CMS data shows 12–18% same-day cancellation rate for elective cath lab procedures. At $7,200 avg (diagnostic + interventional blended), a 5-physician group doing 12 cath cases/week loses $645K–$968K/year before recovery. CaseFlow recovers it.
From diagnostic cath to structural heart — CaseFlow covers the full spectrum of cardiac procedural complexity.
High-volume cath lab bread-and-butter. Same-day cancel driven by missed anticoag hold — Plavix 5-day, Eliquis 48h, Xarelto 24h, warfarin INR confirmation at T-5d and T-1d. Cancellation cascades into blocked cath lab time, anesthetist, and scrub tech.
CaseFlow: Anticoag hold SMS + T-7d confirmation + waitlist blastComplex electrophysiology cases with significant pre-op workup. Antiarrhythmic holds, mapping system scheduling, fluoroscopy block. No-show rate ~8–10%. Cancellation means rebooking a multi-hour EP lab slot with limited availability.
CaseFlow: ASA scoring + medication hold tracking + anesthesia pre-op at T-21dDevice inventory lead time + anticoag bridge required. Day-1/3/7 post-op follow-up critical for device wound check, lead integrity symptoms, and defibrillator threshold feelings. Patient reports of shocks = immediate EP escalation.
CaseFlow: Device post-op check-ins + EP escalation triageMulti-disciplinary team pre-op, cath lab + hybrid OR scheduling, heart team sign-off required. MDD clearance, anesthesia clearance, and vascular access confirmation all must be documented before the slot is confirmed. Last-minute cancel = $40K+ in OR and team time.
CaseFlow: OR-ready scoring + T-72h escalation + multi-specialty clearancePlavix hold 5-day, escort required for conscious sedation, NPO timing for vascular procedures. Peripheral interventions often done in OBL/ASC with lower staffing tolerance for last-minute cancel. CaseFlow handles the hold, the escort check, and the waitlist fill.
CaseFlow: Anticoag hold + escort confirmation + same-day fillThis isn't theoretical — it's your P&L. Run your own numbers in the ROI calculator.
"CMS analysis of Medicare claims data shows same-day cancellation rates of 12–18% for elective cardiac catheterization procedures — higher than orthopedic surgery (8%) and on par with bariatric (14%). Anticoagulation management failures account for an estimated 30–40% of cath-day cancellations."— CMS Outpatient Quality Monitoring, physician group data
Anticoag bridging is the #1 cardiology-specific problem — and CaseFlow is the only platform that automates drug-specific hold SMS with INR tracking. Every other feature builds from there.
The cardiology pre-op problem. Drug-specific hold windows: Eliquis 48h, Xarelto 24h, Plavix 5-day, warfarin INR T-5d + T-1d confirmation. Auto-SMS to patient with hold dates and INR lab order reminder. Unconfirmed holds escalate to coordinator by 6pm day prior.
Cardiac patients frequently ASA III+. CaseFlow auto-classifies ASA risk from pre-op intake, routes to pre-anesthesia eval automatically, tracks cardiology consult for structural heart cases, and flags OR-ready status at T-72h.
Conscious sedation NPO timing (different from general anesthesia). Auto-sends bilingual NPO instructions day before. CaseFlow confirms NPO compliance morning-of and flags unconfirmed patients before the patient is in pre-op.
Pacemaker/ICD patients: Day 1, 3, 7 check-ins. Device wound check, lead integrity symptoms, defibrillator threshold feelings. Auto-escalate to EP if patient reports shocks — flag within 60 seconds.
Same-day cath cancellation → CaseFlow identifies auth-ready, cleared, financially-ready waitlist candidates → priority-ranked SMS blast → first YES fills the $7,200 slot in under 60 minutes.
PCI, stent, TAVR auth tracked with T-14/7/3d auto-chase. When auth is within 7 days of expiry, CaseFlow alerts your auth coordinator. When a denial lands inside the booking window, the slot opens and the waitlist blast fires immediately.
Every message is bilingual (English/Spanish) and routes patient replies to the cardiology coordinator inbox.
CaseFlow's anticoagulation hold SMS + same-day waitlist blast recovers 35% of cancelled cath slots. One recovered slot per week covers the annual cost of CaseFlow Solo.
See the full anticoagulation hold SMS cadence, auth tracker, and same-day waitlist blast in the sandbox — pre-loaded with a cardiology practice example.