AI RCM Platform
for Orthopedic
for Orthopedic
Get the note right, and the claim gets paid. AI documentation integrity and coding, built for
orthopedic practices.
Get the note right, and the claim gets paid. AI documentation integrity and coding, built for orthopedic practices.
HIPAA and SOC 2 compliant
AI RCM Platform
for Orthopedic
Get the note right, and the claim gets paid. AI documentation integrity and coding, built for orthopedic practices.
HIPAA and SOC 2 compliant
Orthopedic Practices Face Big RCM Challenges
Orthopedic Practices Face Big RCM Challenges
With limited staff and resources, orthopedic practices struggle with denials, coding accuracy, and time-consuming administrative work that takes away from patient care.
~12%
Initial denial rate, and climbing
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Initial denial rate, and climbing
Orthopedic claims are denied at a rising rate as payer rules for imaging, injections, and surgery grow more complex.
~12%
Initial denial rate, and climbing
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Initial denial rate, and climbing
Orthopedic claims are denied at a rising rate as payer rules for imaging, injections, and surgery grow more complex.
45-60 days
Days to discover a denial
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Days to discover a denial
Denials often surface 45-60 days after service, delaying rework and stalling cash flow for the practice.
45-60 days
Days to discover a denial
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Days to discover a denial
Denials often surface 45-60 days after service, delaying rework and stalling cash flow for the practice.
~65%
Denials never reworked
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Denials never reworked
Roughly 65% of denied claims are never reworked, so hard-earned orthopedic revenue is simply written off.
~65%
Denials never reworked
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Denials never reworked
Roughly 65% of denied claims are never reworked, so hard-earned orthopedic revenue is simply written off.
~90%
Of denials are preventable
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Of denials are preventable
Up to 90% of denials are preventable with accurate coding, eligibility checks, and clean documentation.
~90%
Of denials are preventable
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Of denials are preventable
Up to 90% of denials are preventable with accurate coding, eligibility checks, and clean documentation.
One Platform, Across Every EHR You Run
Rette’s agents pull directly from the EHRs orthopedic practices already use, read the operative note, and work the full revenue cycle, from documentation to denial. No rip-and-replace, no new system for your team to learn.
Works with your EHR
Our agents connect to the EHRs orthopedic practices run, Athena, Epic, eClinicalWorks and more, and read the operative note directly. Read-only, no data migration, no workflow change.
The whole cycle, not one piece
Documentation gaps, coding, prior auth, denials, appeals, and workers’ comp, in one place. Your team stops switching between tools and works one prioritized queue.
Healthcare-grade security
HIPAA compliant and SOC 2 Type I, with BAAs available. Read-only access, AES-256 encryption, role-based access and MFA. We never write to your chart.
One Platform, Across Every EHR You Run
Rette’s agents pull directly from the EHRs orthopedic practices already use, read the operative note, and work the full revenue cycle, from documentation to denial. No rip-and-replace, no new system for your team to learn.
Works with your EHR
Our agents connect to the EHRs orthopedic practices run, Athena, Epic, eClinicalWorks and more, and read the operative note directly. Read-only, no data migration, no workflow change.
The whole cycle, not one piece
Documentation gaps, coding, prior auth, denials, appeals, and workers’ comp, in one place. Your team stops switching between tools and works one prioritized queue.
Healthcare-grade security
HIPAA compliant and SOC 2 Type I, with BAAs available. Read-only access, AES-256 encryption, role-based access and MFA. We never write to your chart.
Everything Your Orthopedic
Practice Needs
Everything Your
Orthopedic Practice Needs
Everything Your Orthopedic Practice Needs
From medical coding to denial recovery, Rette AI provides easy-to-use automation designed specifically for orthopedic practices with limited staff.
From medical coding to denial recovery, Rette AI provides easy-to-use automation designed specifically for orthopedic practices with limited staff.
1
Documentation Integrity
Sign-Time Gap Detection
Reads the operative note as it’s signed and flags what’s missing, laterality, compartment, spinal level, implants, medical necessity, while the surgeon can still fix it.
Chart-Grounded Evidence
Every flag points to the exact line in the note it came from. Nothing is asserted without a source, so your team never takes it on faith.
Payer-Policy Awareness
Checks the documentation against the payer’s own medical policy, catching gaps that trigger denials, including services blocked by policy even when no prior auth is required.
Priority Worklist
Surfaces the notes that need attention first, ranked by dollars at risk and filing deadline, in one Kanban-style queue.
1
Documentation Integrity
Sign-Time Gap Detection
Reads the operative note as it’s signed and flags what’s missing, laterality, compartment, spinal level, implants, medical necessity, while the surgeon can still fix it.
Chart-Grounded Evidence
Every flag points to the exact line in the note it came from. Nothing is asserted without a source, so your team never takes it on faith.
Payer-Policy Awareness
Checks the documentation against the payer’s own medical policy, catching gaps that trigger denials, including services blocked by policy even when no prior auth is required.
Priority Worklist
Surfaces the notes that need attention first, ranked by dollars at risk and filing deadline, in one Kanban-style queue.
1
Documentation Integrity
Sign-Time Gap Detection
Reads the operative note as it’s signed and flags what’s missing, laterality, compartment, spinal level, implants, medical necessity, while the surgeon can still fix it.
Chart-Grounded Evidence
Every flag points to the exact line in the note it came from. Nothing is asserted without a source, so your team never takes it on faith.
Payer-Policy Awareness
Checks the documentation against the payer’s own medical policy, catching gaps that trigger denials, including services blocked by policy even when no prior auth is required.
