Streamlined RCM for Orthopedic Surgery & Rehab
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.
End-to-End Revenue Cycle for Orthopedics
From joint replacements to sports medicine, our AI handles the unique billing and authorization challenges of orthopedic care.
Surgical Authorization Automation
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.
Implant & Supply Billing
Accurate charge capture for orthopedic implants (plates, screws, prosthetics) with correct HCPCS codes, invoice reconciliation, and implant log documentation for payer audits.
Bundled Payment Management
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.
PT & Rehab Coding
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.
Results for Orthopedic Practices
$215K per Surgeon
Average annual revenue increase through improved surgical coding, reduced auth denials, and complete implant charge capture.
3x Faster Auth
Surgical prior authorization turnaround reduced from 5+ days to under 48 hours with automated clinical documentation.
100% Implant Capture
Automated implant log reconciliation ensures every device used in surgery is billed with the correct code and pricing.
91% PT Collection Rate
Optimized therapy coding and benefit verification keeps rehab collections high throughout the episode of care.
Maximize Revenue Across Your Orthopedic Practice
From the OR to the rehab gym, Medfuel AI ensures every service is authorized, coded, and collected. See it in action.