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#1 in AI Orthopaedic Coding
Authorisations that match what you actually bill
Maia compares the scheduled procedure, the clinical documentation, and payer requirements, so mismatches surface before the case instead of showing up as a denial weeks later.
The problem
Prior authorisation is one of the biggest administrative loads in an orthopaedic practice, and one of the most fragile. The authorised procedure and the billed procedure drift apart constantly — the case changes in the OR, the code changes at billing, and nobody catches it until the claim comes back denied and the appeal window is closing.
How it works
01
Maia compares scheduled procedures against clinical documentation and payer policy.
02
It flags cases where the authorisation will not cover what is likely to be billed.
03
It surfaces retro-authorisation opportunities in time to actually file them.
What you get
- Pre-case mismatch flags between authorisation and likely billed codes
- Payer-specific requirement checks
- Retro-authorisation opportunities surfaced inside the filing window
- Fewer authorisation-related denials downstream
- Less manual staff time chasing payers
Improve your peace of mind knowing that your coding is compliant
Maia is SOC2 & HIPAA compliant, and integrated with AMA to stay up to date on coding regulations.
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