Orthopedics
Only 34.8% of your referrals
actually complete.
At $5K–$50K each, do the math.
Orthopedics runs on referrals, imaging, prior auths, and multi-step surgical journeys. Every dropped referral is revenue walking to a competitor, and every prior auth delay is a patient in pain. We build the closed-loop workflow that tracks the whole journey.
The real problems you’re living
These are the specific pains we see in orthopedic practices every week.
Only 34.8% of your referrals actually result in a completed appointment.
A large-scale analysis of 103,737 referral scheduling attempts found only 34.8% resulted in a documented complete appointment. Referral leakage affects 55–65% of potential in-network referrals. In orthopedics — where each patient is worth $5K–$50K+ — that leakage is the single biggest preventable revenue loss.
Source: PMC referral analysis; Clinic Gaps research Gap 9Prior auth on MRIs, surgery, and DME is taking 5–14 days.
Orthopedics is one of the most prior-auth-burdened specialties because MRIs, surgical procedures, and durable medical equipment all frequently require authorization. 88% of physicians rate prior auth burden as “high or extremely high.” Your patients are waiting in pain while your staff is on hold with payers.
Source: AMA 2024 survey; Blueprint Part 3.6Your surgical scheduling is a manual spreadsheet nightmare.
Orthopedic surgical scheduling has to coordinate provider availability, OR block time, implant selection, pre-op evaluation, and post-op follow-up — across a patient journey that can span months. Most practices manage this on spreadsheets. Every dropped step costs recovery time or revenue.
Source: Blueprint Part 3.650% of your referring PCPs never get a follow-up note from you.
50% of referring practices never receive follow-up from the specialist after making a referral. That’s both a care coordination failure and a business failure — PCPs are your referral funnel, and if you’re not closing the loop with them, they stop sending patients.
Source: Clinic Gaps research Gap 9Implant and DME billing is leaking money.
Surgical billing with implant tracking, DME billing, and workers’ comp claim management are each specialized workflows. Most billing staff are juggling all of them manually, and the errors compound.
Source: Blueprint Part 3.6We built this because we saw you
Referrals are your whole business. You deserve a workflow built around that.
A dropped referral isn’t just a missed appointment — it’s a PCP relationship that erodes, a patient who goes to a competitor, and a $5K–$50K procedure that happens somewhere else. We build closed-loop referral management specifically for orthopedics: every referral tracked, every gap escalated, every completion logged, and every referring PCP looped back in.
What we automate for you
Six automations we deploy first for orthopedics.
Ranked by recovered referral revenue and prior auth turnaround. Every one maps to a specific pain point category.
Closed-loop referral tracking
Before
Referral received, patient maybe schedules, you maybe remember to follow up
After
Referral intake → automated patient SMS → 72hr/7day/14day escalation → appointment confirmation → specialist note back to referring PCP
Referral conversion 35% → 85%; $200K–$500K recovered
Surgical + imaging prior auth automation
Before
Staff spends hours per auth navigating payer portals and phone queues
After
AI extracts clinical documentation, pre-populates payer forms, submits via API or browser automation, tracks status, drafts appeals
Prior auth turnaround 10 days → 3 days
Multi-visit surgical journey scheduling
Before
Spreadsheet-based surgical scheduling with manual OR block coordination
After
Unified workflow: consult → imaging → pre-op → surgery → post-op → PT, with automated handoffs between each step
Surgical scheduling admin 38 hrs → 20 hrs/week
Imaging transfer and record request automation
Before
Staff calls outside facilities to request imaging, waits, chases
After
Referral intake triggers automatic imaging request and medical record pull
Time from referral to complete chart cut significantly
DME + implant billing automation
Before
Manual tracking of implant vendor invoices and DME dispensing
After
Automated implant tracking tied to procedure records; DME billing with insurance benefit verification
Surgical billing leakage eliminated
PCP referral relationship dashboard
Before
No visibility into which PCPs are sending what volume or what’s converting
After
Per-referrer dashboard showing referral volume, conversion, and specialist note completion
Referral relationship decay reversed
Your impact model
Here’s the math on what changes after we deploy.
Annual impact: $150K–$500K recovered revenue and reduced overhead. Weekly time saved: 20–30 hours.
Why ANOXIS for orthopedics
Four things that make us different — specifically for orthopedics.
- ✓
Closed-loop referral management is our default, not an add-on — because referrals are the business.
- ✓
We handle the three prior auth tracks orthopedics needs: imaging, surgical, and DME.
- ✓
We build the specialist-to-PCP note loop so your referral funnel doesn’t erode.
- ✓
HIPAA-aware by default.
See the 14-day referral audit.
We walk your orthopedic workflow live. You leave with a prioritized gap list, ranked by hours saved and dollars recovered, whether you hire us or not.
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