention to the kinetic chain, not just the affected joint.
Post-fall assessment, gait and balance evaluation, fall risk reduction planning, and targeted work with therapy to rebuild safe mobility before discharge.
Evidence-based bracing recommendations — hinged unloader braces, AFOs, wrist splints, compression — with clarity on what's covered under Part A, what can be billed separately, and what needs to be arranged at discharge.
MSK sequelae of stroke across upper and lower extremity, flaccid and spastic phases. Shoulder subluxation prevention, spasticity-related contracture management, bracing, and gait retraining in coordination with therapy.
Every fragility fracture patient gets a bone health plan before discharge. Bisphosphonate initiation or continuation, ONJ and atypical femur fracture surveillance, and structured follow-up handoff.
Close collaboration with PT, OT, and nursing on brace use, safe mobilization, weight-bearing progression, and early escalation. Imaging ordering and interpretation with clear follow-through.
Routine post-operative wound management handled at the bedside — no transport, no additional appointments. Escalation to the operating surgeon when wound concerns cross our defined thresholds.
Post-acute orthopedic patients sit in a gap. The operating surgeon is fifteen miles away and sees them every four to six weeks. The SNF attending is managing twenty-five other patients with competing medical priorities. Therapy is working hard, but without specialist orthopedic direction on bracing, weight-bearing, and red-flag monitoring.
We fill that gap.
Amy leads clinical operations for Integrated Post-Acute Orthopedics. She sets the clinical standard for bedside evaluation, surgeon coordination, and therapy integration across partner facilities.
Megan provides specialist orthopedic coverage across partner SNFs, with a focus on post-operative management, comprehensive MSK assessment, and coordinated care planning with facility therapy and nursing teams.
We're currently partnering with skilled nursing facilities across the greater Jacksonville metropolitan area — from Ponte Vedra to the Westside, Southside to Orange Park.
We're actively evaluating expansion into new markets. If you operate SNFs outside our current service area and think our model would fit your facilities, we'd like to hear from you.
Start a conversation →We work directly with SNF administrators, directors of nursing, and medical directors to design a coverage model that fits your census, your referral patterns, and your operational reality.