AI RCM Platform

for Orthopedic

for Orthopedic

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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 compliant · SOC 2 Type 1

AI RCM Platform

for Orthopedic

​

Get the note right, and the claim gets paid. AI documentation integrity and coding, built for orthopedic practices.

HIPAA compliant · SOC 2 Type 1

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

The corner everyone else skips.

Workers’ comp runs on statute, not contract. Every state has its own rules, forms, and clocks, and a utilization review decision that has to be challenged on time or the leverage is gone. Most revenue cycle tools ignore it. It is where we started.

Treatment guidelines, built in

ACOEM treatment checklists are integrated into our platform, together with California’s MTUS under a signed agreement with the California Orthopaedic Association. These are the criteria utilization reviewers actually apply, so your documentation is checked against the standard your request will be judged by.

Authorization requests, from the chart

We generate the authorization request your jurisdiction requires, including the DWC Request for Authorization, with supporting documentation pulled and cited from the patient’s record, so the request goes out complete and checked against the criteria the reviewer will apply.

The statutory clock, tracked

Utilization review response deadlines, independent and external review windows, and timeliness challenges. When a UR decision is late, that is leverage. We flag it while it still counts.

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 Compliant

HIPAA Compliance

Full HIPAA compliance with Business Associate Agreements (BAA) available.

compliance passed

HIPAA Compliant

HIPAA Compliance

Full HIPAA compliance with Business Associate Agreements (BAA) available.

compliance passed

SOC 2 Type 1

SOC 2 Type 1

Rigorous security controls and audit processes to protect your data.

compliance passed

SOC 2 Type 1

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

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Stylized white envelope icon tilted at an angle, representing a message or notification.

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.