Prepared for Dr. Paul Singh · U.S. Dermatology Partners · Abry Partners

130+ U.S. Dermatology locations. What does a 2% Mohs no-show rate cost?

2% no-show rate × $1,800 avg Mohs case × 130 locations × 3 cases/day = ~$4.2M/year sitting in empty slots. One open Mohs block burns the entire OR day — CaseFlow recaptures it automatically.

Loss this year (growing)
$0
~$4.2M/yr at 2% no-show rate · Live tracker →
130+
Mohs locations across U.S. Dermatology Partners
2%
Mohs no-show rate
$1,800
Avg Mohs case reimbursement
Mohs surgery's 2–4 hour block length makes cancellations especially costly — a single open Mohs slot means an entire afternoon of potential OR revenue gone. Castle Connolly's #1 Dermatology Practice in the Nation — the volume is real, the leak is too.
The math

Where the $4.2M comes from

Three compounding factors. Each one is a decision CaseFlow makes before the patient does.

No-show rate
Mohs patients at USDP who cancel or no-show — anticoagulant holds, same-day conflicts, transport issues
2%
conservative estimate for large multi-site dermatology group
industry average for large Derm groups: 2–5%
Slots at risk
Total Mohs slot openings across USDP's 130+ locations, accounting for 2% no-show rate
23,400
annual open Mohs slots across the network
130 locs × 3/day × 30d × 12mo × 2% = 23,400 slots/yr
Annual revenue leak
Total open Mohs slot revenue lost across USDP's 130+ locations at 2% no-show rate
$4.2M
gross leakage — not yet accounting for fill recovery
130 locs × 3/day × 30d × 12mo × 2% × $1,800 = $4.2M/yr
Recoverable with CaseFlow
$1.68M/yr
CaseFlow fills 40% of at-risk Mohs slots via automated waitlist backfill. That's 936 Mohs cases recovered per year × $1,800 avg = $1.68M back in the OR.
Mohs workflow fit

Five interventions built for Mohs surgery

Mohs requires a unique cadence: anticoagulant coordination, escort confirmation, 2–4 hour block backfill, specimen tracking, and wound care follow-up. CaseFlow handles all five automatically.

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Anticoagulant hold reminders
T-7d SMS reminds Mohs patients to check hold requirements with their cardiologist. Cases without confirmed hold status flagged to front desk before block is finalized.
T − 7 days
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Escort confirmation for Mohs
Mohs patients need a driver — T-24h SMS asks for escort confirmation. Unconfirmed cases get rescheduled before the block goes live.
T − 24 hours
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Same-day block auto-backfill
When a Mohs slot opens, CaseFlow blasts the qualified standby list in tier order. First YES wins — the block fills before the OR day starts.
Same-day, automated
📊
Specimen pathology loop
Mohs relies on real-time pathology — CaseFlow tracks every specimen from OR to lab to surgeon review. Malignant results trigger an automatic surgeon call request, not a quiet inbox flag.
OR → Lab → Surgeon → Patient
Wound care + infection check-in
Post-Mohs SMS at Day 1, 3, and 7 screens for infection signs. Concerning replies escalate to the triage inbox immediately.
T + 1 / 3 / 7 days
Built for PE-backed dermatology

Network-scale visibility across 130+ locations

USDP leadership needs a single dashboard that shows every Mohs location's no-show rate, fill rate, and recovered revenue — not 130+ separate login screens.

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Recent expansions: Helms Derm (Arkansas, Nov 2025), multiple TX/CO/MO additions in 2025–2026. Castle Connolly #1 Dermatology Practice in the Nation.
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Multi-location OR dashboard
All 130+ locations on one screen: this week's cancellations, blocks filled, revenue recovered. Drill down by location or by surgeon.
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Network-level ROI reporting
Monthly impact report: total Mohs slots saved, revenue recovered, no-show rate vs. benchmark. Exportable for board slides.
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MSO workflow integration
Works with existing MSO scheduling systems. Staff sees the same waitlist they already use — CaseFlow adds the automated blast layer, not a new tool.
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Pilot-first rollout
Start with 5 locations. Show the numbers. Roll out to the rest. $49 pilot plan — no commitment until you see results.

See CaseFlow for U.S. Dermatology Partners

20 minutes. We'll show the math, the pilot setup, and the network rollup plan. No commitment — just the numbers.

Schedule 20 minutes →