Why 71% of O&P Practices Are Dissatisfied with Their Systems — And What Smart Leaders Are Investing In Next The world of orthotics and prosthetics (O&P) is evolving rapidly. Yet while 90% of O&P practices have adopted some form of practice management software, a surprising 71% report being less than fully satisfied with their current systems. As challenges around profitability, staffing, and operational efficiency intensify, leaders are realizing that outdated technology may be holding them back. A new, independent research study commissioned by Nymbl Systems highlights exactly where nearly 100 O&P practice leaders are struggling, and more importantly, where they are investing to future-proof their businesses. If you're relying on aging software or piecemeal solutions, it's time to rethink your technology strategy — or risk getting left behind. Let's explore the trends reshaping O&P practice management and what investments are critical for 2025 and beyond. The Big Challenges Facing O&P Practices in 2025 According to a survey, Trends in Practice Management Technology [hyperlink this report], the top challenges keeping executives up at night include: Shrinking Profit Margins (37%) Workforce Shortages (28%) Managing a Growing Patient and Referral Base (19%) These aren't temporary hurdles. Leaders expect these challenges to persist over the next 3–5 years, putting added pressure on practices to work smarter, faster, and more profitably. Yet despite adopting practice management systems, most practices aren't seeing the full benefits. Rigid workflows, poor customer support, and lack of innovation were cited as top reasons for dissatisfaction. Many O&P software systems simply haven't kept up with the realities of running a modern practice. If your current O&P software isn't actively helping you boost margins, automate workflows, and retain staff, it's not just a minor inconvenience — it's a competitive disadvantage. Where Smart Leaders Are Investing Next Faced with persistent operational challenges, O&P leaders are directing their investments into three core areas: 1. Revenue Cycle Management (RCM) Transformation Managing the revenue cycle is getting harder, not easier. Despite this, 70% of O&P practices are still handling all RCM functions in-house. Meanwhile, other healthcare sectors have embraced outsourcing to specialized RCM partners, leading to faster payments, fewer denials, and reduced overhead costs. Forward-thinking O&P leaders are now: Seeking RCM technologies that integrates pre-submission scrubbing, real-time eligibility checks, and denial management. Exploring partial or full outsourcing models to lighten the administrative burden. Prioritizing systems that provide transparency into claims status and cash flow. Takeaway: Practices that modernize their RCM processes will get paid faster, reduce audit risks, and free up staff to focus on patient care. 2. Smarter Compliance and Documentation Compliance is a moving target. CMS and private insurers constantly update regulations, making manual documentation risky and inefficient. New AI-powered documentation tools are changing the game by: Capturing and formatting clinical notes automatically. Reducing human error. Helping practices create clean claims faster. Takeaway: Practices that embrace AI tools will protect revenue streams, speed up billing cycles, and minimize compliance risks. 3. Inventory and Purchasing Efficiency Managing inventory used to be a back-office task. Today, poor inventory management can cost practices valuable time and money. Practices are now investing in O&P software that: Automates purchasing. Integrates vendor ordering directly into their practice management systems. Provides real-time inventory visibility. Takeaway: Streamlining inventory means less waste, fewer shortages, and better financial control. Technology Expectations Are Higher Than Ever When asked what they expect from their O&P software partners, practice leaders made it clear: they want more. Top expectations for practice management systems in 2025: Better visibility into business performance (28%) Improved staff productivity (24%) More process automation (20%) Improved clinical resource productivity (15%) And it's not just about features — leaders are demanding cost-effective solutions, responsive customer support, and continuous innovation from their vendors. Takeaway: If your current system isn't delivering on these fronts, you're at risk of falling behind competitors who are already modernizing. The Rise of AI in O&P Practice Management One of the most promising shifts in O&P software is the adoption of artificial intelligence (AI) and machine learning (ML). In the survey, a remarkable 80% of O&P leaders expressed interest in using AI to: Automate claims processes. Improve clinical documentation. Streamline patient intake workflows. Modern O&P software platforms are rapidly integrating AI to help practices work smarter, not harder. From ambient clinical documentation to predictive revenue cycle analytics, AI will soon be a "must-have" — not a "nice-to-have." Takeaway: Practices that embrace AI will have a significant edge in operational efficiency, profitability, and patient satisfaction. Are You Ready for the Second Half of 2025? The O&P landscape is shifting. Practices that continue relying on outdated, rigid systems will struggle with growing administrative costs, staff burnout, compliance risks, and slower growth. But those who invest now in modern O&P software — with integrated RCM services, AI-driven documentation, automated inventory management, and better business intelligence — will be ready to thrive. The message from the research is clear: expect more from your technology partners. Want to see the full insights from nearly 100 of your peers? Download the full 2025 Trends in O&P Practice Management Technology Report here [link to report]