Compass Complete — what the fee covers
Doc OPS-05
Doc OPS-05

6% Flat

EHR + PM + clearinghouse + full-service RCM, one fee

1

Source for compliance, software, clearinghouse, and RCM specialists

1

Vendor accountable for the entire claim, start to finish

100%

O&P-exclusive — not a generalist billing service

01 · Built-in vs. bolted-on

Every outsourced RCM service is downstream of your documentation. Compass Complete lives inside it.

They all share the same structural limit: they receive a claim after your clinic has already documented it. None can prevent a denial caused by a documentation gap, because none owns the system where that documentation happens.

OP Compass — structural advantages
Doc OPS-06
6 items
Prevention, not cleanup

Validated before a claim exists

Our Insurance Network rules engine checks HCPCS, ICD-10, modifiers, and documentation against each payer's rules at the point of care — before submission, not after.

One flat fee: 6%

No stacked vendor costs

Every billing service charges on top of whatever you already pay for software and a clearinghouse. Compass Complete's 6% is the whole stack, in one fee.

Structured, not free-text

Appeal docs ready at submission

Because evaluation data is structured, all documents needed to fight a denial are generated the moment the O&P clinic notes are completed — not requested from your clinic after the fact.

Real-time, not weekly

Continuous, not batched

Outsourced billing commonly runs on a weekly account-review cadence. Compass Complete's rules engine checks every claim as it's created, every time.

One vendor, one relationship

No finger-pointing

Software vendor and billing company managed separately means two support lines and no single party accountable when a claim is denied. Compass Complete is one relationship, start to finish.

O&P-exclusive

Built for this specialty, not adapted to it

Even the best O&P-focused consultants are software-agnostic by necessity — they layer advice on top of whatever system you already run.

02 · Side by side

Compass Complete vs. the O&P billing & Consulting services

A factual comparison against the three O&P-specific billing and RCM providers most often considered alongside OP Solutions.

Compass Complete compared with CBS Medical Billing, Prudential Billing and O&P Insight across five elements
Element CBS Medical Billing Prudential Billing Consulting Services Compass Complete
Offering scope Billing + RCM services Billing services only Billing/RCM + broader practice consulting Software + full-service RCM, one system
Error handling Scrubs claims after documentation is complete Standard submission/follow-up; no prevention emphasis Consulting-led improvement, not real-time prevention Payer rules validate at the point of documentation
System integration Separate vendor; works with whatever EHR you have Same Same — software-agnostic consulting layer Billing and clinical data share one structured system
Vendor relationships Software vendor + CBS, managed separately Software vendor + Prudential, managed separately Software vendor + Consulting Services, managed separately One vendor, one accountable relationship
Pricing transparency Not published Not published Not published 6% flat, all-inclusive — published, right here

Competitor entries describe publicly stated offerings at the time of writing and are not quotations. Verify before publish, and re-check whenever a competitor changes its published scope or pricing.

03 · Customer story

What changes when prevention replaces cleanup

“When we were considering compass complete, we asked for referrals and everyone we spoke to recommended OP Solutions. We have now been using them for almost a year and always get paid in a timely expectation with a full allowable amount. Compass clinical workflows has helped streamline, our clinic and the software team has made many changes that we have requested. Highly recommend.”
— Owners, Prosthetic practice Michigan
04 · What every org sees, live

The reports RCM companies sell as a bonus. We give every org, standard.

Others market “reporting” and “insights” as a reason to choose them — usually a monthly recap call or a static PDF. Every Compass Complete org gets this financial visibility live, inside the system, filterable by facility, clinician, insurance, HCPCS and device type.

Illustrative report data — replace with a live export or anonymised client figures before publish

Billed (allowed, contract)

OrthoticProstheticOP

$1,333,399.30

▲ 8%+ $106,672.04

Q6MYCustom
$400K$200K$0 FEBMARAPR MAYJUNJULAUG

Billed represents the total of submitted claims, calculated using the allowed (contracted) fee schedule amounts associated with the patients' insurance plans uploaded into Compass.

Allowed vs collected %

OrthoticProstheticOP

96.09%

▲ 12.6%+ $115,000.31

Q6MYCustom
$400K$300K$200K$100K$0 FEBMARAPR MAYJUNJULAUG

Collected Allowed Gap

Allowed compared to collected represents the aggregated allowed amounts of submitted claims compared to the total payments received, including all insurance and patient payments.

Collected (settled total)

OrthoticProstheticOP

$1,075,200.64

▲ 9%+ $96,768.05

Q6MYCustom
$400K$200K$0 FEBMARAPR MAYJUNJULAUG

Collected represents the total payments received from the submitted claims charged amounts, including all insurance and patient payments.

Outstanding (DSO)

Insurance duePatient dueAll due
Q6MYCustom

Days in collections (avg.)

29

Current

61.94%

$145,000.88

31–60

23.12%

$54,123.95

61–90

9.52%

$22,285.54

91+

5.41%

$12,675.01

$200K$100K$0 FEBMARAPR MAYJUNJULAUG

Outstanding represents the aggregated unpaid allowable balances for unsettled claims, categorised into four ageing buckets.

05 · The only transparent price in the category

6% of collections.

One flat rate. No separate software license, no separate clearinghouse contract, no separate billing-company invoice on top of what you already pay — and not one O&P billing or RCM service in this comparison publishes a number at all.

EHR
Practice Management
Insurance Network Rules Engine
Clearinghouse
Billing & Collections
Denials, Appeals, ALJ Support
years of combined clinical and RCM experience
0 +
collection of contracted allowable billed
0 %
claim paid success
0 %
ALJ CMS Appeals wins
0 %
06 · Straight answers

The questions every clinic asks before choosing between software and a billing company

Should we outsource O&P billing to a specialist, or use software with built-in RCM?

If you’re fully satisfied with your current team, staying with software plus a separate billing relationship is a reasonable choice. But it’s worth pricing out the full cost, including the salary, benefits, turnover, and overhead of running billing in-house or through a separate vendor — Compass Complete is usually the answer, most likely at a lower total cost than you’re paying today.

An O&P billing company only ever sees the claim after your clinic has already documented it — they can scrub and appeal, but they can’t prevent a denial caused by a documentation gap. Compass Complete’s Insurance Network rules engine lives inside the same system as your clinical notes, validating every evaluation against payer rules before a claim exists.

6% of collections — EHR, practice management, clearinghouse, and full-service RCM (billing, collections, appeals, and ALJ hearing support) included. If you don’t get paid, neither do we.

07 · Get started

See the claim journey a billing company can't shorten.