Bill-Back

For ambulatory surgery centers

The implant charges your billing workflow isn’t built to catch.

Bill-Back matches the supply notes from every case to the implants on your vendor invoices, prices each one at your contracted rate, and turns any implant that was missed into a payer-ready Recoup Packet.

Get your free implant auditSee how it works

Free to audit — $0 upfront, you only pay on confirmed recoveries.

The gap

Confirming every invoiced implant made it onto a claim falls between two jobs.

Materials confirms the invoice. Billing confirms the claim.
Neither confirms they match.

Materials & AP

Confirms the implant arrived and pays the invoice, not whether it made it onto a claim.

Your billing team or RCM partner

Codes and submits from the charge sheet, then works the payer's response, judged on claim speed, not on cross-checking every purchased implant against it.

How the miss actually 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

Most PMS platforms auto-populate the charge from your item master, not the vendor’s invoice. So even one-system centers are pricing off an internal list, not what was actually billed. Every nurse notes it differently, every case, every month; at that volume, manual review misses it.

Bill-Back does that matching for you: however the nurse wrote it, against whatever the vendor called it, every case.

Bill-Back reads your vendor invoices against your case log every month. $0 upfront.

Get your free implant audit

How the free audit works

  1. 1

    Upload the files you already have — we'll walk you through it.

    Monthly case log CSV and charge entry report from your PMS, plus vendor invoice PDFs (Stryker, Arthrex, and others). Structured patient identifiers are stripped in your browser before anything uploads.

    case_log.csvcharge_entry.csvinvoices.pdf
  2. 2

    Matches surface automatically — you clear what's already billed.

    Nurse supply notes are matched to vendor catalog SKUs and priced at your contracted rate the moment you upload. One tap clears anything already on a claim. Everything left never reached one — that's what gets recovered.

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

    Packets generate instantly — your biller submits, you get paid.

    Each packet is payer-ready — matched invoice line, contract math, appeal letter. This is revenue you already earned; we just find it and hand your team what they need to collect it. You only pay when the payer pays.

    Recoup_Packet.pdf

    • Matched invoice line
    • Contract math
    • Appeal letter
    Recovered$47,838

Free to audit — you only pay on confirmed recoveries.

See what your center could be recovering

How many implant cases does your center run per month?

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.If nothing gets paid, you pay nothing.

Get your free implant audit

Talk to us

Start your free audit

We’ll get you set up and walk you through uploading your files, step by step — 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

What exactly does Bill-Back do?
It matches supply notes from your case log against your vendor invoices, prices each match at your contracted rate, and generates a payer-ready packet for anything that never reached a claim.
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: names, SSNs, full dates of birth, and MRNs are stripped in your browser before a file uploads. They’re never transmitted.
  • Protection: clinical free text can still carry an incidental identifier, so everything we receive is treated as PHI under a signed BAA: encrypted at rest, isolated per facility, every access logged.
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 parsed automatically. Other major vendors (Zimmer Biomet, DePuy Synthes, and more) are fully supported through manual review while automated coverage expands.

Find out what never made it onto a claim.

Free to audit — you only pay when the payer pays.

Get your free implant audit