Autonomous Engagement Layer

Clinical intelligence that never misses a beat.

Replace friction-heavy patient forms with silent AI agents that text recovery check-ins, log audit-ready notes, and escalate red flags the moment they appear.

See how it works
How it works

Silent middleware between your protocols and your EMR.

01

Conversational Check-ins

Agents text patients in plain language to collect pain scores, HEP compliance, and PROM metrics. No app download, no portal login.

02

Audit-Ready EMR Notes

Casual replies become discrete clinical data points and a one-click copy-paste note formatted for Epic, Athena, or eClinicalWorks flowsheets.

03

Smart Red-Flag Escalation

Pain ≥ 6 or a concerning response auto-flags the patient at the top of your console and pings the provider on call — the rest stays quiet.

Outcomes, surfaced

Proof your program works — without a separate analytics tool.

Every SMS reply becomes structured data. Pain trajectory, HEP adherence, and red-flag resolution roll up on the same screen your team is already working — ready to hand to referring surgeons, ACO partners, or a value-based-care committee.

  • Per-patient pain sparkline · intake-to-now Δ in a single glance.
  • Clinic-wide outcomes strip above the ledger — no extra clicks.
  • Same data drives the EMR note. One source of truth, zero double entry.
Clinic Outcomes · This Month
Avg Pain Δ (mo)
−2.4n=42
HEP Adherence
76%of prescribed
Red Flags Resolved
6this month
Patient Touches
312SMS in + out
PatientProtocolPain TrendΔ
Sarah K.Post-Op Knee−5
Marcus D.Lumbar Spine−3
Priya R.Rotator Cuff+4
Illustrative. Live figures render on your console.
Works for your practice

Cash-based or insurance — same platform.

Echo is a communication and outcomes layer first. Billing is an optional add-on.

Cash-Based
Retention, outcomes, and fewer no-shows — no billing overhead.
Insurance / Medicare
Everything above plus automated RTM billing capture.

See how each maps to a plan below.

RTM billing documentation

RTM documentation for your practice. Reviewed by your clinician.

Echo supports musculoskeletal RTM documentation for setup, monitoring and clinical management. Coverage depends on a qualifying device, consent, medical necessity, verified clinical time, synchronous contact where required, and payer rules. Echo-only SMS device qualification is unverified; texting alone does not establish billable RTM.

Monitoring
30 days
Supply period · qualifying data required
Management
Monthly
Verified clinical time + synchronous contact
Patient SMS
Hi Sarah — how's your knee pain today (0–10)?
It's a 9. Woke me up last night.
Thanks for letting me know. I'm looping in your PT now.
Audit-Ready Note
VAS_SCORE
9
HEP_COMPLIANCE
PARTIAL
LAST_UPDATE
14:02 EST
CPT_MINUTES
21 / 20
🚨 Red Flag · Provider Notified
The Data Behind The Pitch

Five numbers reshaping outpatient reimbursement.

01 · Revenue
2026
RTM code guidance

Document first. Review before billing.

Musculoskeletal RTM includes setup (98975), 2–15 or 16–30 monitoring days (98985/98977), and verified clinical management time (98979/98980/98981). Device qualification, documentation and payer review are required; reimbursement is not guaranteed.

Source: CMS 2026 Physician Fee Schedule / APTA RTM advisory
02 · Mandate
50%
PRO submission floor

PROM collection is now pass/fail.

Under CMS value-based care, hospital systems and orthopedic groups must submit matched pre-op and 1-year post-op PRO data on at least 50% of joint replacement cases or face reimbursement penalties.

Source: Centers for Medicare & Medicaid Services / PubMed Central
03 · Portal Failure
24–32%
1-year portal response

MyChart-style portals can't hit the threshold.

Passive email links and EMR portal surveys produce a 1-year longitudinal response rate of just 24–32% — far below the CMS 50% floor. A conversational agent moves the form into a text the patient actually reads.

Source: American Joint Replacement Registry (AJRR) / PMC
04 · Labor
40%
admin efficiency gain

Take chart-chasing off your staff.

93% of physicians report burnout driven by administrative debt. Deploying AI documentation and communication agents has produced clinical efficiency gains of up to 40% — entirely off your team's plate.

Source: Peterson Health Technology Institute / MedRxiv
05 · Preference
85.2%
smartphone completion

Patients answer when it's their phone.

When patients complete clinical measures on their own smartphones, response rates hit 85.2% — and 58.6% report giving more honest answers than they would on a clinic tablet or portal.

Source: Journal of Medical Internet Research / NIH
Comparison

Echo fills the gap your EMR was never built for.

Raintree, WebPT, Prompt, Jane — great at charting, scheduling, and billing in-clinic. Echo handles what happens between visits: SMS conversations, outcome capture, and RTM time-tracking. It plugs in alongside what you already use.

Where Echo fits · Patient journey
EMRYour EMRHEPYour HEP appEchoEcho
01In-Clinic Visit
  • EMRChart & evaluate
  • HEPPrescribe exercises
02Between Visits
  • EchoSMS check-ins
  • EchoHEP adherence capture
  • EchoRed-flag alerts
03Next Visit
  • EchoPaste EMR-ready note
  • EMRUpdate chart
04Month-End
  • EchoOne-click RTM report
  • EMRFile claim

You keep your EMR. You keep your HEP app. Echo owns the space between visits and feeds a ready-to-paste note back into whatever you already chart in.

Stack:Your EMR · chartingYour HEP app · exercisesEcho · between-visit comms + RTM
CapabilityTraditional EMREcho
Primary purpose
Reactive in-clinic charting & billing
Proactive between-visit monitoring
SMS
Appointment reminders, one-way broadcasts
Conversational AI: listens, categorizes, flags red flags, replies with guardrails
Outcome / adherence collection
Patient logs into portal, fills long PROM — low completion, recall bias
Frictionless SMS check-ins — no login, no app, micro-surveys over the week
RTM time tracking
Manual: open note, type minutes, remember to save per interaction
Clinician-confirmed actual time, separate from unverified activity
RTM billing report
Assemble from portal + inbox + chart notes at month-end
2026 code guide and evidence-based billing review; required documentation gates code selection
Red-flag detection
None — surfaces only if patient calls or shows up worse next visit
AI flags pain ≥7, new numbness, missed HEP streaks — clinician sees it same day
Setup
Multi-week implementation, training, data migration
Enroll a patient in 30 seconds; paste note into any EMR

Comparisons based on publicly documented workflows for Raintree, WebPT, Prompt EHR, and Jane as of 2026. Echo is not affiliated with these platforms.

Two ways to run it

Start with communication, turn on billing later.

Core

Automated patient communication

Echo focuses on automated check-ins, reply triage, red flags, and chart-ready summaries — no minutes counters, no CPT codes, no billing card.

  • Unlimited automated check-ins & replies
  • AI reply triage & red flag alerts
  • Chart-ready summaries in your EMR
  • No billing complexity or CPT tracking
Best for cash-based clinics. Time is still recorded in the background so you can flip billing back on later without losing history.
Pro

Core + billing engine

Everything in Core, plus automated CPT capture, minutes tracking, and audit-ready billing reports.

  • All Core communication features
  • 2026 musculoskeletal RTM code guide
  • Confirmed clinical time & adherence reports
  • Evidence-based billing review reports
Best for insurance / Medicare practices. Average $114.15 / patient / month when billing is enabled.

Common questions

Reclaim your clinical time. Today.

Now accepting design partners for Q3. Specialized orthopedic, PT, and chronic care management practices only.