Automated 5-Stage Operative Revenue Recovery

Hospitals Downcode Your Operative Notes. Wonder Bill Recovers $910+/Case.

Hospitals routinely drop secondary surgical procedures, autograft harvesting, and complexity modifiers to avoid payer audits. Wonder Bill cross-examines hospital coding against AAOS guidelines under your own NPI. Flat $20/bill. Free tier forever.

Select Validated Surgical Case

Complex Primary Total Hip Arthroplasty (THA)

Male, Age 68 · Severe Dysplastic Hip with Acetabular Defect · Derek Amanatullah, MD / Stanford Orthopedics

Hospital Coder Remittance$1,482

CPT 27130$1482

Total hip arthroplasty

Identified Downcoding Deficits:

✕Modifier 22 complexity unbilled despite 55 min operative delay
✕Femoral head bone autograft (CPT 20930) omitted by hospital coder
✕Intraoperative fluoroscopy guidance (CPT 77002-26) dropped from billing ledger

Wonder Bill Defended Claim$2,420

CPT 27130-22 Mod 22$1852

Total hip arthroplasty (increased procedural complexity)

Rationale: Extensive periarticular soft tissue release (>45 min extra operative time documented for Crowe II dysplasia).

CPT 20930 $295

Allograft for spine/joint surgery (morselized)

Rationale: Morselized femoral head autograft packed into superior-posterior acetabular cavitary defect.

CPT 77002-26 Mod 26$273

Fluoroscopic guidance for needle placement/component seating

Rationale: Live intraoperative fluoroscopic cup anteversion and leg length verification recorded in PACS.

Recovered Revenue:+$938

Wonder Bill 5-Stage Autonomous Pipeline

STAGE 1

Op Note Optimizer

✓ Parsed 4 Pages

STAGE 2

Voice-to-Bill

✓ Dictation Synced

STAGE 3

Biller Advocate

✓ 3 Edits Defended

STAGE 4

Discrepancy Audit

✓ +$938 Flagged

STAGE 5

EMR Suggester

✓ Ready for EHR

Epic EHR DotPhrase & Hard-Intercept Attestation

Surgeon must review and sign defense before submission. No AI billing executes without physician attestation.

Epic DotPhrase: .WONDER_BILL_CLAIM_DEFENSE

.WONDER_BILL_CLAIM_DEFENSE
SURGEON: Derek Amanatullah, MD / Stanford Orthopedics
CASE: Complex Primary Total Hip Arthroplasty (THA) | Male, Age 68 · Severe Dysplastic Hip with Acetabular Defect
ORIGINAL HOSPITAL CODED: $1,482
WONDER BILL DEFENSE CODED: $2,420 (REVENUE RECOVERY: +$938)

1. NCCI PTP & PROCEDURAL COMPLEXITY JUSTIFICATION:
   * CPT 27130-22 ($1852): Extensive periarticular soft tissue release (>45 min extra operative time documented for Crowe II dysplasia).
   * CPT 20930 ($295): Morselized femoral head autograft packed into superior-posterior acetabular cavitary defect.
   * CPT 77002-26 ($273): Live intraoperative fluoroscopic cup anteversion and leg length verification recorded in PACS.

2. AAOS CODING COMPASS / CHAPTER 4 CITATIONS:
   - Primary procedure documentation satisfies separate anatomical site and distinct operative threshold.
   - Modifier 22 substantiated by operative report dictation recording anomalous anatomy and extensive operative time.

3. BILLING DIRECTIVE:
   - File under Attending Surgeon NPI (Surgeon retains 100% of professional reimbursement).
   - Wonder Bill Service Fee: Flat $20.00 / encounter (No percentage clawback).

HARD-INTERCEPT CLINICAL ATTESTATION: PENDING SURGEON SIGNATURE
SIGNING ORTHOPEDIC SPECIALIST: Derek Amanatullah, MD / Stanford Orthopedics

Flat $20/Encounter · Zero Revenue Share

Scan Your Operative Notes with Wonder Bill

Test your operative notes through our 5-stage pipeline for free. Recover lost RVUs and defend surgical complexity under your own NPI.

Launch Wonder Bill Stanford Pilot