CODE Technology

What CODE Technology does

CODE Technology (legal entity Clinical Outcomes and Data Engineering, LLC) is a Minneapolis-based, privately held managed-services company that operates a fully outsourced patient-reported outcome measures (PROMs) platform for U.S. healthcare providers. Founded by former ICU nurse Breanna Cunningham, the company serves 700+ hospitals, integrated delivery networks, academic medical centers, private practices, and ambulatory surgery centers. Its core function is to handle the complete PROMs workflow on behalf of clients: patient identification, multi-channel outreach (email, SMS, and U.S.-based phone calls), validated survey delivery including PROMIS instruments, one-year post-operative follow-up, data validation, CMS PRO-PM submission, and benchmarking against a national registry built over more than a decade.

The platform is delivered as a fully managed service rather than licensed software, with clinically-trained dedicated account managers assigned to each client. Core technology components include a national PRO registry holding millions of data points across joints, spine, and sports medicine; EHR-agnostic integration with systems such as Epic; CMS-focused compliance dashboards; and 60-day data-validation cycles during implementation. Differentiators include industry-leading 85%+ capture rates, an average 30-day implementation, an 89% NPS, and an estimated 3.2 FTE monthly labor savings per client. The company is recognized by AAOS as a Preferred PROM Vendor and maintains SOC 2 Type II, HIPAA, WCAG 2.2, and TX-RAMP certifications.

The business model is custom-priced annual subscription contracts bundled with managed service delivery; pricing is not publicly disclosed but is positioned against the ROI of compliance protection (avoiding CMS APU penalties of up to 25% of Medicare payments) and FTE displacement. GTM is direct enterprise sales targeting quality officers, orthopedic service line coordinators, and C-suite executives at hospitals and health systems, supported by content marketing, webinars with partners such as Becker's Healthcare, and industry-event presence. The company is bootstrapped with no disclosed institutional funding, operates with 11-50 employees, and is led by CEO Breanna Cunningham and COO Julie Doehrmann.

Name

CODE Technology

Legal name

Clinical Outcomes and Data Engineering, LLC

Website

https://codetechnology.com

Company type

Private

Founded year

2010

Operating status

Operating

Headcount range

11–50 employees

Short description

CODE Technology is a Minneapolis-based managed-services provider that collects, validates, and benchmarks patient-reported outcome data for hospitals, health systems, and orthopedic practices across the United States.

Ownership category

akta.pro rank

Product category

Healthcare Patient-Reported Outcomes Management

NAICS

Business Service Centers (56143), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518), Custom Computer Programming Services (541511)

SIC

Services-Prepackaged Software (7372), Services-Management Services (8741), Services-Computer Processing & Data Preparation (7374)

akta.pro primary industry

Patient Intake, Digital Registration & eForms (HLACAEAF)

akta.pro secondary industry

Clinical Coding Support (ICD/CPT/SNOMED) & Documentation Compliance Tools (HLACAAAO)

Keywords

• Patient reported outcomes
• PROMs data collection
• CMS PRO-PM compliance
• Orthopedic outcomes registry
• Healthcare quality reporting

Headquarters

HQ city

Minneapolis

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2B

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure

Revenue model

1. Fully Managed PROMs Service: CODE operates as a managed service for patient-reported outcomes, handling the full process from patient outreach to data delivery. The company states that their managed service saves clients an average of 3.2 FTEs every month. Revenue is generated through subscription/managed service contracts with healthcare organizations.
2. ROI-Based Value Proposition: CODE positions its service as cost-effective compared to hiring additional staff, with the managed service paying for itself through higher compliance and capture rates that eliminate APU penalty risk. The service saves an average of 3.2 FTEs per month per client.

Pricing tiers

Go-to-market motion2 records

Distribution channels1 record

Marketing channels8 records

Core offering

CODE Technology operates a fully managed PROMs (Patient-Reported Outcome Measures) service for U.S. healthcare organizations. The company handles the end-to-end workflow — patient identification, multi-channel outreach, validated survey delivery, follow-up, data validation, and CMS/registry-ready reporting — supported by a National PRO Registry with millions of data points accumulated over 10+ years. Pricing is delivered through annual subscription/managed-service contracts, with each client assigned a dedicated clinically-trained account manager.

