Orthotics and prosthetics practice software that keeps the device, the documentation and the claim in one file
An orthotics and prosthetics practice is a clinic that assesses, fabricates, fits and adjusts custom braces and artificial limbs, and bills them to Medicare and other payers as DMEPOS. That makes it a supplier under 42 CFR 424.57, held to 30 supplier standards, a $50,000 surety bond for each assigned NPI, accreditation renewed on survey, and 7 years of ordering and referring documentation. Neurobird keeps the device, the documentation and the claim in the same file.
Neurobird Orthotics and Prosthetics Practice in short
- Hold one file per device: evaluation, order, measurements, materials, fitting and adjustment history
- Keep the documentation that proves medical necessity attached to the device rather than filed by date
- Track accreditation, licensure and the $50,000 bond against their own renewal dates
- $50,000 A DMEPOS supplier must submit a surety bond of $50,000 for each assigned NPI with billing privileges, and each new practice location needs its own base bond or a rider covering it. eCFR, 42 CFR 424.57(d)
- 424.57 Paragraph (c) of 42 CFR 424.57 sets 30 supplier standards covering licensure, accreditation, delivery, warranty, complaint handling, records and premises. Failing one of them is enough to lose billing privileges. eCFR, 42 CFR 424.57(c)
- Pricing runs 240 to 820 US dollars per month across 3 tiers. Early access is free.
What orthotics and prosthetics practices actually deal with
Why it stays broken
An O and P practice is a clinic, a fabrication shop and a Medicare supplier at once, and the software market treats those as three products. Practice management systems know appointments, shop systems know work orders, and billing systems know codes, so the one thing nobody holds is the device itself: what was measured, what was made, what was fitted and what evidence supports it. That gap is where denials live.
A denied L code claim is rarely a coding problem. It is a documentation problem that was created 6 weeks earlier at the cast.
Within 14 calendar days, the supplier shall provide written notification to the beneficiary of the results of its investigation.
Neurobird Orthotics and Prosthetics Practice Inspection Tracking Platform
Make the device the record. The evaluation, the order, the measurements, the fabrication notes, the delivery and every adjustment attach to one device file that a claim can be built from without a search.
- 1Hold one file per device: evaluation, order, measurements, materials, fitting and adjustment history
- 2Keep the documentation that proves medical necessity attached to the device rather than filed by date
- 3Track accreditation, licensure and the $50,000 bond against their own renewal dates
- 4Produce a claim ready file so a review request is answered from the desk, not from a box
What changes with Neurobird Orthotics and Prosthetics Practice?
The same work, read left to right: how it runs today, and how it runs once the record is in one place.
| Today | With Neurobird Orthotics and Prosthetics Practice |
|---|---|
| A device takes weeks from cast to delivery, and the file that proves medical necessity is assembled from memory the day the claim is denied | Hold one file per device: evaluation, order, measurements, materials, fitting and adjustment history |
| Every practitioner records fittings and adjustments differently, so the second person to touch a patient starts from scratch | Keep the documentation that proves medical necessity attached to the device rather than filed by date |
| Accreditation, licensure and the surety bond renew on separate clocks, and the reminder is usually a letter from a payer | Track accreditation, licensure and the $50,000 bond against their own renewal dates |
Who is this for?
Same device file, three different practices.
You build limbs
Test sockets, alignment changes and component swaps over years. You need one continuous device history per limb and per patient, not a folder per episode.
You fit high volume
Custom AFOs, spinal braces and diabetic shoes with tight documentation rules. You need the order and the proof of necessity captured before delivery.
You serve inpatients
Referrals arrive from wards and clinics with different notes. You need a device file the billing office and the accrediting surveyor can both read.
The bench, device by device
A working preview. Tick a device to move it through fabrication and fitting.
Tap an asset to log a scan and timestamp the inspection.
What actually governs an orthotics and prosthetics practice
Useful if you are preparing for a survey or answering a documentation request. Each figure links to the source.
A DMEPOS supplier must submit a surety bond of $50,000 for each assigned NPI with billing privileges, and each new practice location needs its own base bond or a rider covering it.
eCFR, 42 CFR 424.57(d)Paragraph (c) of 42 CFR 424.57 sets 30 supplier standards covering licensure, accreditation, delivery, warranty, complaint handling, records and premises. Failing one of them is enough to lose billing privileges.
eCFR, 42 CFR 424.57(c)Standard 24 requires every accredited DMEPOS supplier to be surveyed and reaccredited at least once every 12 months, and standard 25 requires new product lines to be disclosed so they can be surveyed too.
eCFR, 42 CFR 424.57(c)(24)Standard 30 requires the practice location to be open to the public a minimum of 30 hours per week, with narrow exceptions for clinicians furnishing items to their own patients and for custom made orthotics and prosthetics.
eCFR, 42 CFR 424.57(c)(30)Documentation behind ordered, certified, referred or prescribed Part B items must be maintained for 7 years from the date of service and produced on request by CMS or a Medicare contractor.
eCFR, 42 CFR 424.516(f)CMS may prescribe an elevated surety bond of $50,000 for each adverse legal action in the 10 years before enrolment, revalidation or reenrolment, so old history keeps costing money.
eCFR, 42 CFR 424.57(d)(3)How does Neurobird Orthotics and Prosthetics Practice work?
