One Workflow Fix That Saves $100K+ Per Year in Missed Virtual Visit Charges
One Workflow Fix That Saves $100K+ Per Year in Missed Virtual Visit Charges
A single breakdown in how your team documents and bills virtual visits could be costing you six figures. This quick audit shows where that revenue is leaking—and how to recover it in just a few weeks.
Most provider organizations have integrated telehealth—but far fewer have optimized it.
You’ve trained your team. Visits are happening. But behind the scenes, we keep seeing the same issue:
You’re doing the work of telehealth—but not capturing the revenue.
This article walks through the most common breakdown in virtual visit reimbursement—and the exact operational fix we implement to help clinics recover $100K+ in missed revenue annually.
1. Spot the Bottleneck: One Workflow, Many Lost Dollars
In our recent audits, a single pattern keeps emerging: documentation and billing workflows for telehealth visits are incomplete or inconsistent.
Common issues we find:
- Providers aren’t using time-based billing language for virtual visits
- The wrong place of service code is applied (e.g. POS 11 instead of 02 or 10)
- Modifiers like 95 or GT are applied incorrectly—or not at all
- There’s no pre-claim QA process to catch issues before submission
Each issue may seem small. But together, they create significant revenue leakage.
2. Estimate the Impact: Do the Math
Even with modest telehealth volume, the numbers add up quickly.
Here’s a conservative scenario:
- 12 providers
- 20 virtual visits/week per provider
- That’s 12,000 virtual visits/year
- If just 15% are miscoded or under-documented: 1,800 visits
- At an average of $70 lost per visit =
$126,000 per year in missed revenue
And that’s just the direct reimbursement loss—not including downstream denials, rebilling, or staff rework.
3. Implement the Fix: A 3-Week Operational Sprint
At BettyWell, we’ve designed a Telehealth Optimization Sprint that’s fast, lean, and measurable.
Here’s what it includes:
- Audit your current telehealth billing logic, visit types, and EHR templates
- Standardize documentation + modifier usage across service lines
- Train providers, coders, and billing staff on best practices
- Build a lightweight QA process to catch billing issues pre-claim
- Track revenue lift over 30–60 days
This is not a software project. It’s a surgical workflow fix with measurable financial results.
4. What to Expect: Fast ROI, Sustainable Change
Teams that implement this fix typically see:
- Higher reimbursement per visit (from time-based coding alone)
- Lower denial rates on telehealth claims
- Greater provider confidence in billing virtual care
- And yes—$100K+ per year in recovered revenue
Final Thought
Telehealth is no longer “new.” But that doesn’t mean it’s optimized.
Most organizations have decent virtual visit volume—but are still flying blind when it comes to what’s being left on the table financially.
If your billing team isn’t 100% confident in how every virtual visit is documented, coded, and paid—this is the fastest place to look.
Want to See What You’re Missing?
BettyWell helps hospitals, clinics, and FQHCs optimize their virtual care operations—starting with revenue you’ve already earned but haven’t collected.
Book a 15-minute strategy call and we’ll walk through your current setup to estimate what you could recover—often within 30 days.