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    <loc>https://www.orthosinc.com/resourcesfaqs/more-robots-coming-to-your-asc-dont-forget-about-the-admin-work</loc>
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    <loc>https://www.orthosinc.com/resourcesfaqs/how-orbit-improved-one-practices-cash-collections-in-less-than-6-months</loc>
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    <lastmod>2021-09-29</lastmod>
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      <image:title>Orthos resources &amp; FAQs - How Orthos increased a practice’s cash collections by 35%+ - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
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  <url>
    <loc>https://www.orthosinc.com/resourcesfaqs/south-bend-orthopaedics-partners-with-orthos-inc</loc>
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    <lastmod>2021-07-06</lastmod>
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    <loc>https://www.orthosinc.com/resourcesfaqs/expertrcm</loc>
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    <lastmod>2021-07-01</lastmod>
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  <url>
    <loc>https://www.orthosinc.com/resourcesfaqs/selectingapracticemanagementsystem</loc>
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    <lastmod>2021-07-01</lastmod>
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    <loc>https://www.orthosinc.com/insights</loc>
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    <lastmod>2025-11-04</lastmod>
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    <loc>https://www.orthosinc.com/insights/our-work-with-roc-orthopedics</loc>
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    <priority>0.5</priority>
    <lastmod>2024-09-23</lastmod>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5f89cbab761e000eaf1b71c6/e3da850f-e08e-4cc2-88ba-489ff5748ea0/IMG_0994.jpg</image:loc>
      <image:title>Insights into Orthopedic Medical Billing - Case study: End-to-end RCM services for ROC Orthopedics</image:title>
      <image:caption>Orthos team on site at ROC meeting with physicians and practice leaders to continuously improve RCM performance together.</image:caption>
    </image:image>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5f89cbab761e000eaf1b71c6/083e8183-ca4d-4ed1-b502-6a6942297d8a/kate+aaoe.jfif</image:loc>
      <image:title>Insights into Orthopedic Medical Billing - Case study: End-to-end RCM services for ROC Orthopedics - Orthos leadership with Kate Othus, CEO of ROC Orthopedics at AAOE conference</image:title>
      <image:caption>In Kate’s words, “Although in the past I have struggled to find reliable partners for billing, Orthos has been different.  We have gained much better data, visibility, and confidence in our billing operations than we have ever had, and our payments are flowing well.”</image:caption>
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  <url>
    <loc>https://www.orthosinc.com/insights/supporting-top-rcm-challenges-in-independent-orthopedic-groups</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-06-28</lastmod>
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  <url>
    <loc>https://www.orthosinc.com/insights/rebadging-when-your-team-joins-ours</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-04-10</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5f89cbab761e000eaf1b71c6/fe6287df-cb0d-4f74-9d46-1c161bbee6e1/Untitled+design+%284%29.png</image:loc>
      <image:title>Insights into Orthopedic Medical Billing - Rebadging: When your team joins ours</image:title>
      <image:caption>People first Rebadging means changing employers, so paychecks and benefits now come from Orthos. Especially for team members with seniority, this can be a surprising change. Providing transition support starts with fair compensation and benefits, ensuring that previous raises, bonuses, and expectations are honored to the greatest extent possible. We benchmark every aspect of compensation and benefits to ensure no one is worse off with us. Welcoming into a new community The benefit of being part of Orthos is the chance to have peer support and mentorship specifically in billing and coding. Providing a supportive environment for professional development can be a major asset for retaining excellent team members. Our focus on the orthopedic specialty means no one has to be on their own when tacking a tricky payor or case. Turning the page Orthos takes responsibility for improving the quality of revenue cycle outcomes, so we won’t assume we can just keep doing things the way they have always been done. Implementing tight quality control and clear standards means processes and job responsibilities may need to change. In many cases we can help billers and coders advocate for needed improvements and provide resources to help design and implement fixes. Bringing in new oversight and leadership can get fresh eyes on old problems. And we have seen different situations enough times to have pattern recognition about issues and the standard of what good looks like. Benefiting from experience We encourage our adopted team members to keep up their existing relationships and culture with their former