Spine surgery practicesneed OR intelligence, not generic dashboards.
Multi-site spine practices lose revenue in predictable places — first case start delays, turnover inefficiency, implant cost variance, and prior auth timelines nobody is tracking against the schedule. Prexisio builds the diagnostic layer that shows you exactly where and by how much.
$3,800
Average case revenue for complex spine procedures
Making every cancellation and OR inefficiency acutely expensive
15–25 min
Typical first case start delay in spine ORs
Cascading into turnover delay and reduced daily case volume
8–14 days
Average prior auth timeline for spinal fusion
The longest in specialty surgical — tracking it against the schedule is non-negotiable
What the diagnostic covers for spine surgery
OR utilization and first case start discipline
D5In spine surgery, the first case of the day sets the tempo for everything that follows. A late first case start cascades into delayed turnover, overtime, and reduced capacity. D5 tracks first case start variance by surgeon and location — and quantifies the revenue impact of the gap.
Turnover time optimization
D5Spine cases have complex setup and teardown requirements. Turnover time variance across surgeons and locations drives OR utilization in ways that are invisible without the timing data. D5 maps every WheelsOut-to-WheelsIn interval and benchmarks each location against the best-performing site.
Cancellation decomposition for complex case scheduling
D1 + D2Spine surgery cancellations are expensive — higher case value, longer prior auth timelines, and more complex scheduling dependencies. D2 decomposes every cancellation by window, cause, and payer so interventions are targeted at the highest-value prevention opportunities.
Implant cost tracking and reimbursement analysis
D7 + D8Spinal implant costs are a significant driver of case margin. D7 compares implant-related procedure reimbursements against contracted rates by payer and CPT code — identifying where implant costs are eating into case margin and where payer contracts may need renegotiation.
Prior auth for spine procedures
D3Spinal fusion, laminectomy, and stimulator implantation all require prior authorization — and auth timelines for spine procedures are among the longest in specialty surgical. D3 maps every scheduled spine case to its auth status 30 days in advance.
Multi-surgeon performance benchmarking
D5 + D6Surgeon-level OR performance — first case starts, turnover contribution, case completion times — varies significantly across multi-site spine practices. D5 produces the surgeon scorecard that makes those conversations data-driven instead of political.
Systems we work with in spine surgery
Primary ASC platform — surgical records, clinical timing, OR data
EMR and practice management at many spine organizations
Larger multi-site spine groups and hospital-affiliated practices
ERA payments, claims, implant procedure reimbursements
Find out what OR inefficiency is costing your spine practice.
Three inputs. Thirty seconds. A specific monthly dollar amount.