Orthopedic practices deal with high-dollar surgical cases, complex implant billing, and extended rehab episodes. Medfuel AI manages the revenue cycle from pre-surgical authorization through post-op PT collections.
From joint replacements to sports medicine, our AI handles the unique billing and authorization challenges of orthopedic care.
Automated prior auth for knee and hip replacements, arthroscopic procedures, spinal surgeries, and fracture repairs — with clinical documentation mapped to payer-specific medical necessity criteria.
Accurate charge capture for orthopedic implants (plates, screws, prosthetics) with correct HCPCS codes, invoice reconciliation, and implant log documentation for payer audits.
Track and manage CJR and BPCI-A bundled payment episodes from trigger event through 90-day post-discharge, with cost monitoring and gainsharing calculation support.
Optimize physical therapy billing with correct CPT selection (97110-97542), 8-minute rule compliance, therapy cap tracking, and functional limitation reporting (G-codes) where required.
Average annual revenue increase through improved surgical coding, reduced auth denials, and complete implant charge capture.
Surgical prior authorization turnaround reduced from 5+ days to under 48 hours with automated clinical documentation.
Automated implant log reconciliation ensures every device used in surgery is billed with the correct code and pricing.
Optimized therapy coding and benefit verification keeps rehab collections high throughout the episode of care.
From the OR to the rehab gym, Medfuel AI ensures every service is authorized, coded, and collected. See it in action.