Every QOP Orthopedic service has a written definition of done before work starts. We measure what gets completed and verified (appointment scheduled, prior auth approved, eligibility verified, claim worked, referral routed), not hours, seats, or activity.
SchedulingBillingTherapy
expertise in
Orthopedics
Building stronger, more connected teams
Orthopedic operations that actually get finished
When prior auths for MRIs and surgeries back up, therapy referrals sit unbuilt, and claim denials on high-dollar procedures pile up, the schedule slips. QOP Orthopedic covers the operational side so clinicians can keep moving. We hire the schedulers, prior auth specialists, surgical coordinators, and billers who keep orthopedic practices running, and we take operational work off your plate on a per-outcome basis. Hiring and execution under one roof, scoped to what your practice actually ships.
Built to scale growth
Work measured by results
Hire better talent
Outcome based operations support
At QOP Orthopedic, we deliver defined, measurable operational outcomes — not headcount, shifts, or generic support. Clients partner with us to remove recurring operational work from internal teams without hiring, managing, or scaling additional staff. The focus is predictable execution with clear completion rules, so payment is tied to finished work, not time, seats, or effort.
Scheduling. Billing. Therapy coordination.
A model built around defined outcomes
Our core model at QOP Orthopedic is outcome-based operations support — billing tied to work that is completed and auditable. Engagements start with a discovery call to define priority workflows and clear definitions of “done.” We align execution to your existing systems so work flows cleanly without disruption. When standardization isn’t feasible, we also support a monthly dedicated resource model.
How we help
Prior Authorization and Precertification
Request and track orthopedic prior authorization through approval to status documentation
We manage the orthopedic prior authorization lifecycle from submission to final decision so approvals don’t hold up care. QOP Orthopedic runs submission, follow-up, and outcome tracking with clear documentation tied to each request. If a situation needs clinical review or policy interpretation, it’s routed back with precise notes instead of leaving it pending.
Scheduling and Therapy Coordination
Schedule and update orthopedic visits and therapy sessions through documented confirmations
We handle day-to-day visit and therapy scheduling for orthopedic operations, managing each request through its confirmed outcome. We book, change, cancel, confirm, remind, and callback so schedules stay accurate and patients informed. For therapy plans that require coordination, we ensure clear outcomes and prevent work from remaining unfinished.
Eligibility and Benefits Verification
Verify patient coverage and document benefit details before orthopedic services
QOP Orthopedic handles coverage checks and benefit documentation, ensuring your team is well-prepared for visits and procedures. We verify eligibility, capture benefit details, and provide a clear next step disposition for each check. When coverage issues arise, we flag them early with documented instructions for resolution.
Referral Intake and Referral Requirement Checks
Process referrals and determine readiness to schedule or block work
We process incoming referrals and validate prerequisites so your scheduling and clinical teams are never guessing. Each referral is logged, checked for completeness, and dispositioned with notes on what’s missing or ready. That structured flow prevents unnecessary rework and ensures coordination between intake and scheduling.
Procedure and Surgery Scheduling
Schedule orthopedic procedures and surgeries with documented confirmations and updates
We coordinate orthopedic procedure and surgery scheduling by securing confirmed dates/times and recording linked updates. Each scheduling change is documented with status and confirmations so your clinical and admin teams are aligned. Requirements that need upstream work — like authorizations or imaging — get sent to those respective workflows instead of being mixed.
Imaging Coordination
Manage imaging scheduling and documentation flow to support orthopedic treatments
We coordinate imaging logistics — from scheduling to record routing — to keep orthopedic care moving. Each coordination touchpoint is completed with documentation so internal teams know what’s ready and what’s pending. When a payer authorization is needed, it gets handled through the prior authorization workflow.
Tailored Service
Custom work items built around your workflow
You tell us the workflow you want off your plate. We map it into clear work items, define inputs and “done”, set exception rules, then connect it to the right systems so delivery is consistent and auditable with QOP Orthopedic.
Dedicated Full-Time Specialist
Flexible tasks that do not fit our fixed outcome model
If a traditional model fits better, you can work with a dedicated full-time specialist through us. They focus on your workflows day-to-day, integrate into your tools where needed, and handle a wider mix of tasks that are hard to standardize into work items.
Frequently Asked Questions
Common questions
How do we decide what services to start with?
A short discovery call maps where the practice is bleeding time: scheduling, prior auths, eligibility, therapy referrals, procedure scheduling, imaging. We only take on work we can define, standardize, and run on a schedule.
How does work enter the workflow?
Work enters through whatever fits the practice — EHR integrations, shared inboxes, scheduled batches, or a defined handoff from your front office. We set one intake path per service so items don’t arrive in multiple places or get missed.
Do you work in our systems or your systems?
Where the work happens depends on what keeps it cleanest. Sometimes we work in your PM/EHR, sometimes in ours, sometimes through a connected integration. The point is an auditable trail and clean handoffs across teams.
How do you define what counts as “complete”?
Each service breaks into outcome types with written completion rules. If a step needs evidence — a confirmation, EHR status change, logged note, or record update — that’s defined upfront so every completed item is auditable.
How does pricing work?
Pricing is per outcome. Each outcome type carries a unit price tied to its completion rule. If volume exceeds the included amount, overage bills at the same unit rate. Out-of-scope or blocked items do not count as completed.
What does onboarding look like?
We agree on scope and outcomes, lock in intake, configure tools and integrations, then run a short validation ramp before going live. Once validated, the same definitions and pricing carry into steady state.
“We brought QOP Orthopedic in because our front-end access work and eligibility follow-ups were falling through the cracks and dragging into billing cycles. They took over those defined work queues and the associated follow-up loops so nothing silently stalled. Within weeks we had documented workflows, clean handoffs, and a steady completion rhythm that freed up our team.
The biggest shift is that we stopped paying for “support hours” and started paying for finished work. We can see exactly what was completed, what is in progress, and what is blocked. They integrated with our PM/EHR and billing systems, and we only pay for outcomes we can verify.”
Ezekiel Bowery
Director of Clinic Operations
What clients say