Overview

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ModMed (Modernizing Medicine) provides specialty-specific EHR solutions designed for the unique workflows of dermatology, ophthalmology, orthopedics, gastroenterology, otolaryngology, plastic surgery, and urology practices. Known for specialty-optimized templates, mobile-first design, and evidence-based clinical content, ModMed delivers EHR experiences tailored to subspecialty care delivery. Stream Health's ModMed integration brings comprehensive patient record consolidation and specialty-specific gap-in-care analysis to specialty practices using ModMed's niche platforms.

With ModMed's deep subspecialty focus, Stream Health provides complementary capabilities that consolidate patient records from primary care and other specialists while identifying specialty-specific quality measures and revenue opportunities unique to each subspecialty.

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Key features:

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• Specialty-Specific Integration: Tailored connectivity for each ModMed specialty platform (EMA for dermatology, EMA Ophthalmology, EMA Ortho, gMed for gastroenterology, etc.). Stream Health retrieves specialty-specific clinical data including procedures, diagnoses, imaging, pathology, and specialty documentation unique to each field.

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• Primary Care Coordination: For specialty practices, Stream Health consolidates primary care records that ModMed may not access—providing complete patient medical histories including chronic conditions, current medications, allergies, and primary care quality measures affecting specialty care delivery.

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• Subspecialty Quality Measures: Identification of specialty-specific quality measures and care gaps including: dermatology (skin cancer screening, acne treatment protocols, psoriasis management), ophthalmology (diabetic retinopathy screening, glaucoma monitoring, cataract surgery follow-up), orthopedics (fall risk assessment, osteoporosis screening, post-surgical rehabilitation), gastroenterology (colorectal cancer screening, IBD monitoring, hepatitis C treatment), and urology (prostate cancer screening, overactive bladder management, kidney stone prevention).

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• Specialty Billing Optimization: Revenue opportunities specific to each specialty including procedure bundling opportunities, appropriate E&M level coding for complex specialty visits, specialty-specific preventive services, and ancillary service billing (pathology, imaging, infusion).

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How it works

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Stream Health connects to ModMed's specialty-specific platforms via their API infrastructure, retrieving patient demographics, specialty encounters, procedures, diagnoses, and specialty-specific clinical data. Our platform consolidates ModMed specialty data with primary care records, hospital admissions, other specialty consultations, lab results, imaging reports, and medication histories from external sources.

This consolidated view enables specialty providers to see the complete patient context including chronic conditions managed by primary care, medications prescribed by other specialists, previous hospitalizations affecting specialty care, and quality measures tracked across all care settings. Our AI + NP analysis identifies specialty-specific care gaps and billing opportunities that ModMed's specialty-focused system may not detect.

Care gap findings are delivered back to ModMed appearing in the specialty-specific workflow, formatted for each subspecialty's documentation patterns. For example, dermatology practices receive skin cancer screening reminders, ophthalmology practices see diabetic retinopathy screening alerts, and gastroenterology practices get colorectal cancer screening notifications—all integrated seamlessly into ModMed's specialty-optimized interface.

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Benefits of integrating ModMed with Stream Health

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• Complete Patient Context for Specialists: ModMed specialty practices gain comprehensive patient medical histories from primary care and other specialists—reducing medication errors, preventing drug interactions, identifying relevant comorbidities, and improving specialty clinical decision-making.

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• Specialty-Specific Revenue Optimization: Stream Health identifies billing opportunities unique to each specialty that generic population health tools miss. For example, dermatology practices identify patients overdue for full-body skin exams (higher-level E&M coding), ophthalmology practices find diabetic patients needing retinopathy screening (92250 CPT code), and gastroenterology practices locate colorectal cancer screening opportunities (colonoscopy 45378).

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• Primary Care Coordination: Specialty practices improve care coordination with referring primary care providers through consolidated patient records. Stream Health enables: identification of patients with uncontrolled chronic conditions requiring primary care follow-up, medication reconciliation across primary care and specialty prescribers, and quality measure tracking requiring both primary and specialty care collaboration.

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• Subspecialty Quality Programs: Support for specialty-specific quality reporting programs including: ophthalmology IRIS Registry reporting, gastroenterology GI Quality Improvement Consortium, dermatology melanoma prevention initiatives, and specialty-focused MIPS measures. Stream Health ensures specialty practices maximize performance in specialty-relevant quality programs.

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• Ancillary Service Optimization: For specialty practices providing ancillary services (pathology, imaging, infusions), Stream Health identifies opportunities to: utilize in-office services rather than referring out, optimize ancillary service scheduling and capacity, ensure appropriate billing for technical and professional components, and track ancillary service profitability by service line.

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• Referral Pattern Intelligence: Analysis of referring provider patterns and patient demographics to: identify high-value referral sources for relationship development, track referral source quality and appropriateness, optimize specialty services offered based on referral demand, and improve referring provider communication with consolidated patient summaries.