Product overview

CODE Technology offers a fully managed PROMs (Patient-Reported Outcome Measures) service that combines software, service, registry, and industry expertise into a single integrated offering. The core PROMs Managed Solution handles the complete data collection workflow including patient outreach, survey delivery, data validation, and CMS/registry reporting. The National PRO Registry provides benchmarking capabilities with millions of data points from 10+ years of orthopedic outcomes data. A partnership with rater8 extends the platform into reputation management. The company supports healthcare organizations including IDNs, academic medical centers, hospitals, and private practices with implementation, ongoing collection, and reporting support.

Differentiator

Problem solved

Functional benefit

Products and services

• PROMs Managed Solution

Quantifiable outcome

• 85%+ capture rate for both pre and post-operative surveys
• +7 more outcomes

Named customers17 records

Segments5 records

Ideal customer profiles3 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration3 records

Feature6 records

Partnerships

Three partnerships are on record, tiered core, flagship and secondary.

• American Academy of Orthopedic Surgeons (AAOS)coreTechnology or Integration · 25 June 2024CODE Technology was selected for the AAOS PROMs Vendor Program, recognizing the company as a Preferred PROM Vendor. Since the inception of the AAOS Registry Program, CODE has actively supported data submission to AAOS with simplified data import and export processes. This partnership enables clients to easily submit PROMs data to AAOS registries including AJRR, ASR, and SER.
• HonorHealthflagshipStrategic or Co-development Partner · 1 January 2024HonorHealth partnered with CODE to improve spine surgery outcomes with PRO-driven decision-making. CODE helped HonorHealth define surgical success thresholds (21-point ODI and 17-point NDI improvements), build a nurse navigator model based on PROMs data, and integrate PROMs into surgical refinement and care planning. CODE and HonorHealth co-presented at the DNV Healthcare Symposium on how PRO data can enhance surgical outcomes.
• rater8secondaryGTM or Marketing Partnerrater8 and CODE Technology partnered to integrate patient-reported outcomes with reputation management. This partnership helps practices stand out, meet CMS requirements, and streamline operations by combining PROMs data collection with AI-driven online reputation strategies.

Scale indicators10 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• Press Ganey: Largest healthcare patient experience and clinical quality measurement vendor. Competes broadly in the quality reporting space and serves many of the same hospital customers with outcomes benchmarking.
• Phreesia: Public patient intake, registration, and engagement platform deployed across thousands of health systems. Adjacent competitor to CODE at the patient touchpoint and EHR-integration layers, though not focused on PROMs specifically.
• Wolters Kluwer Health (Emmi): Global healthcare information and patient engagement suite (including Emmi) addressing quality, compliance, and patient interaction. A scaled incumbent with overlapping but broader healthcare data and engagement capabilities.

Direct peers

• PatientIQ: Patient-reported outcomes and value-based care platform with a strong orthopedic footprint. Direct competitor to CODE Technology in selling PROMs programs to hospitals and orthopedic groups, with overlapping EHR-integration and benchmarking capabilities.
• Force Therapeutics: Digital care plan platform that collects PROMs and engages patients through the orthopedic episode of care. Targets the same orthopedic and hospital buyer with overlapping remote monitoring and outcomes-data functionality.
• SeamlessMD: Digital care journey platform used by health systems and orthopedic practices to guide patients pre- and post-surgery, including PROMs collection and CMS reporting. Closely comparable managed-service-plus-software model.
• OutcomeMD: Patient-reported outcomes platform used by orthopedic and spine practices to collect, benchmark, and act on outcomes data. Competes head-to-head with CODE on PROMs capture and value-based care analytics.
• TrackActive: Digital musculoskeletal care and PROMs platform serving orthopedic and physical therapy providers. Overlaps with CODE in joint/spine/sports medicine outcomes capture and patient engagement.

Emerging players

• CipherHealth: Enterprise patient engagement platform with outreach and rounding workflows for hospitals. Adjacent to CODE in the patient outreach and CMS-style reporting workflow layer though not orthopedic-specific.

Others

• Medidata (Dassault Systèmes): Clinical trial ePRO and clinical data platform from Dassault Systèmes. Not a direct competitor to CODE's orthopedic PROMs service, but adjacent in patient-reported data capture and regulatory-grade reporting infrastructure.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/CODEoutcomes
• YouTubeyoutube.com/channel/UC5ZzoTNq3Y2DFUjMcLyflkQ
• Facebookfacebook.com/CodeTechnology
• LinkedInlinkedin.com/company/2658644

Compliance4 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles2 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about CODE Technology