Adherence to opioid prescribing state and federal guidelines and regulations is complex, time consuming and requires training and experience. Prescribing guidelines and regulatory requirements change on a regular basis. The result is increasing time burdens on the provider, increased administrative processes, and the constant threat of medical board and/or DEA accusations. Managing this risk can take a lot of time with little or no remuneration. With recent regulatory changes, many providers have decided it is easier to not write opioid prescriptions any longer. This is creating an access problem for chronic pain patients that need pain management for adequate function, independence and quality of life. OPOS mitigates prescribing risk, aligns provider time with income and increases in practice capacity.