When a spine surgery is scheduled, pull the chart, identify the payer, generate the PA packet, submit, monitor for denial, auto-generate appeals, schedule peer-to-peer.

Replace the schedulers' spreadsheet. Coordinate clearance, anesthesia consult, NPO, DME delivery, transport, day-of confirmation. 12 touchpoints per case.

Voice-driven post-op check-ins at days 1/7/14/30/90 with subspecialty-specific questions. Captures structured outcomes for bundled payment compliance.

Auto-generate post-op letters to referring PCPs. Voice-call referrers at 30 days with patient outcomes. Detect cadence drops and queue an outreach call.

Audit every surgical claim before submission. Verify CPT, modifiers, implant docs. Auto-file appeals on denials. Track recovery rate by payer.

Nurse selects a patient room, completes a structured survey (pain, mobility, wound, nausea), and Ohtari auto-escalates to the surgeon's nurse if any threshold is met.

When a patient is cleared for discharge, coordinate home health referral, PT scripts, follow-up scheduling, discharge instructions, and DME pickup — all before the patient leaves the floor.

When a referral arrives by fax or EHR message, classify it, create the chart, schedule the consult, send a welcome packet, and notify the referring physician — all before staff touch it.

7 days before surgery, Ohtari calls the patient, walks through prep instructions, confirms transport and DME delivery, collects any last questions, and flags anything that could delay the case.

Capture structured outcome data at 30 and 90 days post-joint-replacement, calculate shared savings eligibility, and generate the quarterly CMS submission report automatically.

Monthly audit of allowed amounts vs. contracted rates by CPT and payer. Flags under-reimbursed procedures, identifies renegotiation targets, and generates a recovery action list for the biller.

When a patient calls, Ohtari answers as a voice agent, identifies them via Athena, and routes to the right Skill — Spine PA, Pre-op coordination, or Billing question — each with its own knowledge base. Transfers to staff with full context if needed.

When a post-op round flags a complication, Ohtari coordinates across all three teams: schedules the wound culture (clinical), stubs the complication CPT (billing), writes the op-report addendum (charting), and routes the bundle for sign-off.