Bill-Back

IMPLANT REVENUE RECOVERY FOR ASCs

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

Bill-Back checks implant carve-outs on commercial cases against your vendor invoices and payer contracts, then hands your biller or RCM partner a ready-to-file corrected claim.

Get your free implant audit

Free to audit. Works alongside your existing biller or RCM.

See how it works

The gap

Payers reimburse the cost in your Item Master. That isn’t always what you paid.

  1. 01

    The Item Master holds the cost on file.

    Vendor price changes don’t always reach it.

  2. 02

    The charge follows the Item Master.

    An outdated cost produces an outdated charge.

  3. 03

    The claim goes out looking complete.

    The invoice stays in accounts payable, matched to a PO, not the claim.

Charge created, implant underpaid

Clinical record

Case log · 4452

Mar 20

Supply note

TLIF CAGE 10x26

Billing

Claim · 4452

Mar 23

122633Lumbar fusion, TLIF
2L8699Interbody cage

Item Master cost on file

$3,900

Accounts payable

Stryker Corp.

Apr 13

SY-4826010

Titanium Interbody Cage 10x26mm

Invoice cost

$4,450

Cost-plus 10% contract

Paid

$4,290

Should have been

$4,895

Potential shortfall $605

Case costing uses the same cost on file, so the case still looks profitable.

Each document looks right on its own. It’s a design limitation, not a team failure.

See where implant charges fall out

Bill-Back checks every vendor invoice against your case log and payer contracts, then shows you which implants were unbilled or underpaid.

Get your free implant audit

How the free audit works

  1. 1

    Upload the files you already have.

    We'll walk you through it. Only what the audit needs is sent. The file itself never leaves your browser.

    case_log.csvpaid_claims.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-2077XLUnbilled
    SY-2104508Underpaid
  3. 3

    Your biller submits. You get paid.

    Each unbilled or underpaid implant gets a packet in your facility's name, filed as a routine corrected claim by your biller or RCM partner.

    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

$61K–$163K

Underpaid implants
$23K–$50K
Implants missed at billing
$38K–$113K

Estimates based on typical rates per 100 implant cases. Your audit shows your actual numbers.

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. An implant that never reached a claim doesn't register in them, and an underpaid implant isn't a denial. Bill-Back works both. 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, Paid Claims 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. But creating the charge isn’t checking it against the 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, what was underpaid, and what 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) 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 your unbilled and underpaid implants.

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

Get your free implant audit