A denial almost never comes down to bad care. It comes down to unclear evidence — a note that never mentions the detail a payer’s rule requires, a justification that reads fine to a clinician but means nothing to an adjudicator. Compass exists to close that gap. Every HCPCS recommendation, every claim, every appeal your clinic submits is built from structured, validated data — not a paragraph someone has to interpret, but an answer the payer’s own rules already recognize.
That takes real expertise to build. It takes someone who’s spent 30 years on the clinic floor, and years more validating evidence against payer policy, to know exactly which question unlocks which rule. Compass takes that expertise and turns it into structured data — so it runs the same way for every clinician, on every patient, every time.
Bring your knowledge, your experience, and your skills — and help shape where Compass Complete goes next. Frontline change suggestions from clients like you are a core philosophy here, not an afterthought.
Insurance plans connected
Payer rule validation
Organized micro-templates
Auto-generated claim documents
Compass connects to more than 8,700 insurance plans through our clearinghouse — Medicare, the DME MACs, and the private payers your patients actually carry.
Every one of those plans has its own forms, timely-filing windows, authorization requirements, excluded codes, and documentation standards. The Insurance Network Rules Engine applies those rules to your patient’s specific insurance and your recommended HCPCS codes — automatically, in real time.
Those rules are drawn from DME MAC and LCD policy, CMS guidance, and private payer resources, checked against clinical practice guidelines from organizations such as AOPA, ISPO, the VA, Hanger, and Ottobock, and implemented where there’s real consensus. Every HCPCS code Compass supports is backed by the highest-quality peer-reviewed evidence available.
That evidence becomes small, organized groups of questions — micro-templates — arranged in SOAP order, so the interface asks exactly what a payer needs to hear to justify medical necessity. Answers save as you go and carry forward to the next visit, so your team updates only what changed instead of rebuilding a note from scratch. That’s hours back in your week, every week.
A device recommendation is rarely just one code — it’s a family of related codes a complete claim depends on. Compass’s guided selection walks the clinician through every HCPCS code tied to a device design, with real-time pre-authorization status for each. When the recommended HCPCS and the Insurance rules are conflicted, a warning and corrective action instructions are provided.
Patients enter their own demographics and insurance, sign compliance documents, answer the entire Subjective history, and complete fully self-administered outcome measures — before they ever sit down with a clinician. Their participation gives your clinic back time and money.
That validated data — from the portal or from the clinician’s own input — becomes clean, elegant outcomes reports, with summaries anyone can read without an interpreter.
A single pass through the micro-templates auto-generates every document needed for a clean claim, a denial, or an appeal — organized into the patient’s Documents tab by filterable category, so clinical staff and billing specialists find what they need in seconds.
Structured data isn't paperwork for its own sake. It's the same rigorous, evidence-backed argument the founder spent thirty years learning to make — built into Compass Complete, so any clinician can make it, and every payer will say yes.
Web-based EHR and practice management software built for orthotics & prosthetics clinics, with real-time payer rule validation.
Operating System: Web-based
Application Category: Health & Fitness