Start where the paperwork is hardest.
Orthopedics has the widest prior-auth surface area of any specialty. That makes it the sharpest wedge — and the same engine extends across specialty revenue cycle.
Imaging, surgery, injections, PT, and DME each have their own approval process — more touchpoints than almost any other specialty.
Properly filed appeals overturn roughly half of denials, and 80%+ of appealed Medicare Advantage denials are overturned. The work is fixable paperwork.
Specialists spend roughly three times longer per manual prior auth than generalists. That's exactly the work Appelo prepares.
Six approval processes. One patient.
MRI, CT, and ultrasound each carry their own PA criteria and conservative-care prerequisites.
Arthroscopy, joint replacement, fusion — high-value procedures with detailed medical-necessity review.
Viscosupplementation, epidurals, and joint blocks with frequency and step-therapy rules.
Therapy courses authorized in visit blocks, re-authorized on progress documentation.
Braces, bone stimulators, and devices — each its own documentation and supplier path.
Ongoing care means recurring approvals, every one a fresh chance for a denial.
See it on orthopedics first.
Then watch it work across the rest of your specialty mix.