Gait is the 6th vital sign — the one no one measures. MotionSole is the intelligence layer that turns it into clinical action. Capture from a phone camera or a clinical sensor insole, and get gait scores, fall-risk flags, and the RPM/RTM codes your clinic can bill — under your own NPI.
Have an iPhone? Try the thesis in 60 seconds Your phone has been quietly measuring your walk for years — steadiness, asymmetry, double-support time. Export your Health data and read your own gait history right in the browser. Nothing uploads. healthgait.com/check →Every wearable competes on more — more sensors, more scores, more charts you scroll past and never act on. Gait goes the other way. It’s a single vital sign, and it’s the rare one a clinician is paid to act on — so the number doesn’t sit in a dashboard, it triggers a review, a plan, an intervention. Before the fall, not after. That’s the whole system, told across three doors:
MotionSole is the intelligence and billing layer — not a single device. Start free with the phone already in the pocket — Apple Health history, a live camera, or the AirPods + iPhone + Watch you already wear — and add clinical sensor insoles where continuous, high-risk monitoring earns its keep. Bring your own hardware, or partner one in.
The iPhone has been measuring gait for years — speed, steadiness, asymmetry. The engine reads the Health export entirely on-device: gait number, 6-month trend, early flag. No hardware, nothing uploads.
Run the Gait Check →AirPods, iPhone, and Apple Watch are three motion sensors at three points on your body. A 60-second guided walk fuses head, pelvis, and wrist into one gait signal — richer than any single sensor can give.
See the capture architecture →Any smartphone. Computer-vision gait capture: speed, cadence, symmetry, stride. Zero hardware to start — the easiest first step for screening, recovery check-ins, and fall-risk triage.
Powered by JointCoach →Partner-grade insoles add pressure, temperature, and motion at 2,400 readings/sec — continuous monitoring for diabetic foot, neuropathy, and high-risk offloading, where a camera can’t reach.
See the clinical tier →Insole and wearable makers plug into MotionSole’s RPM/RTM billing, Sage AI, and care-routing rails — your cleared hardware, our intelligence layer and US reimbursement engine.
Partner with us →Every tier is the same engine — and it rides on Apple Intelligence, not against it. Why Apple builds the platform and we build the method →
Heart rate. Blood pressure. Temperature. Respiratory rate. Now gait. The way you walk contains clinical signals that standard assessments miss entirely.
Comfortable gait speed below 0.8 m/s is a stronger predictor of 5-year mortality than cholesterol or blood pressure — and it takes 10 seconds to measure.
Patients returning to symmetric gait within 6 weeks post-TKA have 40% lower re-operation rates. Asymmetry persisting past 3 months rarely self-corrects.
Gait variability increases before cognitive symptoms appear in early Parkinson’s and dementia. MotionSole catches what cognitive screening misses.
Low cadence + extended ground contact time + increased step width create a fall-risk signature. MotionSole detects it. Patients scoring below 60 receive automatic caregiver alerts.
Implant wear tracks directly with gait asymmetry. Catching compensatory patterns within the 90-day global period reduces lifetime implant failure risk by up to 30%.
Real-time gait metrics with Sage AI interpretation — surfacing clinical actions and billing opportunities automatically.
Reduced cadence and elevated ground contact time indicate guarded weight-bearing on the operative leg at 8 weeks post-TKA — consistent with incomplete proprioceptive recovery. RTM codes 98977 + 98980 apply. Flag for PT if cadence does not improve to ≥103/min within 2 weeks.
Sensors are becoming commodities. Algorithms are becoming commodities. The signed clinical record is not.
MotionSole’s AI drafts the interpretation — cadence, symmetry, trajectory. A licensed clinician reviews it, is accountable for it, and signs it. That signed, evidenced record is the artifact: it is what the practice bills against, and it is the record an audit asks to see. One more principle: your patients’ gait record shouldn’t be locked to whoever made the implant, the shoe, or the watch. MotionSole reads any capture source and writes to a record the surgeon owns — so when she changes vendors, the continuum doesn’t reset to zero.
Sage assembles the gait evidence and proposes the clinical interpretation. Fast, consistent, tireless — and never the final word.
A licensed clinician reviews, edits, and attests. Accountability stays with a person whose name and license are on the record.
The attested record lives with the practice, not the device maker. Vendor-neutral capture in, surgeon-owned continuum out.
No technician. No lab. Start with the phone camera you already have, or add a clinical sensor insole for continuous monitoring. MotionSole handles the complexity so you see the signal.
Walk for the camera, or slide a clinical sensor insole into any shoe. Either way MotionSole calibrates to the patient automatically — no fit protocol, no lab visit.
Bluetooth pairs in under 2 minutes. 2,400 readings per second stream continuously. No conscious effort from the patient. 7-day battery life.
Sage AI drafts the findings — gait score, fall-risk flag, recovery-milestone status, RTM billing eligibility. A licensed clinician reviews and signs the decision. One dashboard view.
MotionSole data qualifies under CMS Remote Therapeutic Monitoring codes. Documentation is generated automatically, submitted under your NPI via SurgeonValue.
| Code | Description | Rate |
|---|---|---|
| 98975 | RTM device setup & patient education | $19.22 |
| 98977 | Musculoskeletal monitoring, per 30 days | $53.40 |
| 98980 | Treatment management, first 20 min | $50.18 |
| 98981 | Treatment management, each add’l 20 min | $40.33 |
MotionSole collects data passively — no patient compliance protocol beyond wearing the insole. Automated threshold alerts trigger when gait parameters require physician attention, generating the clinical touchpoints required for RTM billing eligibility.
SurgeonValue integrates directly, surfacing RTM-eligible patients in your panel and generating CMS-compliant documentation for billing under your NPI.
KineticFirst RTM billing →MotionSole is the data layer. Each connected platform converts gait data into a different form of clinical and financial value.
Patient-facing fall prevention. Gait scores trigger automatic education and caregiver alerts when risk crosses threshold.
fallrisks.com →Worker-owned caregiver network. Caregiver sees the same gait trends the surgeon sees. Fall flags trigger care escalation before a fall occurs.
co-op.care →Post-surgical RTM telehealth. MotionSole gait data supports CMS 98977/98980 billing under the surgeon's NPI. 90-day TKA/THA tracking.
jointcoach.com →The practice OS. Surfaces RTM-eligible patients in the surgeon's panel. Auto-generates CMS-compliant billing documentation.
surgeonvalue.com →The camera and Apple Health tiers are live now — no hardware to wait on. See your own gait number in real time, or get on the list as clinical sensor insoles and device partnerships roll out.
See your gait, liveNo spam. Platform updates only.