Every answer leads with the direct answer, then the detail behind it. Ten questions O&P clinics ask before switching — migration, denials, payers, plans and price.
No gated PDFs and no “contact us for pricing” — the fee is on this page. Each answer is separately linkable, so you can send a colleague straight to the one that matters.
The process runs from a spreadsheet export of your patient data out of your current system to full enrollment with your in-network payers — typically about 30 days end to end. Your team’s actual time investment is usually just one to two days total, and it’s well worth it for what you gain in Compass. We guide you through every step and handle the time-consuming work ourselves.
Past clinical notes are usually in PDF format; you can upload them in a batch from an organized folder, or individually into the Documents tab in each patient’s chart. Once your data is in, we enroll your clinic with each in-network payer and write the corresponding payer rules — and you’re ready to start using Compass.
Last updated: 2026-08-17
The key difference from general medical RCM is the level of scrutiny: O&P claims must show strict, documented adherence to payer rules, with the clinic’s clinical notes matching the referring physician’s notes and Standard Written Order (SWO) precisely. Most payers also don’t allow supporting documents on a first-time claim submission, so the claim has to be fully compliant on that first attempt to have any real chance of getting paid without a fight.
This is where Compass is different: its Insurance Network rules engine guides clinical notes, HCPCS codes, ICD-10 codes, and modifiers so they’re correctly applied to each patient’s specific insurance before submission — meaning every first-time submission in Compass is already compliant, giving your clinic the best possible chance of getting paid on the first try.
Last updated: 2026-08-17
When you onboard with Compass, we enroll your clinic with every payer you’re in-network with, including CMS/Medicare. From there, our proprietary Insurance Network rules engine defines the specific billing rules for each individual plan, guiding your clinicians and administrative staff through the workflow so payer rules are followed automatically — resulting in clean, compliant first-time claim submissions.
Last updated: 2026-08-17
First, the rules engine applies each payer’s specific rules to every evaluation, checking patient-specific data, outcome measures, HCPCS codes, modifiers, and ICD-10 codes for compliance as it happens; if an HCPCS code requires prior authorization or is excluded by that payer, Compass flags it immediately and warns the whole care team.
Second, because the evaluation and codes are already payer-compliant, Compass automatically generates the documentation you’d need to fight a denial at the same time you submit the initial claim — not after. So if a claim is denied anyway, the paperwork to refute it is already complete, and your RCM specialist doesn’t need to circle back to the clinic or clinicians for more information. Compass keeps all of it organized in one place.
Compass Complete adds full-service RCM on top of that — billing, collections, denials, appeals, and Administrative Law Judge (ALJ) hearing support — along with more advanced AI features not available on the software-only plan.
One of our clients in Charlotte, North Carolina had an ABC exam shortly after onboarding with Compass and told us it was the easiest exam he’d experienced in his many years as an O&P business owner. The examiner was so interested in Compass’s technology and workflow that the exam ran longer than expected, wanting a full demonstration of its advanced features. He passed.
Last updated: 2026-08-17
Compared to OPIE, the biggest difference is Compass Complete, our full-service RCM offering. Compared to Nymbl, O&P is our only specialty (Nymbl serves multiple specialties), we include the clearinghouse, and Compass Complete costs less. Compared to other RCM companies, Compass Complete is the only option that bundles the EHR/PM, the Insurance Network rules engine, and the clearinghouse into one system for a single, low fee — typically lower than what those companies charge for RCM services alone.
Its founder and majority owner — also the creator of Compass — worked as a prosthetic technician through undergraduate school, trained in Orthotics and Prosthetics at Northwestern University’s Feinberg School of Medicine, and has spent more than 30 years as an O&P clinic manager or owner. He has published over 60 peer-reviewed journal articles that have shaped clinical practice guidelines and insurance policy, and remains solely dedicated to the O&P profession.
Last updated: 2026-08-17
But it’s worth pricing out the full cost of that setup, including some factors that are easy to overlook. An experienced O&P RCM specialist typically earns $30–$40/hour, plus roughly another 20% in benefits. On top of that are hard costs like absenteeism, presenteeism, quiet quitting, turnover, computers, workspace, software, and the clearinghouse — and soft costs like the stress, energy, and time it pulls away from running the rest of your business and caring for patients.
Add it up, and Compass Complete is usually the answer, most likely at a lower total cost than you’re paying today.
Last updated: 2026-08-17
Last updated: 2026-08-17