─── 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 and Order Composer write the letters and orders against the patient's actual coverage. 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 codesSits inside the episode and harvests 98975 / 98977 / 98980 / 98981 with documentation a payer accepts.
On-device queue for the encounter you'd otherwise forget. Sync when you're ready; nothing leaves your phone otherwise.
Try it →Order Composer
Maker · the order setWrites the imaging / PT / DME order against the patient's actual coverage so it doesn't bounce.
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 — Accountable Care for the Most Complicated and Effective Specialty Services — names musculoskeletal as a launch lane. SurgeonValue's loop produces the per-episode P&L, the documented outcomes, and the longitudinal monitoring data the model rewards.
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.
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.
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.