Priority Worklist
Surfaces the notes that need attention first, ranked by dollars at risk and filing deadline, in one Kanban-style queue.
2
AI Coding Assistant
Automated Procedure Extraction
Automated Procedure Extraction: Instantly converts clinical notes and superbill scans into structured claim data.
Precision Specialty Coding
Precision Specialty Coding: Smart ICD-10 and CPT suggestions tailored to your specific specialty's complex workflows.
Audit-Ready Evidence
Audit-Ready Evidence: Direct mapping of every suggested code to clinical documentation for maximum accuracy.
Real-Time Confidence Scoring
Real-Time Confidence Scoring: Instant validation of codes against 2026 standards to stop errors before they reach the scrub stage.
2
AI Coding Assistant
Automated Procedure Extraction
Automated Procedure Extraction: Instantly converts clinical notes and superbill scans into structured claim data.
Precision Specialty Coding
Precision Specialty Coding: Smart ICD-10 and CPT suggestions tailored to your specific specialty's complex workflows.
Audit-Ready Evidence
Audit-Ready Evidence: Direct mapping of every suggested code to clinical documentation for maximum accuracy.
Real-Time Confidence Scoring
Real-Time Confidence Scoring: Instant validation of codes against 2026 standards to stop errors before they reach the scrub stage.
2
AI Coding Assistant
Automated Procedure Extraction
Automated Procedure Extraction: Instantly converts clinical notes and superbill scans into structured claim data.
Precision Specialty Coding
Precision Specialty Coding: Smart ICD-10 and CPT suggestions tailored to your specific specialty's complex workflows.
Audit-Ready Evidence
Audit-Ready Evidence: Direct mapping of every suggested code to clinical documentation for maximum accuracy.
Real-Time Confidence Scoring
Real-Time Confidence Scoring: Instant validation of codes against 2026 standards to stop errors before they reach the scrub stage.
3
Claims Validation
Payer-Specific Scrubbing
Payer-Specific Scrubbing: Instantly verify claims against 2026 rules and NCCI edits to block rejections at the source.
Agentic Eligibility Check
Stedi Eligibility Injection: Auto-populate co-pays and deductibles directly into claims to eliminate manual data entry errors.
Specialty-Tailored Logic
Specialty-Tailored Logic: Utilize custom audit engines built for the specific coding nuances of orthopedics.
Proactive Error Detection
Proactive Error Detection: Identify missing modifiers or incomplete provider data (CO-16 triggers) before submission.
3
Claims Validation
Payer-Specific Scrubbing
Payer-Specific Scrubbing: Instantly verify claims against 2026 rules and NCCI edits to block rejections at the source.
Agentic Eligibility Check
Stedi Eligibility Injection: Auto-populate co-pays and deductibles directly into claims to eliminate manual data entry errors.
Specialty-Tailored Logic
Specialty-Tailored Logic: Utilize custom audit engines built for the specific coding nuances of orthopedics.
Proactive Error Detection
Proactive Error Detection: Identify missing modifiers or incomplete provider data (CO-16 triggers) before submission.
3
Claims Validation
Payer-Specific Scrubbing
Payer-Specific Scrubbing: Instantly verify claims against 2026 rules and NCCI edits to block rejections at the source.
Agentic Eligibility Check
Stedi Eligibility Injection: Auto-populate co-pays and deductibles directly into claims to eliminate manual data entry errors.
Specialty-Tailored Logic
Specialty-Tailored Logic: Utilize custom audit engines built for the specific coding nuances of orthopedics.
Proactive Error Detection
Proactive Error Detection: Identify missing modifiers or incomplete provider data (CO-16 triggers) before submission.
Payer-specific rules are maintained in our payer policy lookup tool. Browse the insurance payer directory or the denial code reference.
WORKERS’ COMPENSATION
State-specific rules. Chart-grounded requests. Deadlines that never slip out of view.
ACOEM
CA MTUS
Clinical note
Clinical findings
Treatment history
Medical necessity
Guidelines, built in
Documentation checked against ACOEM and California MTUS treatment criteria.
Patient chart
DWC RFA
Cited
Chart sources attached
From chart to request
Jurisdiction-specific authorization requests, with supporting evidence cited from the chart.
Review window
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Late decision flagged
Every deadline, tracked
Track review windows and flag late decisions while there’s still time to challenge them.
ACOEM and MTUS checklists integrated under agreement with the California Orthopaedic Association
Your Data Security
is Our Priority
Your Data Security
is Our Priority
Rette AI is built with healthcare-grade security and compliance standards to protect sensitive patient and financial data.
HIPAA Compliance
Full HIPAA compliance with Business Associate Agreements (BAA) available.
compliance passed
HIPAA Compliance
Full HIPAA compliance with Business Associate Agreements (BAA) available.
compliance passed
SOC 2 Type 1
Rigorous security controls and audit processes to protect your data.
compliance passed
SOC 2 Type 1
Rigorous security controls and audit processes to protect your data.
compliance passed
Founded by Leaders from
Founded by Leaders from
Founded
by Leaders from
Our team brings together expertise from the world's most innovative institutions in technology, healthcare, and entrepreneurship.
Supported by
Supported by
Supported by
Backed by leading institutions in healthcare innovation
Backed by leading institutions in healthcare innovation
Backed by leading institutions in healthcare innovation
Ready to Grow Your Practice Revenue?
Ready to Grow Your Practice Revenue?
Ready to Grow Your
Practice Revenue?
Join orthopedic practices using Rette AI to reduce denials, accelerate cash flow, and recover lost revenue without enterprise complexity or cost.