Mira RCM · Orthopedic Revenue Cycle

From voice to paid claim in 24 hours

Mira generates, submits, and defends every claim. Your team stops chasing EOBs and starts managing exceptions.

~56% Denial reduction
24hr Submission
$216K+ Avg. savings
Request a Demo See How It Works

Voice-to-Claim Pipeline

01
Voice
02
Note
03
Validate
04
Submit
Product

Your revenue, visualized

Real-time claims tracking, revenue analytics, and denial management — all in one dashboard.

M
Claims Dashboard
1D 1W 1M YTD

Submitted

12

+3

Avg. Turnaround

22h

-4h

Monthly Revenue

$284K

+18%
Claim ID Patient Procedure Amount Status
CLM-4821 J. Morrison Total Knee Arthroplasty $12,480 Paid
CLM-4822 R. Alvarez Rotator Cuff Repair $8,920 Submitted
CLM-4823 M. Chen ACL Reconstruction $10,250 Paid
CLM-4824 S. Patel Spinal Fusion — L4/L5 $24,600 In Review
CLM-4825 A. Williams Hip Replacement $15,800 Paid
Pipeline

Less manual work. More results.

01

Capture

Mira listens to your encounter and captures every clinical detail in real time. No templates, no typing.

02

Generate

SOAP notes, CPT/ICD codes, and billing packets generated automatically. Validated against payer-specific rules.

03
$

Submit & Defend

Claims submitted within 24 hours. Denials automatically appealed with clinical evidence and payer-specific arguments.

~85%
Clean claim rate
< 24 hrs
To submission
0
Paper EOBs
Payer Intelligence

Billing rules that learn. Denials that don't repeat.

Most RCM platforms treat billing as a data-entry problem. Mira treats it as an intelligence problem. Every claim is validated against ortho-specific CPT logic, payer-specific formatting rules, and historical denial patterns before submission.

When a denial does occur, Mira generates the appeal automatically — with clinical evidence extracted from the encounter and arguments tailored to the payer's known rejection patterns.

Ortho-Native CPT Engine

Codes generated from orthopedic-specific encounter context, not generic templates.

Payer-Specific Rules

Every claim formatted to the exact requirements of each payer.

Denial Pattern Memory

Mira learns from every denial and adjusts future claims automatically.

No Paper EOBs

Fully electronic remittance and reconciliation. Zero paper chasing.

“I saw 50 patients in the office. My biller was on vacation and it was a mess. Greg, my PA is sick so I had to see more patients. Mira made my life way easier. Great job.”
SP
Dr. Sri Pinnamaneni
TOC St. Louis
Revenue Engine

Every chart is a billing event

Most AI tools stop at documentation. Mira goes from voice to revenue — generating defensible coding, catching what you’re leaving on the table, and tracking every dollar recovered.

The Feature That Pays for Itself

Automatic MDM generation at the bottom of every note

Mira appends a structured Medical Decision Making justification to every encounter note. Number of diagnoses addressed, data reviewed, risk of complications — the exact framework auditors look for. Your Level 3s become defensible Level 4s without you changing a single thing about how you practice.

Level 4 Capture Rate

73% +41%

vs. 32% industry avg for ortho

With Mira 73%
Without 32%
99407

Smoking cessation counseling

Billed when you counsel >10 min. Mira timestamps it automatically.

99215

High-complexity E/M upgrades

MDM justification turns moderate-complexity visits into high. Defensible, every time.

Modifier -25

Significant separate E/M

When a procedure visit also involves a separately identifiable evaluation. Mira catches and documents the distinction.

Results

What $216K of recovered revenue actually looks like.

~56%Denial reduction
24hrClaim submission
$216K+Avg. annual savings
~85%Clean claim rate
Metric
Before Mira
With Mira
Documentation time
2+ hrs/day
~15 min/day
Clean claim turnaround
4+ days
<48 hrs
Documentation overhead
$94K/yr
~$4K/yr
Denial rate
9.4%
~4.1%
Under-coding leakage
$147K/yr
<$21K/yr
Get Started

Stop leaving revenue on the table. Let Mira run your revenue cycle.

Join the orthopedic practices recovering six figures annually with fully automated claim submission and denial management.

Request a Demo Talk to an Expert

Mira RCM in short

Orthopedic revenue cycle, end to end

Mira RCM codes, submits, and follows up on orthopedic claims. Every encounter is pre-coded from the note and run through several layers of orthopedic-specific coding and billing checks (bundling, modifiers, global periods, and payer rules) before it goes out, so denials are caught before the payer sees them. Run it as your full billing team, or as a second set of eyes for the coders and billers you already have.

Frequently asked questions

01What is AI-powered revenue cycle management for orthopedics?
AI-powered RCM automates the entire billing workflow — from charge capture and CPT coding to claim submission, denial management, and payment reconciliation — using AI trained specifically on orthopedic billing rules and payer requirements.
02How much revenue can Mira recover for my practice?
Orthopedic practices using Mira see an average of $216K+ in annual savings through reduced denials (~56% reduction), faster claim submission (within 24 hours), and automatic identification of missed billing opportunities like MDM upgrades and modifier captures.
03How does Mira reduce claim denials?
Mira validates every claim against ortho-specific CPT bundling rules, payer-specific formatting requirements, and historical denial patterns before submission. When denials occur, Mira auto-generates appeals with clinical evidence and payer-specific arguments.
04Does Mira handle the entire billing process?
Yes. Mira handles charge capture, CPT/ICD coding, claim scrubbing, electronic submission, payment posting, denial management, and appeals — end to end. Your team manages exceptions, not routine billing.
05What is Mira's clean claim rate?
Mira achieves approximately 85% clean claim rate on first submission, compared to the industry average of 60-70% for orthopedic practices. This means fewer rejections, faster payments, and less rework.
06What is orthopedic coding software?
Orthopedic coding software reads the clinical documentation and suggests the CPT codes, ICD-10 codes, and modifiers for each encounter. Mira RCM is built on orthopedic encounters by people who know ortho billing. Every suggested code runs through several layers of orthopedic-specific coding and billing checks (bundling, modifiers, global periods, and payer rules), so each one is defensible and audit-ready.
07Does Mira replace my in-house coders and billers?
It does not have to. Mira RCM can run the full revenue cycle, but many practices keep their billing team and use Mira as coding intelligence: Mira pre-codes from the note and flags risk, and your billers review and approve the exceptions in one coder review queue instead of coding every chart from scratch.
08Which modifiers does Mira handle for orthopedics?
Mira assigns modifiers from the documentation, including -LT, -RT, and -50 for laterality and bilateral procedures, -25 for a significant, separately identifiable E/M on a procedure day, -59 for distinct procedural services, and -79 for unrelated procedures during a global period.
09Can Mira help with a coding audit?
Yes. Every suggested code is tied to the documentation that supports it, so each code is defensible and audit-ready. Mira also appends a structured Medical Decision Making justification to every note, the framework auditors look for when reviewing E/M levels.

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