Surgery Benefits Coordinator
Protect Your Orthopedic Practice From Revenue Cycle Collapse
Orthopedic practices are under financial strain. Nearly 63% of practices report understaffed revenue cycle teams, while 40% of front office staff and 33% of billing staff turn over each year. Each replacement costs upwards of $200,000 in lost productivity and training. Meanwhile, 40–60% of orthopedic surgeons report burnout, often driven by administrative chaos and billing bottlenecks.
Fuse helps orthopedic practices survive and thrive in this environment. Our healthcare automation platform takes over the complex, time-consuming verification and cost estimate work that drains staff resources and cash flow. By automating eligibility checks, prior authorization checks, and patient cost estimates, Fuse frees your team to focus on what matters: managing high-value procedures, optimizing surgical scheduling, and protecting your margins in a declining reimbursement landscape.
Automate Insurance Verification for Complex Orthopedic Procedures
Orthopedic billing is uniquely complex, requiring precise CPT and ICD-10 coding for bundled payments and global surgery packages. Even minor verification errors can lead to denial rates of 13.6–20% from payers, impacting cash flow.
Fuse automates verification for every procedure type, from joint replacements and spine surgeries to sports medicine and fracture repairs. The system checks eligibility in real time, flags prior authorization requirements, and confirms network participation. With automation managing the front-end accuracy, your team avoids costly delays and manual claims rework that choke revenue in high-dollar orthopedic cases.
Patient Intake Built for Surgical Volume and Complexity
In orthopedic practices, every minute of staff time counts. Yet front offices spend hours collecting forms, copying insurance cards, and chasing down signatures. For high-value surgical cases, even small registration errors can result in claim denials or lost reimbursements.
Fuse’s digital patient intake automates the process end-to-end. Patients complete HIPAA-compliant forms before arrival, upload insurance cards, and sign consent documentation electronically. The system validates data in real time, reducing registration errors and ensuring every surgical case starts with accurate, complete information. Practices handle more surgical volume without hiring additional staff in a market where turnover exceeds 40% annually.
Patient Cost Estimates That Take Minutes, Not Hours
Manual cost estimation for orthopedic surgeries is one of the biggest time sinks in healthcare. It takes an average of 1.3 hours per patient to produce an accurate estimate, time most billing teams simply don’t have. Fuse reduces that to minutes.
Our platform combines payer portal data and data collected from calling payers to calculate patient responsibility based on accurate deductibles, coinsurance, and copays for joint replacements, spine procedures, and sports medicine cases. Staff can instantly generate accurate estimates, improving upfront collections on procedures that often exceed $30,000. Get fewer surprise billing disputes and dramatically lower bad debt, while freeing staff to focus on patients rather than payer portals.
Reduce Burnout While Protecting Your Bottom Line
Administrative overload is a top driver of burnout in orthopedic practices, not just for physicians, but for every team member in the revenue cycle. Fuse removes repetitive verification and estimation work that drains morale and leads to turnover.
By automating tasks that once took hours, Fuse helps stabilize staffing levels, reduce burnout, and eliminate dependence on overworked billing teams. With each replacement costing over $200,000, automation pays for itself by protecting both staff wellbeing and your bottom line.
Handle The Shift to Outpatient Orthopedics Without Administrative Collapse
Orthopedics is rapidly shifting toward outpatient and ambulatory surgery center (ASC) settings. Joint replacements, spine procedures, and fracture repairs that once required hospital stays are now performed in outpatient environments. While that improves patient access, it adds layers of administrative complexity with more pre-authorizations, more financial responsibility, and faster billing cycles.
Fuse automation scales with your surgical volume. It manages the increased flow of verifications, captures all required documentation, and calculates patient cost estimates for bundled or component billing. As your case mix shifts, Fuse keeps your operations efficient without proportional staff increases.
See Results That Matter to Your Practice Financial Health
Automated workflows reduce the delays, denials, and manual effort that drain margins and frustrate teams. With faster, more accurate insurance verification and cost transparency, practices collect more payments upfront and spend less time reworking claims after procedures. Teams stay focused on patient care instead of repetitive data entry, helping stabilize operations and reduce burnout across billing and front office roles.
Most practices are able to go live quickly with Fuse and begin seeing tangible gains in billing accuracy, patient experience, and a reduction in operational burdens soon after implementation.
FAQs
We’ve answered the most common questions about our software below. If you need further details, feel free to reach out to our team.
Fuse can verify coverage and financial responsibility for both global and component codes in bundled orthopedic payments. It identifies what’s included under each payer’s rules, ensuring accurate estimates and preventing denials from billing misalignment.
Yes. By automating repetitive administrative tasks, Fuse reduces the workload and stress that cause high turnover among billing and front office staff. This can lead to saving practices $200K+ in replacement cost per staff member.
Fuse can integrate with most leading orthopedic PM and EHR systems to sync patient data in real time to minimize disruption to your existing workflows.
Implementation is straightforward, and most practices begin to notice workflow improvements soon after going live. Once verification and estimate automation are fully integrated, staff spend less time on manual tasks and more time focusing on surgical coordination and patient care.
Practices that automate verification and cost estimation with Fuse typically experience smoother billing cycles and fewer payment delays. By reducing manual errors and clarifying patient financial responsibility upfront, many see more predictable cash flow and less administrative strain on their teams.
Still have questions?
