One orthopedic case produces a professional claim, a facility fee, an anesthesia claim, and an implant invoice, each on its own timeline. Lemma lines all four up against the case, and runs the practice and the surgery center as separate entities with automated transfers between them.
Book a demoThe implant invoice usually arrives before the payer does. Orthopedic banking is working capital management, not just a checking account.
Device and implant invoices run large. Wires are flat rate, so a $90,000 payment costs the same to send as a small one, and routine vendor orders go over free ACH.
Separate accounts per surgeon, per payer, or per entity make production-based compensation traceable to cleared deposits rather than a billing report.
A bundled 90-day global payment covers visits you have not delivered yet. Line-level posting keeps each paid component tied to the original case.
Surgical practices and ASCs carry large operating balances. Coverage extends to $10M per entity through the sweep network instead of stopping at $250,000.
A single total joint replacement generates a professional fee billed under a 90-day global period, a facility fee billed by the surgery center, an anesthesia claim, and an implant invoice from the device vendor that often lands well before the payer pays anything. The implant can be a large share of the case cost, so paying it weeks ahead of collection is a working capital event rather than an accounting detail.
Add the ancillaries that make orthopedics work, in-office imaging, DME, and physical therapy, and one patient produces deposits across four revenue lines under four fee schedules.
Vendor invoices arrive per case at real amounts. With free ACH and flat-rate wires, the payment method is chosen on timing rather than on which one the bank charges least for.
One payment covers the surgery and the follow-up visits inside the global window. Keeping the payment tied to the case is what stops post-operative visits from looking like unbilled work.
Comp carriers pay slowly and often by paper. Those checks arrive at your lockbox, deposit the same day, and keep the case reference attached for a claim that may be a year old.
Yes. The professional corporation, the ambulatory surgery center, and any real estate or management entity each get their own account, routing number, lockbox address, and FDIC coverage, visible together in one dashboard. Facility and professional revenue never commingle, and an automated cash sweep funds surgeon draws and ASC partner distributions off a real consolidated balance rather than an estimate trued up at quarter end.
Routine orders go over free ACH. When a payment needs to clear the same day, wires are flat rate, so the size of the implant invoice does not change the cost of sending it.
Yes. Accounts per surgeon or per payer let you tie every deposit to a treating physician, which is what production-based compensation needs in order to be calculated from collections.
It does at most banks, because one payment covers services delivered across three months. Lemma posts remittances line by line and keeps the payment tied to the original case, so follow-up visits inside the global window are not mistaken for unpaid work.
