Bill-Back

For ambulatory surgery centers

The implant revenue your billing workflow isn’t built to recover.

Bill-Back reconciles your vendor invoices against your case log and payer contracts, then turns unbilled and underpaid implants into payer-ready corrected claims.

Get your free implant auditSee how it works

Free to audit. You only pay when the payer pays.

The gap

Materials confirms the invoice. Billing confirms the claim. The two systems aren’t built to cross-check.

How the miss happens

Operative case record

Mar 14

Supply note

INTF SCREW 8x23

Case
4417
CPT
29888
Payer
Commercial PPO

Arthrex, Inc.

Apr 2

Catalog no.

Extended

AR-5088CS

Bio-Interference Screw 8x23mm

$1,204.00

AR-9042KT
$318.00
AR-1160DR
$86.00

Same screw. Two names. 19 days apart.

Bill-Back checks your vendor invoices against your case log every month. Your upload takes under three minutes.

Get your free implant audit

How the free audit works

  1. 1

    Upload the files you already have.

    We'll walk you through it. The file is read in your browser, and only what the audit needs is sent: procedure month, payer, CPT code, procedure description, surgeon name, and supply notes, plus a hashed case reference if you map one.

    case_log.csvcharge_entry.csvinvoices.pdf
  2. 2

    We match. You clear what's already billed.

    Supply notes are matched to invoice lines and priced at your contracted rate.

    CANN SCREW 4.0x4098.7%
    SY-7050425Already billed
    AR-2077XLTo recover
  3. 3

    Your biller submits. You get paid.

    Each implant that never reached a claim gets a payer-ready packet.

    Recoup_Packet.pdf

    • Corrected claim
    • Contract basis
    • Exhibit A: invoice line
    Recovered$47,838

See what your center could be recovering

Implant cases per month

Your estimated annual recovery

$132K–$340K

Based on ~11–14 missed claims/month at $1,500–$3,000 each, assuming 70% of those claims get paid.

You only pay on confirmed recoveries.

Get your free implant audit

Talk to us

Start your free audit

We’ll walk you through the upload. No cost, no commitment.

We’ll reach out within one business day to schedule.

Number of centers

Patient data is minimized in your browser and handled under a signed BAA.

Frequently asked questions

What it does

Does this replace our billing team or RCM company?
No. RCM firms are measured on denial rates and days in AR: metrics that start once a claim exists. Bill-Back works the seam before that: implants invoiced but never billed. Your biller keeps billing, your RCM keeps working claims. We hand them ready-to-submit packets.
How accurate is the matching?
Every match carries a confidence score; anything below 98% goes to a human review queue instead of auto-approving. Confirmed matches are remembered, so your review queue shrinks month over month.

Cost and effort

What does it cost?
Nothing upfront, no subscription. We're paid a flat contingency fee only after the payer's payment is confirmed. If the audit finds nothing, you owe nothing.
What do we have to do each month?
Upload three files you already have: case log, charge entry report, and vendor invoice PDFs. Under three minutes. Invoices don't need to match the case month; upload them as they arrive and we'll match against your recent case logs.
We chart and bill in HST Pathways, SIS, or Advantx. Isn't this already handled?
Charting and billing in one platform gets the implant note onto your charge sheet. It doesn't check that charge against the vendor's actual invoice. The number comes from your item master, not what the vendor billed. Bill-Back reads both and shows you what never made it onto a claim, or was bundled when it shouldn't have been.

Data and coverage

Is patient data safe?

Yes, in two layers:

  • Minimization: your file is read in your browser, and only what the audit needs is sent: procedure month, payer, CPT code, procedure description, surgeon name, and supply notes. The file itself never leaves your browser. If you map a case or account number, it is hashed in the browser before it’s sent, so the number itself never leaves your browser.
  • Protection: supply notes are sent as the nurse wrote them, because the device description and catalog number are what the audit matches on. Everything sent is handled under a signed BAA, with encryption in transit and at rest, facility-level isolation, and append-only audit logging.
Which payers does this work with?
Commercial payers (PPO, HMO, Tricare) plus work comp through manual review. Medicare, Medicare Advantage, and Medicaid are excluded: CMS bundles implant costs into the ASC's procedure payment, so there's nothing separate to recover.
Which implant vendors are supported?
Stryker and Arthrex are supported today. Other major vendors (Zimmer Biomet, DePuy Synthes, and more) are fully supported through manual review, and new invoice layouts are added as centers send their invoices.

Find out what never made it onto a claim.

Free to audit. You only pay when the payer pays.

Get your free implant audit