employer (now our client), leveraging everything they have learned over the years to help understand the potential issues, ensure patients are well cared for, and help everyone be comfortable with the new company. Especially with smaller independent providers, many billing and coding team members will be the ones with the logins and post-it notes that help the practice run smoothly and we try to transition all the other responsibilities deliberately and thoughtfully. Knowing who to call And from the other side, we work very diligently to ensure that avenues of communication are kept up. Whether communication used to take place in person, by phone, by IM, within the EMR, on paper, by fax, or any other way, we make sure that every question can get answered promptly and new forms of communication are as robust as possible. Typically our team works remotely and we bring our resources from across the country to help, so we help facilitate paperless process improvements and other needed changes to support the new arrangement.</image:caption>
    </image:image>
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  <url>
    <loc>https://www.orthosinc.com/insights/coding-update-depomedrol</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-04-08</lastmod>
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      <image:title>Insights into Orthopedic Medical Billing - Coding Update: DepoMedrol - Make it stand out</image:title>
      <image:caption>Whatever it is, the way you tell your story online can make all the difference.</image:caption>
    </image:image>
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  <url>
    <loc>https://www.orthosinc.com/insights/shortcomings-of-ehr-revenue-cycle-management</loc>
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    <priority>0.5</priority>
    <lastmod>2024-02-26</lastmod>
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  <url>
    <loc>https://www.orthosinc.com/insights/our-work-reducing-surgical-denials-by-40</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-01-29</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5f89cbab761e000eaf1b71c6/1706562897485-79S49HOQ4H76BBIBUL3W/image-asset.jpeg</image:loc>
      <image:title>Insights into Orthopedic Medical Billing - Our work reducing surgical denials by 40%+ - 5. Auth early and often.</image:title>
      <image:caption>Armed with the right codes, the authorization process can go much more smoothly because the clinicals will more closely match the codes being authorized. This alone leads to fewer peer to peers and misunderstandings. But there will always be intraoperative findings that mean the surgical plan needs to be adapted to clinical circumstances. In these cases, a retro authorization (sometimes called a post-service review) is recommended. These may need to be started the same day of the procedure, so we set up a secure voicemail to enable providers to let us know one was needed. It helps to have the facilities on board and looking out for this (see step 2!)</image:caption>
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    <image:image>
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      <image:title>Insights into Orthopedic Medical Billing - Our work reducing surgical denials by 40%+ - 2. Get the clinic and facilities talking.</image:title>
      <image:caption>Even without data, chances are the facilities can tell a clinic something about challenges with surgery reimbursement (and vice versa!). After all, both claims are going in and each billing team will be getting part of the picture back from the insurer. Comparing notes is a helpful first step, and can lead to better process coordination and ultimately better patient experience when everyone is on the same page about insurances, networks, and orders.</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5f89cbab761e000eaf1b71c6/1706562699536-C7XCSESGB66P8MWZYHKF/image-asset.jpeg</image:loc>
      <image:title>Insights into Orthopedic Medical Billing - Our work reducing surgical denials by 40%+ - 4. Ask the coding experts.</image:title>
      <image:caption>Some orders are much more complicated than others. For those that clinical teams or surgery schedulers may not be 100% certain on, a 2 minute consultation with a certified coder can make all the difference. Especially when it comes to medical policies, bundling, and CCI edits, coding knows what they’re talking about. We created a dedicated communication channel that provides real-time input for everyone involved and improved the accuracy of coding from the start.</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5f89cbab761e000eaf1b71c6/1706562167838-B0X1GPJ4WDICE2GHIDFN/image-asset.jpeg</image:loc>
      <image:title>Insights into Orthopedic Medical Billing - Our work reducing surgical denials by 40%+ - 3. Look at the order. No, really look.</image:title>
      <image:caption>The decision for surgery is an important one, and the plan for surgery is precise. We found that the “words” on the order (the procedure the surgeon intends to perform) did not always match the “numbers” (the CPT codes being authorized). The downstream effects of this are often hidden. Authorizations may go in for only some of the appropriate codes. Patient consent may be vague. Block time may be booked incorrectly. Everyone assumes everyone else understands the plan, but of course you know what they say about assuming…</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5f89cbab761e000eaf1b71c6/1706562141213-TR1RS205IFC0CVF2YB3Q/image-asset.jpeg</image:loc>
