Ohtariv0.0.4
OS

Ortho1 Surgical Group

Orthopedic Surgery

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KD

Kristopher Downing

Owner-Partner
My Work

Good morning, Kristopher.

Everything that needs your attention or that wrapped up today โ€” in one inbox.

Ohtari handled 6+ things overnight. Here are 8 on your plate โ€” 4 waiting on your decision to unblock a workflow, and 4 queued tasks for today.

Awaiting your decision โ€” workflow paused

4
CL

Room Rounds

edge case

Patel, R.

18 minutes ago

Round escalation โ€” pain 8/10 flagged at 9:14 AM

Day 1 round for Patel R. (L4-L5 fusion) completed this morning. Pain score 8/10 hit the auto-escalation threshold. Ohtari drafted a page to the surgeon's nurse but is waiting for approval.

CL

Spine prior auth orchestration

approval

Reyes, P.

12 minutes ago

Approve UHC appeal packet โ€” lumbar fusion denial

Ohtari assembled the appeal packet with new PT attendance evidence. Karen's approval required before submission.

SK

โ€”

skill suggestion

6 hours ago

Skill update โ€” UHC lumbar fusion PA evidence

Ohtari noticed UHC denied 4 of the last 6 lumbar fusion PAs citing missing PT attendance. Suggested edit to the Spine PA Criteria skill.

CL

Joint replacement pre-op coordination

edge case

Nguyen, T.

2 hours ago

DME vendor unavailable โ€” 3 alternate windows offered

Primary DME vendor can't deliver before surgery date. Ohtari found 3 alternate vendors with availability.

Queued tasks

4

Peer-to-peer call with UHC

Reyes, P.
Due: 2 days
Thursday 11 AM ยท prep brief attached

Spine prior auth orchestration

Approve weekly recovery report

Due: Today
$11,240 recovered ยท 2 overturned appeals

Manual action

Pick DME vendor (3 alternates ready)

Nguyen, T.
Due: 2h
Patient call queued after selection

Joint replacement pre-op coordination

Sign CJR shared savings agreement

Due: 1d
3 cases qualify ยท est. +$18K

Bundled payment