We help orthopedic practices find hidden billing leaks, recover missed revenue, and track performance with secure audits, live-style dashboards, and executive reports.
Active Signal: 14 Total Hip Arthroplasty procedures (CPT 27130) flagged for missing bone graft records.
Generic billing agencies focus on volume, not orthopedic clinical accuracy. This specialized medical gap leads to severe leakage across complex surgical claims.
Complex joint arthroplasties and spine procedures scheduled without active, matched prior-authorizations.
Surgeon operatory notes missing structural specificity required for high-tier orthopedic hardware codes.
Incorrect application of modifiers -59, -51, -50, or -25 resulting in automated single-line bundling.
Expensive custom implants, biological grafts, and anchoring hardwares omitted from final billing entry.
Administrative resource strain prevents consistent appeal cycles before reaching strict timely-filing limits.
Payer reimbursements falling short of negotiated orthopedic fee schedules without tracking alerts.
We target exact orthopedic pain points. Select any category below to understand how WhiteSource AI diagnostics function.
Active Leakage Path: Prior-authorization metrics fail to cross-reference with final orthopedic surgical scheduler outputs.
Creates retroactively unappealable denials on high-value orthopedic cases (e.g., total joint replacements).
Automated pre-flight cross-examination identifying authorization gaps 48 hours before scheduled surgical blocks.
Execute real-time front-end clinical holds on non-authorized scheduled orthopedic slots.
Explore the real-time reporting environment built for medical group leaders and orthopedic practice owners to oversee and audit cash flows.
Real-time analytical vector checking single-line modifier pairings and implant supply captures
14 Total Hip Encounters (CPT 27130) missing localized bone grafting description parameters.
Automated single-line bundling triggered on modifier -59 cross-examinations by commercial payer.
Every analytical offering is tailored strictly around US orthopedic practices, ensuring total financial clarity and swift recovery solutions.
Identifies exactly where, why, and how much surgical revenue is currently escaping your practice.
Overcomes billing blindness with immediate summaries of real-time clean claim rates and newly emerged denials.
Consolidates complicated billing noise into elegant, strategic financial reports on overall practice performance.
Empowers your existing staff with customized, expert-level clinical appeal logic for complex denials.
Integrates clean, intuitive, visual revenue tracking tools without impacting workflow.
Choose the level of visibility and advisory support your orthopedic practice needs with transparent configurations.
For practices that want a clear picture before committing to anything ongoing.
A full five-category revenue leakage review that identifies where money is leaking, which areas carry the highest risk, and what should be prioritized first.
For practices that want ongoing visibility without a full advisory retainer.
A monthly reporting package that refreshes your dashboard, tracks key KPIs, monitors denials and AR aging, and keeps leadership informed with trend-based executive summaries.
For practices actively working denial and AR recovery, with hands-on guidance.
Everything in Monthly Reporting, plus claim-level review on flagged items, priority denial and AR follow-up guidance, and recovery-focused recommendations.
Calibrated explicitly to your active provider footprint
Delivers a clear past 3-month leakage and recovery opportunity picture.
Includes weekly briefs, monthly ledgers, and priority advisory support channels.
| Practice Size | Monthly | 3-Month (10% Off) | 6-Month (Pay for 5) | Annual (Pay for 9) |
|---|---|---|---|---|
| Solo Provider (1) | $800 | $2,160 | $4,000 | $7,200 |
| Small (2–5 Providers) | $1,500 | $4,050 | $7,500 | $13,500 |
| Mid-Size A (6–10) | $3,500 | $9,450 | $17,500 | $31,500 |
| Mid-Size B (11–15) | $4,500 | $12,150 | $22,500 | $40,500 |
We identify leakage and recovery paths, your team executes, and we invoice when recovered cash is realized.
See how multi-provider orthopedic groups and administrators leverage WhiteSource AI advisory insights.
"WhiteSource AI pinpointed massive structural downcoding across our total knee and revision encounters. Their visibility layers completely transformed our clinical cash velocity flows."
"We uncovered hundreds of thousands in unbilled anchoring implants and anatomical modifier leaks. The monthly dashboards give us total executive oversight."
"Their recovery advisory team empowered our staff to handle complex Prior Authorization overrides and modifier bundling logic perfectly. Outstanding outcomes."
"The past 3-month risk assessment opened our eyes to widespread medical necessity denials for arthroscopic reconstructions. Exceptional specialized data support."
"We transitioned to their Monthly Reporting package and instantly mitigated silent payer underpayment trends. A permanent, core operational layer for our group."
How subtle missing descriptions of surgical approach parameters cause immediate automated downcoding by major commercial payers.
A guide for practice managers to optimize claim scrubbers against automated single-line cross-examinations and bundled code write-offs.
An operations checklist designed to cross-reference implant inventories directly with submitted electronic claim runs to prevent silent cash erosion.
Advisory-only, zero-PHI by default, with NDA, BAA, and MSA in place before any data leaves your systems.
Strict non-disclosure agreement established before initial data evaluations.
Only executed when PHI-level surgical data exports are strictly required.
Defines clear project scope, pricing structures, deliverables, and operational roles.
Submit your metrics and data securely. Our operational framework processes exports strictly following HIPAA-compliant configurations.
Important operational questions regarding our specialized revenue intelligence and advisory process.