How a Podiatry Practice Strengthened Revenue Integrity
Meet the Client
A podiatry group in Northern California manages thousands of outpatient visits annually, treating a diverse patient population across multiple locations. With steady growth and increasing payer scrutiny, leadership needed a way to ensure documentation consistency, reduce denials, and safeguard revenue — without adding more administrative burden on physicians.
The Challenge: Gaps That Cost Revenue
The practice’s documentation and billing workflows had become barriers to financial performance:
- Incomplete notes weakened justification for medical necessity.
- Manual prep and rigid templates left room for errors and inconsistency.
- Reactive denial management tied up staff time and delayed reimbursement.
As claims volume grew, so did the risk of revenue leakage — and the need for a smarter, scalable solution.
The Solution: Ember’s AI-Powered RCM Support
Ember helped the podiatry team move from reactive fixes to proactive revenue protection. By analyzing documentation in real time, surfacing gaps, and ensuring completeness before claims were submitted, Ember improved both billing confidence and payer relationships.
Key capabilities included:
- Real-time prompts to strengthen documentation of medical necessity.
- Cleaner claims upfront, reducing reliance on denial appeals.
- Consistency across providers, supporting accurate and defensible billing.
The Impact: Revenue Protection and ROI
In the first six months, Ember delivered measurable results:
- 18% reduction in denial rates, preventing more than $90K in lost revenue.
- 15% faster reimbursement, improving cash flow.
- 2.3x return on investment, realized within the first half year.
- Stronger payer confidence, with fewer requests for additional documentation.
Looking Ahead
As the practice expands, Ember has become an essential partner in scaling revenue operations. The RCM team now spends less time chasing issues and more time optimizing financial outcomes, while providers document with greater confidence.
“We’re no longer leaving money on the table. Ember helps us bill accurately and prevent denials before they happen, and that has made a real difference in our revenue.” – Podiatry Provider
Lynn Hsing
Lynn Hsing is a recognized leader in healthcare marketing. Having worked closely with health systems and providers, Lynn brings a nuanced understanding of the challenges they face — from administrative burden and claim denials to reimbursement delays and staff shortages. This firsthand insight has shaped Lynn’s ability to translate complex AI solutions into meaningful value for healthcare organizations.
