Client
Orthopedics
Category
Article
Year
2026
Rette AI was implemented to automate the revenue cycle for this orthopedic practice to address persistent financial leakage. The initiative deployed AI-powered coding and scrubbing tools to ensure that medical notes were accurately translated into paid claims. This project successfully stabilized the clinic's revenue stream, allowing the business to grow without increasing administrative costs.
A small, high-volume orthopedic practice was struggling with an unsustainable 18% denial rate. With limited billing staff, manual coding errors were leading to an estimated $60,000 in annual revenue leakage. The practice faced constant delays in revenue recovery, often waiting over 30 days to resolve disputed claims.
The practice implemented Rette AI’s intelligent claim scrubbing and AI-powered medical coding modules. The system began automatically suggesting ICD-10-CM codes with 80% accuracy based on clinical notes. Every claim was validated against specific payer rules and NCCI edits before submission to ensure a high confidence of acceptance.
Within the first month, the practice achieved a 30% reduction in total denials. They successfully recovered $18,000 in previously lost revenue through automated denial management tools. By the end of the first quarter, the practice was on track to achieve a 4x ROI, effectively plugging the financial leak.
