Cardiology has the highest per-case reimbursement of any specialty in the platform rollup. A filled EP study is $12K. A structural heart case is $15K–$20K. Here's what cancellation leakage costs a cardiology MSO at scale.
Cath lab cases don't just cancel — they cascade. Room prep, scrub tech scheduling, contrast kit prep, and anesthesia all reset when a case falls out. Here's what's specific to cardiology that CaseFlow handles.
Warfarin, DOACs, and aspirin each have different hold timing before cath lab procedures. A patient who didn't stop Eliquis 48h before the procedure cancels at pre-op intake. CaseFlow sends drug-specific stop-date SMS at the correct interval per DOAC — no generic reminder, exact timing per drug.
Contrast-allergic patients need diphenhydramine + steroid pre-medication starting 13h before procedure. If pre-med compliance isn't confirmed, the case is cancelled. CaseFlow tracks the pre-med protocol and flags non-compliant patients at T-72h.
Moderate sedation still requires pre-anesthesia evaluation for ASA 3+ patients — the majority of cardiology patients with CAD, DM, or HTN. CaseFlow auto-scores ASA class from intake and routes to anesthesiologist, tracking EKG, echo, and cardiology consult status.
Cath lab cases require strict NPO from midnight. A patient who eats breakfast cancels the morning case and stacks the cath lab schedule. CaseFlow sends NPO-specific reminders at T-1d, T-12h, and T-4h — with clear liquid guidance (black coffee OK until 4h before).
EP patients are asymptomatic between arrhythmia episodes. By procedure day, they've often convinced themselves they're fine. Cancellation risk peaks T-3d to T-1d. CaseFlow's 7-touch cadence — from T-30 through day-of — keeps the case alive with condition-specific messaging.
TAVR and MitraClip cases involve elderly, high-comorbidity patients. Transport failures, acute decompensation, and family logistics are the top 3 cancellation drivers. CaseFlow coordinates transport confirmation, family logistics, and pre-procedure health check at T-24h.
At 8% no-show rate, $10,500 avg case value, and 62% recovery through CaseFlow — the ROI for a cardiology platform scales directly with site count.
CaseFlow Enterprise pricing scales per location. All figures assume 8% no-show baseline and 62% waitlist fill rate from CaseFlow pilot data.
CaseFlow is built for the MSO layer — one platform dashboard, per-group drill-down, anonymized IC reporting. No per-location implementation.