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ModMed Revenue Intelligence for Procedure-Heavy Specialty Groups
ModMed is common among GI, orthopedic and other specialty groups that live on procedures and long recall intervals. Nuvory is designed to find the ones that never happened and rank them for your schedulers.
What is ModMed revenue intelligence?
ModMed revenue intelligence is the nightly check of appointments, procedure orders and recalls in ModMed against what was actually completed. Nuvory, healthcare revenue leakage intelligence for specialty practices, is designed to work with ModMed through its FHIR R4 APIs, with bulk export and practice management data where enabled. Procedure and recall leakage are often the largest opportunities in ModMed groups. Scope is confirmed during discovery.
Which specialties on ModMed is this built for?
Specialty groups whose revenue depends on scheduled procedures and surveillance intervals. In specialty groups, leakage happens in the handoffs between clinic, scheduling and the procedure suite, not in the EHR record itself.
Gastroenterology
Surveillance colonoscopies past due and endoscopy orders never scheduled. See gastroenterology and our guide to colonoscopy recall management.
Orthopedics
Imaging with no results visit, cancelled surgeries and skipped post-op visits. See orthopedics.
Pain management
Block-to-ablation sequences and injection series that stall. See pain management.
Ophthalmology and urology
Injection intervals, glaucoma testing, cystoscopy surveillance, PSA follow-up and cataract consults that never reached surgery. See ophthalmology and urology.
See open procedures and recalls by service line
We will show how a specialty group's open items are ranked and worked.
What does procedure and recall leakage look like on ModMed?
- Surveillance intervals A colonoscopy recall set for years out passes with nothing booked.
- Procedure orders An endoscopy, injection or surgery is ordered and never scheduled, often stuck behind prior authorization.
- Cancellations A procedure cancelled for prep, illness or cost is flagged after 2 days without a new date.
- Post-op returns Post-procedure follow-ups that patients skip once they feel better.
- Inbound referrals Primary care referrals with no contact or no visit.
Which ModMed data does Nuvory read?
Nuvory reads through ModMed's FHIR R4 APIs, with bulk export and practice management data where enabled. Availability is confirmed with your ModMed administrator.
| Data | Source | What Nuvory uses it for |
|---|---|---|
| Patients | FHIR Patient | Identity and contact details |
| Appointments | FHIR Appointment | Booked, cancelled and missed procedures and visits |
| Procedure orders | FHIR ServiceRequest | Orders that should become scheduled procedures |
| Completed procedures | FHIR Procedure | Closing open orders; the next surveillance date comes from the recall your clinicians set |
| Visits | FHIR Encounter | Completed visits and location |
| Practice management | ModMed practice management data, where available | Scheduling activity |
| History | Bulk data export, where enabled | The historical load and baseline |
How is a ModMed group set up?
Specialty setup puts extra weight on procedure codes, procedure sites and surveillance intervals. Your administrator approves API access and lists the locations, including any ambulatory surgery or procedure sites tracked separately. Timeline is confirmed during discovery.
- Approve accessYour ModMed administrator approves API access.
- Load historyAbout two years of appointments, orders and procedures are loaded.
- Map procedures and sitesHealthArc maps local procedure codes and locations, including procedure suites.
- Agree intervals with your cliniciansSurveillance and post-op rules start from HealthArc templates; a physician reviewer approves each after spot-checking patients.
- Baseline and go liveA per-service-line baseline is built and nightly runs begin.
What does Nuvory find in ModMed data?
ModMed analytics software can count procedures. Nuvory lists the patients specialty schedulers can act on this week.
Procedures never scheduled
Orders with no case date; staff can close one as done elsewhere, with a reason.
Learn moreSurveillance overdue
ModMed recall management that skips patients already booked in the window.
Learn moreReferrals stalled
ModMed referral tracking with configurable 7 and 14 day windows.
Learn moreRanked by value
Open items ranked by estimated value, urgency and confidence.
Learn moreRecover procedure slots before they go empty
See how cancelled procedures surface after 2 days without rebooking.
What should a ModMed specialty group evaluate?
- Does it understand intervals? A surveillance recall is not the same as a 30-day follow-up.
- Does it treat cancellations separately? Cancelled procedures need faster action than overdue recalls.
- Can value be shown by service line? Leaders want GI, ortho and pain reported separately.
- What does the security review cover? A business associate agreement, the SOC 2 Type II report on HealthArc's platform and per-practice data isolation; see security.
Other EHRs Nuvory works with
ModMed is a trademark of its owner. Its use here describes compatibility only and does not imply endorsement or partnership.
Further reading
SMART on FHIR, FHIR R4 and Bulk Data: an EHR integration guide for practice leaders
What practice leaders should know about FHIR R4, US Core, Bulk FHIR export, SMART on FHIR app launch, HL7 v2 and X12, and what to ask any EHR vendor.
EHR & Data IntelligenceEHR Analytics vs. Revenue Leakage Intelligence: What Built-In Reporting Misses
EHR reports describe records one type at a time. Revenue leakage intelligence matches referrals, orders and recalls to the visits and procedures that should follow, and checks whether care was completed. Here is where each fits.
Questions, answered
More in our FAQ, or ask our team.
Is Nuvory available for ModMed today?
ModMed is a supported EHR. Nuvory is designed to work with ModMed data through FHIR R4 APIs, with bulk export and practice management data where enabled. Scope is confirmed during discovery.
Does Nuvory schedule procedures in ModMed?
No. Schedulers keep booking in ModMed. Nuvory identifies the patients and the reason to call.
Who sets surveillance intervals?
Your clinicians. Rules start from HealthArc templates, and a clinical reviewer at your practice signs off each one.
How quickly are cancelled procedures flagged?
By default, cancelled procedures are flagged after 2 days without rebooking and office visits after 7. Both are configurable.
Can Nuvory tell if a procedure was done somewhere else?
Staff can close an order as done elsewhere with a reason. Claims or HIE feeds, where connected on Enterprise, make completion matching more precise.
See ModMed procedure and recall leakage clearly
Book a demo to scope your ModMed data and specialties.