Quantifying the Impact of Bundled Services: A Case for Data-Driven Decision Making

Word Count: 522
Estimated Reading Time: ~3 minutes
Financial / Operational Impact: Avoided ~$20K in annual revenue loss, reduced ~$10.6K in billing labor costs, and accelerated payments by nearly a week.

A regional podiatry group prided itself on patient-centered care, often accommodating procedures during the same visit as an office consultation. While this approach reduced patient friction, leadership suspected it came at a financial cost. For certain payers, bundling CPT 11750 (ingrown toenail removal) with an evaluation and management (E/M) code frequently resulted in nonpayment for the office visit or reduced reimbursement.

Before implementing RevOps Health, the practice relied on anecdotal evidence and staff intuition. While clinicians and owners recognized isolated cases of denied claims, they lacked the tools to measure the scale of the problem or its cumulative financial impact. Without hard data, decisions around billing practices remained reactive, leaving the group exposed to continued losses.

Contact us to schedule a demo or click here to download Payer Accountability and Negotiation whitepaper(s).