      <image:title>Insights into Orthopedic Medical Billing - Our work reducing surgical denials by 40%+ - Make the denials data clinically relevant.</image:title>
      <image:caption>Denials are simply messages from the insurance company saying “we are not going to pay on this claim”. To get to root causes, these denials need to be interpreted clinically. What specialties? What procedures? What surgeon? Many providers do not have the ability to tie denials data back to their source cases easily, but this is an essential first step. We found a significant concentration of denials in sports medicine and to a lesser degree in joint replacement and spine related to medical necessity and prior authorizations.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5f89cbab761e000eaf1b71c6/1706563120012-ITBS1CEAFL3M9EL5V4FN/image-asset.jpeg</image:loc>
      <image:title>Insights into Orthopedic Medical Billing - Our work reducing surgical denials by 40%+ - 6. Don’t be shy about the impact.</image:title>
      <image:caption>Change management is always important, and justifying the need for these process changes to all parties is essential. The coders need to know why they have to code the orders now, again? The doctors need to know that making the retro auth phone call is worthwhile. Ultimately we needed to know whether we were doing the right thing. So tracking the denial rates and incremental revenue associated with these cases made all the difference. We went from 1 in 30 surgeries being denied to 1 in 55 within 6 months and we have sustained that improvement over time.</image:caption>
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  </url>
  <url>
    <loc>https://www.orthosinc.com/insights/2024-orthopedic-coding-updates</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2024-01-09</lastmod>
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  <url>
    <loc>https://www.orthosinc.com/insights/top10sportsstrategies</loc>
    <changefreq>monthly</changefreq>
    <priority>0.5</priority>
    <lastmod>2023-12-12</lastmod>
    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5f89cbab761e000eaf1b71c6/1702392934827-YZK6MDJ9CGCW2N2MUFRX/image-asset.jpeg</image:loc>
      <image:title>Insights into Orthopedic Medical Billing - Top 10 Strategies to Maximize Collections for Sports Medicine - 4. Don’t take that (multiple procedure) penalty stroke</image:title>
      <image:caption>Many sports medicine cases are subject to “multiple procedure discounts” in payor contracts that say they will pay the primary procedure at full price, but only 50% or some share of the rest of the procedures. Your reimbursement team should be responsible for knowing these regulations and checking to make sure they are not being abused. Some payors who are not entitled to take these discounts in their contracts may try to get away with it anyway (cough, workers comp, cough.) RCM teams need to have the analytical capabilities to make these reimbursement checks easy and automated.</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5f89cbab761e000eaf1b71c6/1702395317933-OQFO5M0MHIORB1KZEZ9Z/image-asset.jpeg</image:loc>
      <image:title>Insights into Orthopedic Medical Billing - Top 10 Strategies to Maximize Collections for Sports Medicine - 2. Don’t make it a coin toss</image:title>
      <image:caption>Many times when athletes are injured, there are several parties potentially taking financial responsibility. The school, the parents, the student, another financial supporter. Ultimately it feels like you’ll be covered but written documentation is essential up front to be able to justify the claims on the back end. It’s also important to know who needs to see the claim first. All of this can be sorted out in advance, and with the help of the administrator of the health plan. Better not to leave responsibility up to chance.</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5f89cbab761e000eaf1b71c6/1702392728566-083C702Z1IJDU2IVZ2CF/image-asset.jpeg</image:loc>
      <image:title>Insights into Orthopedic Medical Billing - Top 10 Strategies to Maximize Collections for Sports Medicine - 5. Notes, or it didn’t happen</image:title>
      <image:caption>The days of simply stating “patient failed conservative treatment” as a justification for needed procedures are long gone. Not only are payors requiring dates that physical therapy was performed, they are increasingly asking for the notes themselves, even if the therapy was not done in-house. Patients may need to help track these notes down from other providers, and be sure these are always in the chart when they are available. Medical billing and RCM teams can always ask if they are needed, but by that time you are risking delays to treatment while they are found.</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5f89cbab761e000eaf1b71c6/1702395558947-R0E0U60A2VVBY11Y2JKQ/image-asset.jpeg</image:loc>
