─── HOW IT WORKS
Eleven agents. One surgeon. One loop.
SurgeonValue is the practice OS for an orthopedic surgeon. Eleven domain-tuned agents arranged in a single closed loop — capture · verify · file · episode · judge — so the work the day already produced becomes the codes, the orders, the prior auths, the longitudinal monitoring, and the dashboard, with you in the loop where it matters and out of it where it doesn't.
CMS ACCESS MSK + TEAM Episode aligned · NPI-aware Virtual Front Door · your data, your panel
01 · THE LOOP
The same shape AI's best operators use. Applied to your practice.
The pattern the field just named — loop engineering — is what SurgeonValue runs: an agent makes, a different agent verifies, the run writes itself to memory, and a judgment layer picks what's next. The verifier is the part that earns trust. Boris Cherny put it this month: "I write loops and the loops do the work." Pointed at a surgical practice, that loop is five steps.
- 01
Capture
Paste your note into Wonder Bill, or let Pocket pick it up between visits. The capture is one click.
- 02
Verify
Coding Audit runs an independent pass — NCCI, modifiers, globals — before anything ships. The verifier earns the trust.
- 03
File
Prior Auth writes the letter against the payer's actual policy; AJRR Abstraction files the registry case. You sign.
- 04
Episode
Episode Cost + RTM/CCM + PROM sit inside the 30/90 days and quietly capture the longitudinal codes and the patient's voice.
- 05
Judge
Panel Intelligence rolls every encounter into the dashboard your CFO actually wants. Revenue Recovery sweeps the tail.
02 · THE ELEVEN
Every agent is named for the role it plays in the loop.
No vendor demos with a 47-feature grid. Eleven agents. Each one earns its seat in the loop, or it doesn't ship.
Wonder Bill
Maker · capturePaste a note. It returns the missed codes, the dollars, and a biller-ready summary in under a minute.
Try it →Prior Auth
Maker · unblockDrafts the prior-auth letter against the payer's actual policy in your voice — you sign.
Try it →Coding Audit
Verifier · trustIndependent second-pass: NCCI edits, modifier sanity, global-period checks. The checker that earns trust.
Revenue Recovery
Verifier · recaptureSweeps the last 90 days for denials, downcodes, and unbilled time. Files what's recoverable.
Episode Cost
Memory · the episodeThe 30-/90-day episode P&L per patient — surgical, post-acute, readmission risk. CMS TEAM aligned.
PROM
Memory · the patient's voiceVoice-first PROMs collected longitudinally so the outcome data shows up where the billing does.
Try it →RTM / CCM
Memory · the longitudinal codesFinds who is eligible, unclaimed, and outside a global period — then prepares the 98975 / 98977 / 98980 / 98981 documentation a payer accepts. Your practice bills; the surgeon signs.
On-device queue for the encounter you'd otherwise forget. Sync when you're ready; nothing leaves your phone otherwise.
Try it →AJRR Abstraction
Maker · the registryOperative note + implant log + PROMs in, AJRR-compliant XML out. 90 minutes per case becomes 90 seconds of attestation, with per-field provenance.
Inbox Triage
Maker · the inboxReads the inbox, separates real from noise, drafts the reply. You keep the pen.
Panel Intelligence
Judgment · the dashboardRanks your panel by risk, by missed revenue, by who needs you this week. The view your CFO wishes she had.
03 · THE RAILS
Built on the rails CMS just opened — not against them.
Built on the rail CMS just opened.
The ACCESS Model — Advancing Chronic Care with Effective, Scalable Solutions — began 5 July 2026 and runs ten years. Chronic musculoskeletal pain is one of its four clinical tracks, it pays on outcomes rather than activities using validated PROMs, and CMS will publish participants' risk-adjusted outcomes in a public directory. Entry requires designating a physician Clinical Director. ⛔ ACCESS does not stack with fee-for-service: only ACCESS codes may be billed for an aligned beneficiary during an active care period.
The one that scores you personally.
The Ambulatory Specialty Model is mandatory, with five performance years running 1 January 2027 through 31 December 2031. Orthopaedic surgery is named in the low-back-pain cohort, alongside neurosurgery, anaesthesiology, pain management and PM&R. Eligibility is historic — at least 20 attributed episodes in the calendar year two years prior — so a practice in a selected geography does not opt in or out. It scores an individual clinician, which is exactly what an attested record is for.
Aligned with the 30-day episode model.
Mandatory TEAM regions need a defensible 30-day cost and readmission picture per surgical episode. Episode Cost + PROM are that picture, built once and reusable for the payer report and the surgeon's own dashboard. ⛔ TEAM reaches knee, hip, ankle and spinal fusion — not shoulder, foot or hand; we will not claim a mandate that does not exist.
Your NPI page is the front door.
Every SurgeonValue surgeon gets an NPI-aware landing page that takes a patient question, routes intake, and quietly feeds Wonder Bill on the back side. The patient never sees the billing layer; you never see a missed encounter.
03b · WHICH OF THE ELEVEN ACTUALLY SCALE
Eight change the constant. Three change the exponent.
Sort the agents by how their value grows with the number of patients, and they fall into three groups. We would rather tell you which is which than imply all eleven do the same kind of work.
They change the rate — Wonder Bill · Coding Audit · Revenue Recovery · Prior Auth · Inbox Triage
These make the work you already did more completely paid. Usually the fastest money in the building — and bounded, because you can only ever capture 100% of what you already did. A step change, not a growth curve.
They defend the episode — Episode Cost · PROM · AJRR Abstraction
These protect a payment you already receive under TEAM, ASM and CJR-X. Defensive, increasingly not optional, and also not growth.
They change the exponent — RTM/CCM · Pocket · Panel Intelligence
Only these three create revenue per patient per month, decoupled from your clock. And Panel Intelligence is the underrated one: monitoring slots are exclusive — one practitioner per patient per 30 days — so the first question is not how to monitor, it is who in my panel is eligible, unclaimed, and outside a global period. That is a land-grab, and it is one query.
The full derivation, including the arithmetic and the three questions we could not answer, is at surgeonvalue.com/scale and solvinghealth.com/model.
04 · STATED PLAINLY
The boundary is the design
SurgeonValue drafts. The surgeon attests. Every billable code, every prior-auth letter, every order goes out under your NPI after your sign-off. Nothing autonomous. Nothing submitted on your behalf. The maker-checker split isn't a feature — it's the boundary that lets a busy practice trust the work.
Your notes are not training data. Your panel is not anyone else's panel. Your data leaves when you do.
─── NEXT STEP
A 30-minute walk-through with your own note.
Bring one real op note. We paste it into Wonder Bill, walk you through what the loop captures, and you see your number — in your codes, on your panel. No slide deck.