Differentiated ASC Focused Business Model


Premier Clinical Quality
Clinician Led and patient focused anesthesia care. An industry leader in exceptional safety utilizing value-based care principles.
Operational Optimization
Experts in ASC, Surgical Hospital, and Inpatient operational optimization with innovative technology.
Best in Class RCM
OrthoMed’s dedicated Revenue Cycle Management team delivers consistent, measurable results with industry leading KPIs across every phase of the revenue cycle.
Reporting & Analytics
Robust reporting and analytics customized to the needs of the facility including scorecards for operational, quality, and patient experience metrics.
Partnership
Our team is comprised of exceptional clinical leadership and dedicated management professionals who bring a wealth of experience, knowledge, and passion to everything we do.
Superior Experience
Superior patient, surgeon, and system partner experience. We routinely survey to ensure we are exceeding industry standards.
Industry-Leading NSA/IDR
Efficient in-house process designed to minimize administrative burdens and ease financial strain on patients. OrthoMed is a leader in NSA and TDI through innovation and automation.
Single-Specialty Focus
We specialize exclusively in anesthesia led by clinicians with deep expertise in regional anesthesia and acute pain management.
The OrthoMed Difference: ASC Case Study
Profile
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Multi-specialty ASC owned and operated by a large national group
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2 operating rooms, 1 procedure room
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Offers urology, pain management, orthopedics, ophthalmology, OB/GYN and otolaryngology
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Located in Northeast Texas, near the border of Oklahoma
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OrthoMed Services began: August 2020
Situation & Challenges
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Prior coverage group was struggling to maintain profitability due to this facility’s relatively weak payor mix and decided to terminate coverage in June 2020 with only 30 days notice
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OrthoMed was approached immediately to assume coverage beginning in July 2020 and overcame the following challenges:
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Recruiting providers that the community trusts and are comfortable with the patient population
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Significant licensing / credentialing needs to be fulfilled in a short amount of time
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Bringing existing providers and ASC administration up to speed on OrthoMed’s protocols and workflow
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The OrthoMed Solution
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Conducted recruitment campaign to retain MDs and CRNAs already serving the ASC
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Improved anesthesia program to OrthoMed’s market-leading standards of care
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Upgraded the facility’s ultrasound unit to improve accuracy in regional anesthesia
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Invested in continuing education for MD and CRNA providers to improve patient recovery
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In-house RCM capabilities allowed OrthoMed to maximize reimbursement more than previous group
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Implemented Graphium EHR management system, which received positive feedback from clinicians
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1 year contract awarded in July 2020, with subsequent 5-year renewal in 2021
OrthoMed’s Repeatable Playbook
ASC
Partner with ASCs to identify deficiencies in current facility operations
Develop and implement OrthoMed’s proven anesthesia playbook to drive operational change
Surgeons
Work closely with partner surgeons to ensure the highest quality of patient care
Create facility-specific workflows to decrease turnover time and improve efficiency
Analysis
Continuously monitor staffing, operations and surgical outcomes to ensure consistent quality of care and performance for the facility, surgeons and anesthesia team
OrthoMed Generates Significant Savings for Facilities
OrthoMed is able to deliver care to many of our sites without subsidy due to our shared clinical staffing model and in-house RCM capabilities

Case Study
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A client came to OrthoMed with four facilities across two states as they were unhappy with the financial and operational service they were receiving
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OMS Solution: OrthoMed was able to implement a care team clinical model with efficient in-house RCM capabilities to reduce stipend requirement by $6.5M+ annually
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In addition to these specific facilities, OrthoMed has many instances where facilities are operated with zero stipend required
Best-in-Class Operating Playbook
Defined and repeatable provider workflow expectations yield high patient and facility satisfaction with clinical care










Positive patient engagement helps to minimize no-shows as patients are more likely to show when they feel valued while receiving care
Each provider calls patients prior to scheduled procedures to remind them about their specific pre-surgical protocols
OrthoMed’s increased physician involvement and knowledge of patient needs improves the care process
Target 3:1 CRNA to Anesthesiologist ratio providing the most cost-effective approach while still allowing the anesthesiologist to interact with every patient
OrthoMed’s Enhanced Recovery After Surgery (“ERAS”) protocols ensure best practices for improved patient outcomes
Patient NPS score of 89.4 for 2025 YTD highlights commitment to patient experience
Best-in-Class Operating Playbook

Commitment to Clinical Quality
Clinical Leadership: Regional medical directors and site-level leadership allow for effective communication and consistent refinement of best practices
Continuing Education: Medical directors and clinical leaders provide instrumental training during Monthly Grand Rounds meetings for clinician review and improvement, difficult airway training courses and hands-on regional anesthesia technique training courses
Dedicated Operations Teams: Local and corporate leadership and operations teams with dedicated regional focuses to ensure market and facility specific know-how
Provider Flexibility: Clinicians licensed in multiple states to improve flexibility

Exceptional Clinical Outcomes
Standardized Procedures: Enhanced Recovery After Surgery (ERAS) procedures improve patient outcomes as highlighted by extremely strong clinical incidence rates relative to national benchmarks
Clinical Safety: For the LTM ended Feb-25, OrthoMed related ASA Type 1 Incidents have been ~70%(1) lower than the national average
Opioid Use Reduction: Clinicians are trained in opioid sparing techniques to minimize morbidity of opioid use and abuse
Regional Anesthesia Expertise: OrthoMed clinicians receive significant training in regional anesthesia during monthly grand rounds and on-site regional block trainings to ensure hands-on education and practice.
(1) Sourced from publicly available information as of 2/28/25
Industry-Leading In-House RCM Capabilities

Anesthesia-Focused
BillingOrthoMed’s in-house RCM team specializes in anesthesia-specific billing, coding and reimbursement strategies to optimize revenue capture

Automated Workflows
OrthoMed leverages the latest RCM technology such as RPA and OCR, among others, allowing for streamlined processes yielding increased efficiency and reduced administrative burdens

In-Network & Out-of-Network Expertise
Our team navigates both in-network and out-of-network payor dynamics ensuring maximum reimbursement

Compliance Focused
Regulatory requirements and payor guideline adherence is the priority of all team members to ensure clean claim submissions and minimized denials