Built for the financial complexity of orthopedic care
Joint replacements, spine surgery, and fracture care come with some of the highest out-of-pocket balances in healthcare. Rivia Health helps orthopedic practices simplify patient payments before and after surgery, so revenue moves faster and staff spend less time chasing balances.
Why orthopedic patient payments are different
Orthopedic practices face patient financial challenges that general RCM tools weren’t built to handle.
High-dollar balances
A single joint replacement or spinal fusion can leave a patient owing thousands of dollars in deductibles and coinsurance, often more than they expected.
Multiple billing touchpoints
Surgeon fees, facility charges, anesthesia, and implant costs can all hit a patient’s inbox separately, creating confusion and delayed payment.
High-deductible plans are the norm
Patients with high-deductible health plans carry the largest share of orthopedic out-of-pocket costs, and many can’t pay a large balance all at once.
Elective procedures get delayed or canceled over cost
When patients don’t understand what they’ll owe, or feel blindsided by a bill, they’re more likely to postpone surgery or stop paying altogether.
Staff are stretched thin
Verifying benefits, calculating estimates, and following up on payment plans by phone takes hours your front office doesn’t have.
Payment friction
Card-on-file programs mean wet-signature forms and front-desk paperwork, and patients have to manually enter payment details for every bill.
Patient payment workflows built for orthopedic care
Rivia Health’s AI-powered platform automates every step of the orthopedic patient financial journey, from pre-visit estimates to final payment.
Automated pre-service outreach
Helps patients understand what they’ll owe before surgery, reducing sticker shock and last-minute cancellations.
Flexible payment plans
Let patients pay high-dollar balances over time instead of all at once, without your staff managing spreadsheets or follow-up calls.
Automated patient communication
Reaches patients by text and email with clear, consolidated balance information, cutting through the confusion of separate surgeon, facility, and anesthesia statements.
Bidirectional EMR integration
Connects with Athena, Veradigm, Greenway, Qualifax, and R1 so your team keeps working in the systems they already know.
What this means for your practice
Rivia Health works alongside your existing team and systems, so every improvement in capture, speed, and patient experience happens without adding headcount or ripping out what’s already working.
- Capture more patient revenue on high-dollar orthopedic balances
- Give staff time back by automating estimate delivery, reminders, and payment plan setup
- Reduce cancellations tied to payment uncertainty
- Support patients through a clearer, less stressful financial experience
- Shorten the time it takes to turn a surgical balance into revenue
How a 70-physician orthopedic practice cut AR by 60%
Chatham Orthopaedics, an orthopedic and sports medicine practice serving Savannah and Pooler, Georgia, implemented Rivia Health to tackle their patient payment revenue challenges: high patient volume, complex billing, and aging AR that manual follow-up couldn’t keep up with.
See how Rivia Health fits into your practice’s payment workflow
Frequently asked questions
How does patient payment software help orthopedic practices specifically?
Orthopedic practices deal with higher balances, more billing touchpoints per episode of care, and a patient population increasingly on high-deductible plans than most other specialties. Rivia Health lets providers manually create bills pre-service, allows patients to combine a new balance with an existing payment plan, and offers numerous payment options, including buy now, pay later, so patients get a low monthly payment while the provider is paid in full on day one.
How quickly can an orthopedic practice implement Rivia Health?
Implementation can happen quickly and easily, typically two weeks. Rivia Health integrates with many leading EMRs so there is no work for a provider's IT team.
What ROI can an orthopedic practice expect from automating patient payments?
Results vary by practice, but Rivia Health clients typically see AR days drop from approximately 60 to 30, a reduction in cost-to-collect from the industry baseline of $0.56 per dollar, and roughly 30% fewer inbound billing calls.
Does adding automated patient outreach reduce the need for billing staff?
No. Rivia Health automates repetitive outreach and payment plan setup so existing billing staff can focus on higher-value work, like complex accounts and patient-facing conversations, instead of manual follow-up on routine balances.
Which EMR and practice management systems does Rivia Health integrate with?
Rivia Health integrates with lead EMRs and PM systems, including athenahealth, Veradigm, Greenway, Qualifax, and R1. Your team can continue to use the same systems.
How does Rivia Health help with aged and small-dollar balances that are usually written off?
These accounts are typically the hardest to justify chasing manually, since staff time costs more than the balance is worth. Automated outreach makes it economical to keep working these accounts instead of writing them off, delaying or offsetting the need for collections and capturing more of the revenue the practice has already earned.
Is Rivia Health a collections agency or an RCM outsourcer?
No. Rivia Health is a patient payment automation platform, not a collections agency, claims processor, or RCM outsourcer. It works alongside your existing billing team and systems to improve how patients are engaged and how balances get paid.
Does Rivia Health stop engaging patients after their balance ages past 90 days?
No. Many payment tools scale back outreach on older balances, but Rivia Health continues engaging patients beyond day 90, when most practices have already written the account off. That extended outreach is part of how practices capture revenue that would otherwise be lost.