Every device is a file
Patient, side, L codes, measurements, materials, practitioner and the referring clinician, held from evaluation to delivery and beyond.
Adjustments are links
Each refit, repair and replacement is an event on the same device, so the history of a socket or an AFO reads in one line rather than across four charts.
Renewals surface early
Accreditation surveys, state licences and bond dates are held as dated obligations, so the reminder comes from your system rather than from a payer.
Orthotics and prosthetics practice software questions, answered
Key terms
- What is an orthotics and prosthetics practice?
- It is a clinic that assesses patients for custom braces, supports and artificial limbs, then fabricates, fits and maintains them. For Medicare purposes it is a DMEPOS supplier, enrolled under 42 CFR 424.57 with a surety bond, accreditation and the supplier standards that go with them.
- What are the DMEPOS supplier standards?
- They are the 30 conditions at 42 CFR 424.57(c) that a supplier must meet to keep billing privileges. They cover state licensure, accreditation, the physical practice location and its opening hours, delivery and warranty duties, complaint records, and the documentation kept behind every item supplied.
Does this replace our billing system?
No. Claims still go out through the system that holds your payer connections. What lives here is the device: the evaluation, the order, the measurements, the fabrication and the fitting history, in a form the claim and the auditor can both be answered from.
How does it help with a documentation request?
By assembling the file as the work happens rather than after the denial. Because the order, the evaluation, the delivery and the adjustments hang off the same device record, a request for records is a lookup instead of an archaeology project.
Can it track accreditation and the bond?
Yes. Accreditation surveys, state licences, the $50,000 bond and revalidation dates are held as dated obligations with owners, because those are the deadlines that quietly stop a practice from billing.
Is it built for custom fabrication?
Yes. Materials, componentry, test sockets and shop notes belong on the device file, because in this trade the shop record and the clinical record are describing the same object.
Why we are building this
An orthotics and prosthetics practice is a clinic, a fabrication shop and a Medicare supplier at the same time. Almost no software is built for all 3, so practices buy 2 and keep the third on paper.
The part that falls through is the device itself. The evaluation is in one place, the shop notes in another, the delivery receipt in a drawer, and the claim is assembled from all 3 weeks later under time pressure.
We would rather build this with practitioners than with people who have read 42 CFR 424.57. Tell us how a device moves through your practice, and where we have got it wrong.
Where the requirement comes from
The federal standards an orthotics and prosthetics practice is enrolled and audited against.
- 42 CFR 424.57, DMEPOS supplier standards The 30 supplier standards, the surety bond rules and the accreditation obligations every O and P supplier is enrolled under.
- 42 CFR 424.516, documentation retention The 7 year retention and access rule for ordering, certifying and referring documentation behind billed items.
- CMS, enrol as a DMEPOS supplier The enrolment path itself: the CMS 855S application, accreditation, bonding and revalidation.
- CMS, DMEPOS quality standards The quality standards accrediting organisations survey against, including the appendix specific to custom fabricated devices.
- CMS, DMEPOS fee schedule The published payment amounts behind the L codes an O and P practice bills.
- ABC, certification and accreditation The board that certifies practitioners and accredits facilities, and whose standards most surveys are run against.
How much does Neurobird Orthotics and Prosthetics Practice cost?
Priced per site because licensure, accreditation and the bond are site level things. Patients, devices and practitioners are unlimited on every tier.
- Device files
- Fitting and adjustment history
- Document capture
- Renewal reminders
- Email support
- Everything in Single practice
- Claim ready file assembly
- Referral and order tracking
- Accreditation evidence pack
- Named contact
- Everything in Full practice
- Multi site reporting
- Fabrication shop records
- Retention ready archives
- Onboarding included
Get free early access
If you run an O and P practice, tell us what a records request costs you to answer today.
Straight answer on where this is: In development. Early access gets the working preview, a say in what ships first, and early access pricing. It does not get you a login today.
Prefer email? Write to office@neurobird.com and a person will reply. No autoresponder.