      <image:title>Insights into Orthopedic Medical Billing - Top 10 Strategies to Maximize Collections for Sports Medicine - Pull in the same direction</image:title>
      <image:caption>As with many other aspects of maximizing revenue cycle performance and collections, it really is a team effort. From the front desk and registration, to clinical documentation, to coding and billing, to authorizations, to the facility, everyone has a part to play. Sports medicine can often be the subspecialty that pulls everyone together and ensures communication is optimized and processes are working as they should be given some of the particular complexities you face.</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5f89cbab761e000eaf1b71c6/1702390493805-AL2YKPD0615R8NGEYHU1/image-asset.jpeg</image:loc>
      <image:title>Insights into Orthopedic Medical Billing - Top 10 Strategies to Maximize Collections for Sports Medicine - 10. Know thy trainer</image:title>
      <image:caption>Athletic trainers play a crucial role not only in delivering treatment, but facilitating the flow of crucial information like insurance coverage for players as well as commitments that the school may make to cover any out of pocket costs. Having these clear lines of communication and policies in place ahead of time can help prevent thorny situations down the line where the provider is left holding the bag. Revenue cycle teams can be prepared if and when a patient needs urgent help.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5f89cbab761e000eaf1b71c6/1702394862984-CMAZVCCFBG5I98QNLN42/image-asset.jpeg</image:loc>
      <image:title>Insights into Orthopedic Medical Billing - Top 10 Strategies to Maximize Collections for Sports Medicine - 3. Keep your (coding) head on a swivel</image:title>
      <image:caption>Coding for sports medicine procedures is evolving significantly. Codes are being added, removed, and changed to add-on or standalone every year with updated CPT guidelines. Be sure your coding team is taking advantage of professional development. And if you are coding your own orders or surgeries, be sure that you are staying up to date as well. Subacromial decompression (29826) is one of the most difficult procedures to get reimbursed these days, and documentation can make the difference.</image:caption>
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    <image:image>
      <image:loc>https://images.squarespace-cdn.com/content/v1/5f89cbab761e000eaf1b71c6/1702392115318-V5F7LXRW684N4ZHXUWKS/image-asset.jpeg</image:loc>
      <image:title>Insights into Orthopedic Medical Billing - Top 10 Strategies to Maximize Collections for Sports Medicine - 7. Call your shot</image:title>
      <image:caption>Be sure the operative plan is reflected on your order to the greatest extent possible. “Rotator cuff repair and other indicated procedures” is a recipe for claim denials and lost revenue. Many providers rely on the EMR to translate “words into numbers” but this can be unreliable or out of date. Best practice is to write out in your office note and surgical order the full surgical plan so that your authorization team, facility, device rep, and everyone else is on the same page from the start.</image:caption>
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      <image:loc>https://images.squarespace-cdn.com/content/v1/5f89cbab761e000eaf1b71c6/1702392342454-W6WZJTNN9MOWP9JTQXTS/image-asset.jpeg</image:loc>
      <image:title>Insights into Orthopedic Medical Billing - Top 10 Strategies to Maximize Collections for Sports Medicine - 6. You gotta fight…for your right…to see out of state Medicaid</image:title>
      <image:caption>Especially at the collegiate level, your practice may be exposed to unfamiliar insurance companies for out of state athletes who may still be on their parents insurance or not on the school’s plan. Out of state Medicaid can be particularly tricky and these cases will require additional time to be sure you can get paid according to the home plan’s regulations. Sometimes what’s best for the patient will be to go home to have the procedure. But in cases where out of state providers are allowed, you will need to have your ducks in a row up front.</image:caption>
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      <image:title>Insights into Orthopedic Medical Billing - Top 10 Strategies to Maximize Collections for Sports Medicine - 9. Get retro auths when you have to call an audible</image:title>
      <image:caption>Intraoperative findings in sports medicine procedures are common given the limitations of preoperative imaging and nature of the work. But authorizations for insurance are based on the codes you thought you would do in the original treatment plan, and if you end up doing different codes you will need to get retro authorizations if you can. Unfortunately by the time the coders get your operative report it may be too late. Many payors require notification the same day or the next day to consider a retro.</image:caption>
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      <image:title>Insights into Orthopedic Medical Billing - Top 10 Strategies to Maximize Collections for Sports Medicine - 8. Don’t get kneecapped by Aetna</image:title>
