Integrated Spine & Joint Institute (ISJI)
Long patient intake calls and a broken appointment confirmation process were costing ISJI thousands in lost revenue on every procedure day. By moving to two-way HIPAA compliant texting, this pain management group slashed call time by 66%, pushed confirmation rates to 90%, and added up to $120,000 in revenue per year.

Numbers That Speak for Themselves
Text confirmations didn't just save time on the phone. They filled procedure days, protected revenue, and gave patients a faster, easier way to stay connected with their care.
66%
Faster patient intake calls
Intake calls that once took 15 to 20 minutes were cut down to about 5 minutes per patient
90%
Appointment confirmation rate
Text-based confirmations soared to 90%, compared to just 30% when confirming by phone
$100K to $120K
Added revenue per year
By reducing no-shows and filling open procedure day slots faster, ISJI added six figures in revenue annually
Challenge
No-Shows and Long Calls Were Draining Revenue and Staff Time
High phone call volume was keeping ISJI's small team from hitting their inquiry response and patient experience goals. Each patient intake call took 15 to 20 minutes to collect insurance details, personal health information, and other routine data, leaving little time for staff to actually address patient concerns. The bigger problem showed up on procedure days, the days that generate the majority of ISJI's revenue. Confirming appointments by phone had only a 30% success rate. Out of 28 patients scheduled on a typical procedure day, only about eight would answer a confirmation call, leaving staff with no clear picture of who would actually show up. The result was an average of ten no-shows per procedure day, leaving the practice operating at just 64% capacity and losing an estimated $1,400 to $2,300 in revenue on procedure days alone.
Solutions
Feature 1
Two-Way Texting for Confirmations and Rescheduling
ISJI replaced phone-based confirmation calls with secure text messages, giving patients an easy way to confirm or reschedule procedures on their own time.
Feature 1
HIPAA Compliant Texting for Everyday Communication
Staff used OhMD's texting platform to handle patient questions, insurance inquiries, and intake conversations more efficiently than phone calls allowed
Feature 3
Digitized Forms and Text-Based Workflows
Patients receive intake forms by text before their appointment, cutting down on phone conversation length and making in-office visits faster and more focused.
Real world results for a high volume practice
Once ISJI moved appointment confirmations to text, the effect on their bottom line was immediate and significant, transforming procedure days from a revenue risk into a reliable source of growth.
61% increase
Growth in overall appointment confirmations after switching to text-based confirmations.
$120,000 per year
Added revenue generated from reduced no-shows and better-filled procedure days.

Don’t take our word for it
"OhMD is a lifesaver. It's helped us connect with patients and partners, and to be there for them when they need us."
Urooj Yunus Ansari
Vice President, Integrated Spine & Joint Institute


