CaseFlow for Mohs Surgery Practices

The Problem

Mohs slots are the most expensive square footage in your practice

Unlike a standard dermatology appointment, a Mohs case occupies a room for 2–4 hours. A no-show doesn't just waste a 15-minute slot — it's half a day's OR capacity, gone.

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2–4 hours per slot

A single Mohs case consumes a treatment room for the better part of a half-day. Unlike procedures you can flex around, Mohs cases have a defined start and end — and a no-show leaves that room dark with no near-term recovery option.

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$1,800 average reimbursement

CMS and commercial payers reimburse Mohs surgery at $1,200–$2,500 per case depending on stages and repair complexity. That per-case value is higher than almost any other dermatology procedure — and higher stakes when it's lost.

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8% national no-show rate

Dermatology consistently posts some of the highest no-show rates in ambulatory care. At scale — 50 locations × 5 cases/week — an 8% no-show rate translates to $3.7M in recoverable annual revenue left on the table.

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High recurrence, hard to fill

Mohs patients are typically booked weeks in advance. Unlike an GI endoscopy where a same-day cancellation can often be filled from a waitlist, a Mohs slot that opens with less than 72 hours notice is rarely recovered without CaseFlow's standby matching.

Capabilities

What CaseFlow does for Mohs surgery programs

Four automated workflows that reduce no-show rates, fill canceled slots, and keep Mohs patients on track through pre-op and post-op.

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Pre-op protocol automation

Anticoagulant hold reminders, escort confirmation, and procedure prep instructions triggered automatically at 72h, 24h, and 2h before the Mohs appointment. No staff time spent on confirmation calls. No missed pre-op instructions.

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Cancellation backfill

When a Mohs slot opens, CaseFlow identifies qualified standby patients — anticoagulant cleared, escort confirmed, prep completed — and texts them in priority order. First YES wins the slot. Standby matching is purpose-built for 2–4 hour blocks.

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Post-op wound care SMS cadence

Day 1, 3, and 7 wound care check-ins sent automatically. Infection screening triggers alert Mohs surgeons to concerning responses in real-time. Complications caught at Day 3 — not when the patient calls the office three days later.

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PROMs for dermatology quality metrics

Patient-reported outcome collection using validated dermatology instruments (POSAS, Skindex, DLQI). Data feeds board reporting, payer quality metrics, and network-level benchmark dashboards. Mohs-specific PROM tracking, bilingual, SMS-delivered.

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Mohs Margin Pathology Tracking — every excision margin logged, no result lost

Mohs surgical margins go to pathology after every stage. CaseFlow logs each specimen from the OR, generates a unique lab link per container, and alerts surgeons when a margin result is >7d outstanding or a recurrence flag sits unreviewed for >24h. Full HIPAA audit trail per case — exportable CSV for malpractice carriers and state medical board compliance reviews. See live demo →

For PE-backed Networks

Built for Dermatology Rollups

CaseFlow was designed with MSO and PE portfolio operations in mind — from day-one onboarding to network-level reporting across 50+ locations.

Multi-location dashboard

Portfolio-level visibility into no-show rates, slot recovery, and protocol compliance across every location. Drill from network → region → location → provider. Surface the operators with the best execution and those that need support.

Per-location no-show rate vs. network benchmark
Slot recovery rate — how many open slots were filled
Pre-op protocol adherence across all locations
Post-op complication flag rate (Day-3 trigger rate)
PROM completion rate and score trends
MSO-ready SSO and role-based access control

Playbook

Get the Mohs No-Show Recovery Playbook

Walk through the exact pre-op protocol, cancellation backfill sequence, and post-op wound care cadence we built for high-volume Mohs programs — including the standby matching logic for 2–4 hour blocks.

Request the playbook

We'll send it to your email and follow up to schedule a 20-minute walkthrough.

What you'll get

📋 Pre-op protocol checklist — anticoagulant holds, escort confirmation, NPO for Mohs

🔄 Standby matching sequence — how to fill 2–4hr blocks within hours of cancellation

🩹 Post-op wound care cadence — Day 1, 3, 7 SMS templates and flag thresholds

📊 Network KPI framework — what to measure and benchmark at the MSO level

💵 ROI model — how we calculated $3.7M recoverable at 50 locations

FAQ

Common questions from Mohs surgery programs

Mohs surgery patients on anticoagulants (warfarin, DOACs, aspirin, clopidogrel) require documented hold protocols before surgery. CaseFlow sends an automated reminder 72 hours before the appointment that includes the specific hold instructions for their medication — reviewed and approved by your medical director during onboarding. Confirmation responses are logged per patient, and your office receives a flagged alert if a patient hasn't confirmed before the appointment.

When a Mohs slot opens, CaseFlow queries the waitlist for qualified standby patients who have been cleared, confirmed escort, and completed pre-op prep for that slot length. Patients are contacted in priority order (clinical urgency → waitlist seniority). The SMS includes the specific time window, and the first patient to confirm within the reply window wins the slot. The process typically resolves within 30–60 minutes.

CaseFlow sends structured check-ins at Day 1, Day 3, and Day 7 post-procedure. Day 1 focuses on pain management, dressing care, and red flag awareness. Day 3 screens for signs of infection, wound dehiscence, and unexpected bleeding — concerning responses trigger an immediate alert to the Mohs surgeon or on-call staff. Day 7 confirms healing progress and promotes scheduled follow-up. All messages are bilingual (English/Spanish) and patients can reply to any message to reach your office.

CaseFlow sends validated dermatology PRO instruments (POSAS, Skindex-29, DLQI) via SMS at baseline, 30-day, and 90-day timepoints. Patients complete the instrument directly in the SMS thread — no app required. Scores are automatically computed and bucketed against network benchmarks, giving your quality team real-time outcome data for board reporting and payer negotiations.

Yes. CaseFlow is built for PE-backed dermatology networks from the ground up — multi-location onboarding, centralized protocol templates, and portfolio-level KPI dashboards are core features, not add-ons. Each location has its own patient population and waitlist, while the MSO-level dashboard aggregates no-show rates, slot recovery rates, and post-op complication flags across all sites. Setup can be staged by region.

Most single-location programs are configured and running within 5–7 business days. Multi-location rollouts are staged — typically launch the first 5–10 locations in two weeks, then expand by cohort every 2–3 weeks. We work with your Mohs surgeons to configure the pre-op protocol, anticoagulant hold list, standby matching criteria, and post-op wound care cadence during onboarding.