      <image:caption>Aetna medical policies (almost uniquely among payors) make reimbursement for meniscectomies very difficult. Many sports medicine providers end up doing 29880 and 29881s for free because Aetna considers them experimental except for acute tears. In most other situations dealing with medical necessity, this is identified during the authorization process, but these are “no auth” codes for Aetna. Orthopedic billing teams, watch out!</image:caption>
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  </url>
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    <loc>https://www.orthosinc.com/contactus</loc>
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    <lastmod>2023-10-25</lastmod>
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    <loc>https://www.orthosinc.com/orthoshome</loc>
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    <lastmod>2025-11-23</lastmod>
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  <url>
    <loc>https://www.orthosinc.com/decliningcollections</loc>
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      <image:title>WIP - new linked to page - The Problem</image:title>
      <image:caption>Every day, you’re leaving money on the table. On every bill you send, how much do you collect? The surgeries and procedures you depend on for revenue may actually be leading your practice to miss out on thousands of well-earned dollars every day. From diagnosis to recovery, billing and reimbursement errors can cause you to lose revenue at every step of the patient journey. What’s more, your staff doesn’t have enough time each day to monitor and manage these errors. And, the information they need is siloed and hard to find.</image:caption>
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      <image:title>WIP - new linked to page - The Orthos Solution</image:title>
      <image:caption>We help your practice find and recover lost revenue. Orthos is a business intelligence solution for orthopedic practices. We find opportunities to recover lost revenue caused by billing, coding and reimbursement errors.  We complement your practice management system and interpret its data along with other sources like finance, scheduling, and fee schedules.</image:caption>
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      <image:caption>Our tools in the hands of your team</image:caption>
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      <image:title>WIP - Solutions - The Problem</image:title>
      <image:caption>Every day, you’re leaving money on the table. On every bill you send, how much do you collect? The surgeries and procedures you depend on for revenue may actually be leading your practice to miss out on thousands of well-earned dollars every day. From diagnosis to recovery, billing and reimbursement errors can cause you to lose revenue at every step of the patient journey. What’s more, your staff doesn’t have enough time each day to monitor and manage these errors. And, the information they need is siloed and hard to find.</image:caption>
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      <image:title>WIP - Solutions - The Orthos Solution</image:title>
      <image:caption>We help your practice find and recover lost revenue. Orthos is a business intelligence solution for orthopedic practices. We find opportunities to recover lost revenue caused by billing, coding and reimbursement errors.  We complement your practice management system and interpret its data along with other sources like finance, scheduling, and fee schedules.</image:caption>
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      <image:caption>Orthos makes it easier to defend your bottom line. Every day insurance companies are using data to change the way they work, release new rules, and ultimately limit the reimbursements they pay out. With Orthos, you’ll have access to a level of insight that you’ve never had before, empowering you to protect your bottom line, and your patients. Check out this story about how Orthos helped a practice get the reimbursements they deserved</image:caption>
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      <image:caption>Audit underpaid claims. Holding payers accountable to the discounts they take protects both your bottom line, and your patients. Orthos technology gives back-office teams the visibility they need to close gaps in certain underpaid claims, such as workers’ comp.</image:caption>
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      <image:title>Robots Aren't Just for the OR - How We Help</image:title>
      <image:caption>Prioritize the claims that matter the most Help your team avoid write-offs from expired claim appeals. Orthos sorts claims with approaching appeal deadlines and large financial impact so your team knows exactly where to spend their time.</image:caption>
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      <image:caption>At Orthos, our most valuable resource is our team members. We encourage you to openly contribute ideas and feedback, as we know this is how brilliant products are developed and processes streamlined.</image:caption>
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