Custom AI workflow automation for orthopedic practice managers operating in the Pittsburgh market — built on the Epic and NextGen stack most Pittsburgh orthopedics teams already run.
Orthopedic Practice Managers in Pittsburgh compete on speed — the firms that automate the back-office work on Epic win the market for orthopedics clients, and the ones that don't fall behind on margin.
AI checks payer-specific PA requirements, pulls the chart from Epic, submits the PA with clinical justification, and tracks status — turnaround drops from 7 days to under 48 hours.
AI orchestrates the booking across Epic and facility systems, verifies insurance, confirms PA, and secures equipment — time-to-surgery drops and OR utilization climbs.
AI classifies denials by reason code, drafts the appeal letter with chart-cited clinical support, resubmits with corrected info, and tracks the payer response — appeal capture rate doubles.
AI triages incoming referrals by acuity, schedules them into open slots in Epic, and chases outgoing referral loop closure with consulting providers — no referral gets lost.
AI sends personalized, channel-optimized reminders (SMS/email/voice) per patient preference, offers reschedule slots, and fills openings from the recall list — no-show rate drops to under 6%.
AI drafts the encounter note from the visit audio and prior chart, populates orders and billing codes, and queues it for provider sign-off — charts close same-day, every day.
AI reviews every encounter in Epic, flags missing specificity, suggests the supported code, and queues physician queries — revenue per encounter climbs and audit risk falls.
AI runs eligibility 72 hours before every appointment, flags inactive or changed coverage, and triggers patient outreach for new info — write-offs from bad eligibility drop 85%.
Remote-first engagement. We work with orthopedic practice managers in Pittsburgh and the surrounding metro — no travel required, no software switch.
