Even the perfect surgery can fail with an unoptimized patient. In 2026, periprosthetic joint infection (PJI) remains the leading cause of early revision.
High BMI is the most powerful modifiable driver of complication risk, yet most practices lack infrastructure to manage preoperative optimization outside the visit.
OptiBMIze exists to close that gap.
We provide the clinical system to prepare high-risk patients before surgery, not after complications occur.
BMI and PJI risk (AJRR registry data)
5.62× increased PJI risk
Critical complication threshold
3.09× increased PJI risk
Major revision vulnerability
2× increased PJI risk
Significant addressable population
Baseline risk
Optimal surgical candidate
Telling a patient to “lose weight” is not a clinical plan. OptiBMIze combines connected weight tracking and registered dietitian care into a structured, measurable preoperative pathway.
Patients using connected scales track weight 4× more frequently.
Higher monitoring frequency is linked to 8.4% greater weight loss.
Our RD-led model achieves 5–10% body weight reduction within 6 months — the surgical optimization sweet spot
Over 80% of OptiBMIze patients achieve meaningful preoperative weight loss. We don’t just monitor. We move the needle.
Preparation doesn’t stop at the OR. OptiBMIze supports patients through recovery by tracking:
Structured follow-up reduces silent failure between visits and helps identify patients drifting off protocol before complications escalate.
This extends optimization into the recovery window, where outcomes are truly decided.
Complications are no longer isolated events.
They are financial events. In the 2026 reimbursement landscape, a single PJI revision can destabilize a bundle.
By optimizing BMI and metabolic health preoperatively, OptiBMIze helps practices avoid six-figure complications that erase margins and harm performance metrics. We protect both clinical outcomes and financial outcomes.
Patient readiness is evaluated against registry-documented risk thresholds, including BMI-associated complication data from the American Joint Replacement Registry (AJRR). This allows practices to track measurable progress toward safer surgical candidacy.
Dedicated OptiBMIze integration specialists manage onboarding, patient enrollment workflows, and coordination with existing EHR systems. Practices gain a fully supported extension of care without adding operational burden to clinical staff.
Registered dietitians provide structured nutrition guidance and behavioral coaching designed to help patients reach the metabolic and BMI thresholds required for surgery. This creates a clinically guided pathway to weight optimization before the procedure.
OptiBMIze monitors patient-reported pain scores, therapy adherence, and mobility progress between visits. This provides clinicians with visibility into recovery outside the clinic and helps identify issues earlier.
No Additional Staff.
No Workflow Disruption.
No Extra Clinic Time
OptiBMIze helps orthopedic practices support patients who need optimization before surgery. When a patient does not yet meet BMI or metabolic readiness criteria, your team refers them to OptiBMIze.
Our care team enrolls the patient and provides structured support between visits, including nutrition guidance, accountability check-ins, and objective weight tracking through connected monitoring tools.
Patients progress toward surgical readiness while your practice receives clear visibility into their progress.
Many orthopedic surgeons see patients who need surgery but do not yet meet BMI or metabolic risk thresholds.
Telling patients to “lose weight” often leaves them without the structure or support needed to succeed.
OptiBMIze provides that missing infrastructure.We help patients move toward surgical readiness through medically guided weight optimization, allowing surgeons to operate on healthier, better-prepared patients.
Most practices see improved patient engagement and more consistent progress toward BMI targets.
Instead of patients disappearing after being told to lose weight, OptiBMIze keeps them connected to a structured care pathway.
Patients receive regular support, monitoring, and accountability so progress happens steadily between surgical visits.
OptiBMIze programs may qualify for reimbursement through Remote Physiologic Monitoring (RPM) or Remote Therapeutic Monitoring (RTM) when program requirements are met.
These CMS programs allow providers to bill for monitoring and supporting patients between visits.
Common RPM CPT codes:
99453, 99454, 99457, 99458
Common RTM CPT codes:
98975, 98977, 98980, 98981
Based on 2026 CMS national averages, practices may see approximately:
• ~$20–$25 one-time onboarding reimbursement
• ~$200+ per patient per month when monitoring requirements are met
OptiBMIze supports patient engagement, monitoring, and documentation so your practice can bill these services through its existing workflow.
Reimbursement varies based on payer mix and location.
There is no upfront investment required to begin offering OptiBMIze to your patients!
The program is designed to integrate into existing surgical workflows without requiring new staff, new clinic infrastructure, or operational changes.
We can provide a simple overview of how the program may operate within your practice.
Very little! Your team simply identifies patients who would benefit from optimization before surgery. Once the patient is referred, OptiBMIze handles enrollment, monitoring, and patient engagement.
We act as an extension of your care team, supporting patients between visits without adding workload to your staff.
Patients work directly with the OptiBMIze care team!
This may include registered dietitians, care coordinators, and clinical oversight professionals who provide ongoing support, education, and accountability.
Your practice stays informed about patient progress while remaining focused on surgical care.
Practices can begin referring patients shortly after onboarding.During the appointment, your medical assistant enrolls the patient through your dedicated practice admin web portal.
The patient immediately receives a secure text message with onboarding instructions and a link to download the OptiBMIze mobile app on either the App Store/Google Play Store. Practices may choose to provide patients with a smart ceulluar weight scale at the end of the visit, or OptiBMIze can ship the device directly to the patient after enrollment.
Once the patient downloads the app, an OptiBMIze care coordinator connects with the patient to schedule an initial consultation. During this conversation, the care team learns about the patient’s current health status, goals, and challenges.
From there, a personalized support plan is created for the patient, and ongoing engagement, monitoring, and progress updates are managed between visits while keeping your practice informed.
Yes! OptiBMIze provides a clean monthly billing summary identifying eligible monitoring activity and CPT codes, making claim submission simple for your billing team.
Yes. OptiBMIze provides a dedicated care coordination team that works alongside your practice to support patients between visits.Our care model focuses on four key areas:
Advocate – We work alongside your practice as an extension of your care team, helping educate and guide patients through their optimization journey.
Assess – Care coordinators connect with patients to understand their health status, goals, and barriers to progress.
Monitor – We track patient data and engagement through remote monitoring tools to identify trends and support progress toward surgical readiness.
Connect – Our team maintains regular communication with patients, reinforcing care plans and keeping your practice informed of patient progress.
This structure helps keep patients engaged, accountable, and progressing between visits without adding workload to your staff.
It’s straightforward. After a brief onboarding and partnership setup, your practice can begin enrolling patients through the OptiBMIze Practice Admin Dashboard and start supporting patients right away.
Optimization That Happens Between Visits.
