How much is your practice leaving on the table?

You enter your NPI. SurgeonValue pulls your public CMS data and cross-references your billing history against the codes your documented encounters should qualify for — RTM (98975–98981), TCM (99495/99496), CCM (99490/99439), ACP (99497/99498), PCM (99424/99426), and more.

The scan runs in under 60 seconds and shows you, by category, which codes appear in your documentation but not your claims. The first scan is free with no login required.

National Correct Coding Initiative (NCCI) edits prevent certain code combinations from being billed on the same date. SurgeonValue checks every suggested code pairing against the current NCCI tables before surfacing a recommendation.

If a pairing would trigger an edit, the system flags it with the specific edit type (Column 1/Column 2 vs. Medically Unlikely) and suggests compliant alternatives. The physician attestation step is the final human review gate — nothing is submitted without your explicit sign-off.

Yes. SurgeonValue is built by SolvingHealth LLC, a Technology MSO with a formal HIPAA compliance program. PHI is encrypted in transit and at rest. We execute a Business Associate Agreement (BAA) with every paying subscriber.

The free NPI scan does not require PHI — it uses your publicly available NPI registry data. Full panel analysis occurs only after BAA execution and EMR integration with your explicit authorization.

Surgeons in our pilot cohort find $3,000–$8,000 in the first month. The most common missed codes are TCM (average $230/discharge, often missed post-surgical), RTM (average $50/month per enrolled patient, 96% unenrolled nationally), and ACP (average $86/session, frequently documented but not separately billed).

At 847 encounters per year, a typical hip and knee surgeon recovers $241,380 annually. Solo practitioners at lower volumes see $60,000–$120,000. The $20/encounter fee only applies when Wonder Bill finds something billable — if there is no recovery, there is no per-encounter charge.

SurgeonValue surfaces code suggestions. A licensed physician (you or a designated supervising MD) reviews each suggestion and attests to its clinical accuracy before it becomes a claim. This is the ClinicalSwipe attestation layer — built with OIG guidance in mind.

The system enforces minimum review times (30 seconds of active viewport, 80% scroll depth) and creates a timestamped, immutable audit record for every attestation. The physician is the decision-maker; the AI is the research assistant. This is the "AI drafts, physician decides" standard articulated in Lantos et al., JAMA 2026.

CJR-X (Comprehensive Joint Replacement eXpansion) is the CMS proposed rule published April 10, 2026. It makes bundled payments for lower-extremity joint replacements mandatory nationwide, covering 2,500+ hospitals and 90-day post-acute episodes.

Under CJR-X, you share in savings if your episode costs come in under the target price — and share in losses if they do not. SurgeonValue's CJR-X module models your episode cost risk against CMS benchmarks using your current panel, so you know where you stand before the rule takes effect.

48 hours from subscription to active panel intelligence. The NPI scan is immediate and free. EMR integration (Epic, Cerner, athena, eCW, ModMed) follows a standard OAuth connection — your IT team connects your EHR, SurgeonValue pulls your encounter data, and Wonder Bill runs on your live panel.

Most surgeons have their first real revenue recovery recommendation within 72 hours of EMR connection.

Yes. The Enterprise tier supports multi-site orthopedic groups and health system deployment. Each surgeon gets their own Wonder Bill dashboard. Administrators see aggregate missed revenue across the group. CJR-X episode tracking works at both the surgeon and health system level.

For health systems with 10+ surgeons, contact us about dedicated deployment, custom EHR integration, and group attestation workflows.

The $20/encounter fee applies only when SurgeonValue identifies a billable code you were not previously billing and you successfully submit that code. If Wonder Bill finds nothing new for an encounter, there is no per-encounter charge.

This structure means SurgeonValue's incentives are aligned with yours: we only earn more when you earn more. The monthly subscription ($199 Core, $299 Pro) covers platform access, EMR integration, and panel monitoring. The $20 encounter fee is your performance bonus to us.

No. SurgeonValue is a clinical intelligence platform, not a billing service. We do not submit claims on your behalf. We identify the codes you have earned but have not claimed, present them to you with supporting clinical documentation, and enable physician attestation. Your existing billing team or RCM vendor submits the actual claims.

This means SurgeonValue works alongside your current billing infrastructure — it does not replace it.

SurgeonValue is purpose-built for orthopedic surgeons — hip and knee reconstruction, spine, shoulder, sports medicine, and hand. The Wonder Bill engine is trained on orthopedic CPT codes, NCCI edits specific to musculoskeletal procedures, and the CJR-X episode cost model.

The SolvingHealth platform supports additional specialties through ClinicalSwipe Direct, including PCP, cardiology, and psychiatry. Contact us if you are interested in a specialty outside orthopedics.