Case Study

From the "Revolving Door" to Operational Stability: How CSMO Erased Staffing Gaps, Optimized Efficiency, and Boosted Collections with WelcomeWare

Published: Mar 11, 2026

The Center for Sports Medicine & Orthopaedics (CSMO), a physician-owned practice with seven PT/OT clinics across Tennessee and Georgia, faced a recurring logistical hurdle. Maintaining consistent, high-quality front desk coverage across multiple locations with long operating hours (6:00 AM – 5:30 PM) was becoming increasingly difficult as patient volumes fluctuated.

The Problem

CSMO faced significant logistical challenges that strained both their staff and their bottom line. The primary issues included:

Staffing Instability
High turnover rates and the constant need to cover time off created a "revolving door" effect at the front desk.

Operational Inefficiency
To maintain coverage during off-hours, the practice had to pull clinical staff away from their primary duties to handle administrative tasks.

Financial Leakage
Non-administrative staff often struggled with collecting co-payments and outstanding balances. This led to decreased Point-of-Service collections, which are notoriously difficult to recover once a patient leaves.

Workload Imbalance
Larger clinics, with up to nine clinicians, overwhelmed front desk staff, leading to burnout, while the front desk staff in smaller clinics remained underutilized.

The Solution – WelcomeWare

CSMO discovered WelcomeWare at the Ortho Forum Therapy Services Conference and sought a solution that offered technological efficiency without sacrificing the human connection their patients expected.

By implementing WelcomeWare’s virtual front desk, CSMO was able to:

Maintain the "Human" Element
Unlike impersonal kiosks, patients interact "face-to-face" with live, recognizable staff via high-definition video.

Level the Workload
The platform allowed CSMO to centralize their front desk team, distributing the workload evenly across all staff, regardless of a specific clinic's patient volume.

Ensure Full-Day Coverage
Trained staff is now available from the very first 6:00 AM appointment through the final evening check-out, at a cost-effective rate.

“The WelcomeWare Sales and Customer Success teams are the highest-quality partners. They are knowledgeable, responsive, and committed to client success from onboarding through ongoing support.”

Connie Roberts

COO

Smooth Setup and Support

CSMO adopted a strategic, two-phase approach to ensure a smooth transition for both staff and patients. The implementation began with a Pilot Program at two clinics, where CSMO worked closely with the WelcomeWare Customer Success team to refine workflows.

By identifying and resolving minor friction points during this "battle-tested" pilot phase, the practice ensured a seamless Total Integration. Within three months, CSMO successfully deployed WelcomeWare kiosks to all seven PT/OT clinics.

CSMO Performance Highlights

7 Clinics Optimized

Lower Front Desk Overhead

Improved POS Collections

The Result

Operational Impact
All seven locations now operate with a "personless front desk," with no on-site receptionist. CSMO optimized their headcount from seven on-site receptionists to six full-time virtual staff who manage all locations.

Cost Savings
The 14% reduction in staff allowed the service to pay for itself while creating additional operational savings.

Better Financial Outcomes
With trained specialists handling every interaction, POS collections have increased, and "billing surprises" for patients have decreased.

Enhanced Efficiency
Therapists report that patients reach the clinical area faster, and overall check-in times have decreased.

Staff Retention
Better distribution of workload has led to higher job satisfaction, effectively ending the cycle of burnout and turnover.

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