Orthopedic practiceslose revenue in block time, implant costs, and referral quality.

Block time is allocated to surgeons based on expected volume. When blocks are underutilized — cases cancelled, blocks released late, or time sitting idle — that capacity is gone. D5 tracks block utilization by surgeon and location, quantifying the revenue sitting in underused OR time.

The shift of total hip and knee replacements from hospital to ASC is one of the most significant revenue opportunities in orthopedics. D1 and D4 track ASC migration volume, case completion rates, and patient flow efficiency for migrated procedures.

Sports medicine referrals feed the arthroscopy and joint replacement pipeline. D6 tracks volume, cancellation rate, and net revenue per case by referring provider — identifying which sports medicine relationships are generating the highest-margin surgical volume.

Orthopedic implant costs vary significantly by device, surgeon preference, and vendor contract. D7 compares implant procedure reimbursements against contracted rates by payer and CPT — surfacing where implant cost variance is compressing case margin.

Orthopedic cancellations — particularly for joint replacement — are expensive. Implant availability, prior auth delays, and patient readiness are the leading causes. D2 decomposes every cancellation by cause so interventions address the right problem.

Elective joint replacement and spine procedures face the longest prior auth timelines and the highest denial rates. D3 maps every scheduled orthopedic procedure to its auth status 30 days in advance — CRITICAL cases flagged where surgery is within 5 days and auth has not been confirmed.