🐇 Built for Operative Spine Surgery Practices

Stop Losing Cases
to Preventable Denials

White Rabbit checks your operative spine notes against each payer's exact PA criteria — before you submit — so documentation gaps don't kill your schedule or your revenue.

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$15K+
Avg Case Value at Risk
11
Payers Covered
10
Spine Procedures
MN & WI
Markets

⚠️ Spine surgery PA denials carry 10–20× the financial impact of injection denials. A single denied lumbar fusion can represent $12,000–$25,000 in lost revenue — and a blocked OR slot that may never be recovered.

The Problem
Spine PA denials are expensive,
and most are preventable

Payer reviewers are not spine surgeons. They follow strict checklists. A single missing phrase in a clinical note can trigger a denial that takes weeks to appeal — and may never be recovered.

67%
Of Spine Denials Are Documentation-Based
The surgery was medically appropriate. The documentation didn't prove it. Conservative care timelines, ODI scores, failed injection history, and imaging specificity are the most common gaps.
14 Days
Average Appeal Cycle for a Denied Spine Case
While the appeal is pending, the patient waits, the OR slot sits empty, and your team spends hours on peer-to-peer calls that could have been avoided with better upfront documentation.
$180K+
Annual Revenue at Risk for a 4-Surgeon Practice
Conservative estimate based on 2–3 preventable denials per surgeon per month at average spine case values. Documentation quality is the single highest-ROI fix available.
How It Works
Four steps. Under two minutes.

No EHR integration required. No IT project. Just paste your note and get an instant readiness report.

1
Select payer & procedure
Choose from 11 payers and 10 operative spine procedures. The tool loads that payer's exact surgical review criteria.
2
Paste the clinical note
Copy the H&P or preop note from your EHR and paste it as-is. No formatting needed.
3
Review the readiness report
Every required element is flagged — Present, Weak, or Missing — with the exact text found in the note and an overall denial risk score.
4
Addend and submit with confidence
AI generates a clinical addendum in surgeon-authored language addressing each gap — ready to copy directly into your note before submission.
Procedures Covered
Every major operative spine procedure

Each procedure includes payer-specific documentation requirements — not generic guidelines.

🦴
CPT 22551 / 22554
ACDF — Anterior Cervical Discectomy & Fusion
Top denial triggers: NDI score missing, radiculopathy not dermatomal, conservative care <6 weeks, MRI level mismatch with symptoms
🦴
CPT 22630 / 22558 / 22612
Lumbar Fusion — TLIF / PLIF / ALIF
Top denial triggers: No instability on flex-ext X-rays, ODI not documented, failed injection history missing, smoking status unaddressed
🔬
CPT 63047 / 63030
Lumbar Laminectomy & Microdiscectomy
Top denial triggers: No neurological deficit documented, imaging date too old, conservative care duration insufficient, pain score absent
⭕
CPT 22856 / 0092T
Cervical & Lumbar Disc Arthroplasty (ADR/TDR)
Top denial triggers: Arthroplasty vs fusion criteria confusion, osteoporosis contraindication not addressed, segment criteria not met
🔗
CPT 27279 / 27280
SI Joint Fusion (MIS)
Top denial triggers: Diagnostic injection response not documented (≥50% relief required), provocation test count insufficient, imaging vague
🏥
CPT 22513 / 22514
Kyphoplasty & Vertebroplasty
Top denial triggers: Fracture acuity not documented, DEXA scan missing, MRI bone marrow edema not confirmed, conservative trial absent
🔩
CPT 22600 / 22610
Posterior Cervical Fusion & Laminoplasty
Top denial triggers: Myelopathy not quantified, JOA or Nurick score absent, cord signal change on MRI not described, instability missing
💡
CPT 22856
Cervical Disc Arthroplasty (CDA)
Top denial triggers: Adjacent segment disease not addressed, prior fusion contraindication, osteoporosis screening missing, multi-level criteria gaps
What's Built In
Built for how spine PA actually works

Every feature was designed around the specific documentation patterns that drive spine surgery denials.

🏦
Payer-Specific Surgical Criteria
Carelon/Medica surgical thresholds, BCBS conservative care timelines, UHC instability requirements, Medicare LCD standards — each payer's actual review checklist built in.
📊
Functional Outcome Score Checks
ODI (Oswestry Disability Index) and NDI (Neck Disability Index) thresholds are verified for every fusion case — the #1 missing element in spine PA denials.
🚨
Denial Risk Scoring
Every analysis produces a LOW / MODERATE / HIGH denial risk score so your PA team knows which cases need attention before submission — not after denial.
🤖
AI Addendum Generator
After analysis, generate a clinical addendum in surgeon-authored language that addresses every gap — with bracketed placeholders for values only the surgeon can supply.
🔍
Evidence Display
See the exact text found in the note for each documentation element — so you can verify the match is clinically accurate, not just a keyword hit.
🔄
Always Current
Subscribers always get the latest criteria automatically. No downloads, no installs, no version management. When payer policies update, the tool updates.
Payers Covered
The payers your spine patients carry

All major commercial and government payers in Minnesota and Wisconsin, including Medicare Advantage plans with their own surgical criteria.

BCBS Minnesota
Prime Therapeutics criteria
BCBS Wisconsin
Surgical review criteria
UnitedHealthcare
Optum surgical guidelines
Humana
Coverage determination policies
Medica
Carelon surgical review
HealthPartners
Archimedes criteria
Allina / Aetna
Clinical policy bulletins
Cigna
Coverage policies
MN Medicare
LCD surgical criteria
WI Medicare
LCD surgical criteria
MN Medicaid
Forward Health policies
Pricing
Simple flat monthly pricing

One denied lumbar fusion pays for a full year of White Rabbit.

Single Surgeon
$497 /mo
per surgeon location
  • ✓ All 11 payers & 10 spine procedures
  • ✓ Denial risk scoring on every case
  • ✓ AI addendum generator
  • ✓ ODI / NDI functional score checks
  • ✓ Unlimited analyses
  • ✓ Criteria updates included
Request Access
Most Popular
Multi-Surgeon Practice
$897 /mo
up to 6 surgeons, one location
  • ✓ Everything in Single Surgeon
  • ✓ Up to 6 surgeon logins
  • ✓ PA coordinator access
  • ✓ Priority support & onboarding call
  • ✓ Multi-location pricing available
Request Access
Ready to stop losing cases
to documentation gaps?

Leave your email and we'll reach out within one business day to get your practice set up.