# 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. - URL: https://neurobird.com/prosthetics/ - Product: Neurobird Orthotics and Prosthetics Practice Inspection Tracking Platform - Niche: orthotics and prosthetics practice - Buyer: orthotics and prosthetics practices - Status: in development, open for early access - Updated: 2026-08-21 ## What Neurobird Orthotics and Prosthetics Practice does - 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 - Produce a claim ready file so a review request is answered from the desk, not from a box ## How it works 1. **Every device is a file** Patient, side, L codes, measurements, materials, practitioner and the referring clinician, held from evaluation to delivery and beyond. 2. **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. 3. **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. ## From the source material > Within 14 calendar days, the supplier shall provide written notification to the beneficiary of the results of its investigation. Source: CMS, DMEPOS quality standards, https://www.cms.gov/medicare/provider-enrollment-and-certification/medicareprovidersupenroll/downloads/dmeposaccreditationstandardscmb.pdf ## Industry context - **$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. (source: eCFR, 42 CFR 424.57(d), https://www.ecfr.gov/current/title-42/section-424.57) - **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. (source: eCFR, 42 CFR 424.57(c), https://www.ecfr.gov/current/title-42/section-424.57) - **12 months** 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. (source: eCFR, 42 CFR 424.57(c)(24), https://www.ecfr.gov/current/title-42/section-424.57) - **30 hours** 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. (source: eCFR, 42 CFR 424.57(c)(30), https://www.ecfr.gov/current/title-42/section-424.57) - **7 years** 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. (source: eCFR, 42 CFR 424.516(f), https://www.ecfr.gov/current/title-42/section-424.516) - **10 years** 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. (source: eCFR, 42 CFR 424.57(d)(3), https://www.ecfr.gov/current/title-42/section-424.57) ## Pricing - Single practice: $240 per site, per month - Full practice: $460 per site, per month - Multi site: $820 per site, per month ## Questions ### 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. ## Sources - [42 CFR 424.57, DMEPOS supplier standards](https://www.ecfr.gov/current/title-42/section-424.57) - [42 CFR 424.516, documentation retention](https://www.ecfr.gov/current/title-42/section-424.516) - [CMS, enrol as a DMEPOS supplier](https://www.cms.gov/medicare/enrollment-renewal/providers-suppliers/durable-medical-equipment-prosthetics-orthotics-supplies-dmepos) - [CMS, DMEPOS quality standards](https://www.cms.gov/medicare/provider-enrollment-and-certification/medicareprovidersupenroll/downloads/dmeposaccreditationstandardscmb.pdf) - [CMS, DMEPOS fee schedule](https://www.cms.gov/medicare/payment/fee-schedules/dmepos) - [ABC, certification and accreditation](https://www.abcop.org) ## Contact - office@neurobird.com - https://neurobird.com/