Banking for orthopedic practices

Lemma keeps facility and professional revenue in separate entities and pays vendors by flat-rate wire.

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Screenshot of the Lemma dashboard showing available balance, balance history, issued cards, deposit interest, accounts, and latest transactions

How orthopedic practices get paid, and how Lemma handles each one

Surgical professional fees

Matched line by line against each case, including the pro-fee portion of global-period claims.

ASC facility fees

Reconciled into the surgery center's own account, separate from professional revenue.

Workers' comp cases

Mailed State Fund settlements land in a lockbox and match to the claim the day they arrive.

Implant and device payables

Large vendor invoices wired out at a flat rate, tracked apart from day-to-day operating cash.

Four things that change the day you move

Deposits arrive reconciled

Remittances match line by line, including global-period claims, so surgical and clinic revenue reconciles per case.

Deposit

Blue Cross$18,420.00
TRN9031572
Claims14
StatusMatched

An account for every entity, one login

Separate accounts for the practice and the ASC, with per-surgeon collection tracking.

Summit MSO

$1,240,680.90

Summit Orthopedics PC•• 6210

$486,340.20

Summit Surgery Center LLC•• 7745

$612,900.75

Summit Surgery Center North LLC•• 8362

$140,960.10

Money out, without the checkbook

Pay vendors by free ACH, send patient refunds as mailed checks from the dashboard, charge patient cards on file, and issue debit cards with per-card limits.

Bill pay

Ridgeline Implant Supply$124,800.00
Northfield Orthopedic Devices$68,450.00
Cascade Surgical Hardware$22,380.00
Patient refund$214.60

Mailed check, no post office

Cash that earns while claims age

Up to 1.75% APY on every balance, FDIC coverage of $100M+ per entity through the sweep network, and Lemma Capital advances on claims you have already submitted.

Operating account

$212,480.00

Accrued this month$306.52

Up to 1.75% APY

Where orthopedic cash flow actually breaks

Three places an orthopedic group's cash flow usually catches, each one quiet enough that it looks fine until it doesn't.

Implant and device payables are large, frequent, and wired

A single implant case can carry a six-figure vendor bill, and paying it from the same account as payroll blurs where that cash should sit.

Set a threshold once, and Lemma sweeps implant payables cash into its own account automatically.

Sweep rule

Operating •• 6210 → Implant payables •• 9140 when balance exceeds $50,000

Operating•• 6210

$218,600.00

$124,800
Implant payables•• 9140

$96,750.00

The 90-day global period pays once for many visits

A single global-period payment covers the surgery, the follow-up visits, and the facility fee all at once, and splitting it back out by hand means re-deriving the case math every time.

Lemma splits every global-period remittance into its pro-fee and facility-fee shares the day it lands.

Incoming deposit

Global period remittance$9,480.00
Surgical pro-fee$6,120.00
ASC facility fee$2,860.00
Follow-up visits$500.00

Workers' comp pays slowly and often on paper

State Fund and other comp payers settle on their own timeline and frequently mail a paper check that sits outside the normal ERA flow.

Lemma digitizes every mailed comp settlement and matches it to the claim the same day.

Settlement received

State Fund$6,840.00

Works with what you already run

eClinicalWorks
AdvancedMD
Waystar
Stedi
QuickBooks

Deposits match against claims from your PM and clearinghouse. Custom integrations available. See all integrations.

5 min

to open

Up to 1.75%

APY

$100M+

FDIC

94%

auto-match

Orthopedic practice banking questions

What does Lemma cost?

Free for a single entity. Groups pay $50 per entity per month. ACH is free, wires are $15, lockbox envelopes are $2.50.

How is FDIC coverage above $250,000 handled?

Deposits are spread across our partner bank network, extending coverage to $100M+ per entity.

Does Lemma replace our PM, EHR, or billing company?

No. Lemma is the bank. We read from those systems and send the matched data back.

Can the surgery center and the practice be managed together?

Yes. The practice PC and the ASC each keep their own account, and both roll up under the MSO in one login.

How do we pay implant vendors?

By flat-rate wire, straight from the dashboard, with no separate processor or manual wire form.

Can we attribute collections by surgeon?

Yes. Collections tag to the surgeon on the claim, so per-surgeon totals are available without a separate report.

Your bank doesn’t know healthcare.
Lemma does.

The case is the unit. Bank like it.

Two stacked Lemma Mastercard cards issued to a professional corporation