Bariatric surgery has the most demanding pre-op timeline in elective surgery. A patient who's been in supervised diet for 12 weeks can still lose their slot if they miss the psych eval, skip cardiac clearance, or forget NPO compliance. CaseFlow tracks the entire sequence so you don't have to.
CaseFlow runs the full 20-week pre-op sequence automatically — from Week 8 diet check-ins through Day-3 post-op triage. You manage exceptions, not reminders.
CMS requires 3–6 months of physician-supervised weight loss before bariatric surgery. CaseFlow sends weekly check-in SMS aligned to your program milestones, confirms appointment attendance, and flags patients who miss supervised diet visits before those gaps affect surgical clearance.
Psychological evaluation is a hard gate for CMS and most payers. CaseFlow reminds patients at Week 12, confirms scheduling, and follows up if the eval isn't completed before the surgical hold window closes. Late psych eval completions are the #2 cause of surgical delays in bariatric programs.
Cardiac clearance for bariatric surgery requires cardiology coordination and often a formal stress test. CaseFlow tracks the referral, sends reminders at Week 14 and 16, and escalates to your office if clearance hasn't been documented before the surgical date is confirmed.
CaseFlow's clearance tracker keeps all pre-op clearance items (nutrition, psych, cardiac, pulmonary, anesthesia) in one place per patient. When a clearance is pending or overdue, your office gets a flagged alert — not a last-minute surprise on the morning of surgery.
CaseFlow sends NPO compliance SMS the evening before surgery and a 3-hour pre-op confirmation. For bariatric patients especially, NPO compliance is non-negotiable. A missed NPO instruction means case delay or cancellation — CaseFlow ensures it doesn't happen.
Post-bariatric surgery complications (DVT, leak, dehydration, GI intolerance) often surface within the first 72 hours after discharge. CaseFlow runs a structured Day-3 check-in, flags concerning responses to your triage team in real-time, and ensures patients who need to be seen today know it.
Bariatric patients who score 9–10 on Day-30 NPS automatically receive a "life change" framed one-tap Google review link. Weight loss surgery outcomes are deeply emotional — CaseFlow captures that moment with the right words, then tracks clicks and confirmation. Your program's best outcomes compound into local SEO that brings in the next patient looking for bariatric surgery near them. See how it works →
Bariatric surgery requires documented protocol compliance across multiple specialties. CaseFlow keeps patients on track and your team out of the chase.
CaseFlow's protocol-adherence SMS timeline targets the clearance and psych eval gaps that cause the most surgical delays in bariatric programs. One recovered case per surgeon per month covers the monthly cost of the platform.
Auto-send a 5-minute bariatric surgery walkthrough at T-14d — including pre-op liquid diet, vitamin protocol, and realistic recovery expectations. Available in English & Spanish. Completion feeds the cancellation risk score automatically.
A sleeve gastrectomy costs $18,000–$28,000 per case. Bariatric patients have high pre-op investment — but diet fatigue at week 12–16 drives cold-feet cancellations. CaseFlow sends a T-21d SMS with a Stripe payment link (Apple Pay / Google Pay supported). A $500–$1,000 deposit that converts to a 12-month credit on late cancel preserves the rebook relationship without burning the patient.
An $18,000–$28,000 sleeve or bypass creates real financial anxiety — especially at the T-10d mark when reality sets in. CaseFlow automatically texts every high-OOP patient a pre-qualification link 10 days before surgery. 60 seconds. No credit impact. Instant decision. Three partner options side-by-side: CareCredit (0% promo), Cherry (up to 36 months), and Affirm (real APR shown up front). When a patient is declined, the coordinator gets a daily brief alert to make a personal call — before they go dark.
Five bilingual texts fire automatically at each surgery milestone — check-in, surgery start, complete, recovery, pickup. No staff calls, no pacing family in the lobby. Families who get updates leave 5-star reviews. Bariatric practices are the fastest to earn them.
👨👩👧 See the Family Update demo →CaseFlow tracks par levels for surgical supplies and device SKUs — linear staplers, trocars, energy devices, balloon dissectors. When stock drops to par, an automatic reorder PO fires to your vendor rep via SMS and email. One-click rep confirmation. Stockout with a sleeve or bypass scheduled in 72h? You get an urgent alert before the patient arrives.
Bariatric GI obstruction scores +18 in CaseFlow's Complication Triage AI — the highest specialty amplifier. Every post-op patient SMS is classified automatically. No bowel movement 3 days post-sleeve = urgent flag, surgeon alerted immediately.
See Complication Triage AI →"I haven't been able to have a bowel movement in 3 days and my stomach hurts a lot"
Bariatric patients are among the highest-ASA-class populations in any ASC: BMI 50+, obstructive sleep apnea, T2 diabetes, hypertension. CaseFlow auto-scores ASA class from the pre-op intake, flags OSA + GLP-1 use automatically, and routes to your anesthesiologist for sign-off. Required workups (sleep study, echo, endocrine consult) are tracked per case with patient SMS nudges at T-21d through T-3d. Cases not OR-ready at T-72h get a +30 risk boost in Cancellation Prediction — surfaced before the slot is gone.
Semaglutide (Ozempic, Wegovy, Rybelsus) and tirzepatide (Mounjaro, Zepbound) dramatically slow gastric emptying. Bariatric anesthesia is already high-risk. A dose taken within 7 days of your sleeve gastrectomy or gastric bypass creates a full-stomach situation your anesthesiologist cannot accept. Per SAGES 2024: bariatric protocols must hold clear liquids too — this is stricter than standard ASA guidance.
Photos in. NHSN-ready quarterly report out. Keep your full CMS payment rate. Bariatric cases (NHSN code GAST) carry a 30-day surveillance window. ASCs that skip ASCQR submission take a 2.0 percentage point CMS payment reduction — for the entire payment year.
Every sleeve gastrectomy and bypass case enters the NHSN GAST denominator. 30-day surveillance window auto-tracked.
Day 3/7/14 photo uploads AI-scored for wound complications. Port-site cellulitis flagged before it becomes a readmission.
Quarterly XML export in CMS format. Countdown to next deadline. Never miss a submission again.
Self-pay sleeve and bypass patients represent a large share of your program — and they're the exact population the No Surprises Act was written for. CaseFlow auto-generates a CPT-itemized Good Faith Estimate at scheduling, delivers it via bilingual SMS e-sign at T-14d, flags any $400+ billing variance before the patient can file a PPDR dispute, and stores the 6-year HHS audit trail automatically.
See the full 20-week pre-op sequence in action — try the sandbox with a pre-loaded bariatric program example.
PE & MSO CFOs use this to quantify cancellation leakage across their ASC portfolio before their next board meeting.
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