India has one of the highest fracture burdens globally driven by road traffic accidents, osteoporosis in an ageing population, and occupational injuries. At the same time, elective joint replacement volumes are growing rapidly as PM-JAY brings surgical care within reach of millions.
Ayushman Bharat PM-JAY covers total knee replacement, total hip replacement, and fracture surgeries under defined Health Benefit Packages. This has dramatically increased joint replacement volumes at empanelled hospitals in smaller cities where previously the procedure was unaffordable for the majority of patients.
District hospitals and private orthopedic centres in smaller cities manage very high emergency fracture volumes — often 30–80 fracture cases per day during peak periods. MedicoPlus supports rapid OPD triage, emergency admission workflow, and quick surgical scheduling to handle this load efficiently.
Orthopedic hospitals in India simultaneously manage PM-JAY beneficiaries, CGHS and ECHS patients, TPA-insured corporate patients, ESI-covered industrial workers, and self-paying patients — each with different package rates, implant allowances, and documentation requirements. MedicoPlus handles all payer types from a single platform.
Orthopedic diagnosis and surgical planning are imaging-intensive. MedicoPlus integrates with PACS and radiology information systems to bring X-ray and MRI data into the surgeon's clinical workspace without switching systems.
CDSCO (Central Drugs Standard Control Organisation) regulations require that implantable medical devices be tracked with manufacturer, model, lot number, and UDI data. MedicoPlus provides complete implant lifecycle management from receipt to patient implantation.
Receive implants into the MedicoPlus inventory module with full CDSCO traceability data — device name, manufacturer, registration number, UDI, lot number, and expiry date. Barcode or QR scanning supported for rapid, accurate entry at goods receipt.
During or after surgery, the scrub nurse records which implant was used — the system links the specific lot and serial number to the patient surgical record permanently. This enables traceability in the event of a device recall or adverse event report.
Implant cost is automatically added to the patient's hospital bill with the GST-inclusive invoice from the supplier cross-referenced. For PM-JAY cases, implant costs within the package cap are absorbed; costs above the cap are flagged for counselling before surgery.
PM-JAY orthopedic package billing involves multiple steps — eligibility verification, pre-authorisation, surgical documentation, and final claim submission. MedicoPlus automates each stage.
Post-surgical rehabilitation and conservative management of musculoskeletal conditions require seamless coordination between the orthopedic surgeon and physiotherapy department. MedicoPlus connects both teams within one platform.
The orthopedic surgeon issues a physiotherapy referral directly from the patient EMR — specifying diagnosis, surgical procedure performed, weight-bearing status, and rehabilitation goals. The physiotherapy department receives this instantly and schedules the first session.
The physiotherapist documents each session — exercises performed, pain score, functional outcomes, and home exercise programme — directly in MedicoPlus. Progress is visible to the orthopedic surgeon at every follow-up consultation.
Physiotherapy sessions are billed per-session or as packages. GST-exempt medical rehabilitation sessions are correctly categorised. Physiotherapy billing is consolidated with the patient's overall hospital bill or issued as separate self-pay invoices for outpatient physiotherapy.
NABH-accredited hospitals must maintain comprehensive surgical records covering pre-operative assessment, operative documentation, post-operative care, and outcome monitoring. MedicoPlus provides structured templates for each stage.
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