How One ASC Protects Its Schedule and Revenue with Two-Way Texting

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The Situation

A high-volume urology center recently consolidated two facilities into one, resulting in a significant increase in case volume for an already lean team. That growth highlighted several challenges, including NPO-related cancellations, patient late arrivals and no-shows that disrupted the schedule, and time-consuming pre-op calls.

The Solution

This ASC activated Two-Way Texting within SIS Complete™ – no third-party tools, no separate logins, no disconnected workflows. Working entirely inside the platform their team already uses, they built automated arrival reminders by CPT code, a 5:00 PM day-before NPO reminder for anesthesia patients, click-and-send templates, and reply-based workflows. Every message lives in one shared, centralized record.

The Results

  • Zero NPO-related cancellations since go-live (down from 1+ cancellations per month)
  • Reduced no-show rate despite an influx of case volume
  • 30+ minutes of saved nursing time per day interacting with patients over text vs. phone calls

Additional wins:

  • Patient preparedness: patients receive vital pre-op reminders, precise arrival times, directions to the ASC, payment estimates, and more prior to surgery.
  • Shared team visibility: any staff member can view and respond to messages, eliminating gaps when someone is out.
  • Built-in documentation: a full message history resolves billing disputes, including the delivery of good-faith estimates.
  • Operational agility: proactive texting enables the team to adjust staffing and avoid wasted labor when unforeseen disruptions affect the schedule.
    • During a major blizzard, the center received a cancellation via text, allowing them to adjust the schedule to save 90 minutes of surgeon, anesthesia, and staff time.
  • Scalability: Two-Way Texting helped them handle their increased caseload with ease.

In Their Own Words

Two-Way Texting was easy to set up, and our staff adopted it quickly. I love that it’s not user-specific; anyone with access can see the full conversation and respond. It saves at least 30 minutes of nursing time a day. No-shows and NPO-related cancellations are down. The ability to track message history like Good Faith Estimates has helped resolve payment disputes. And it’s all directly within SIS. For a lean, high-volume surgery center, the value has been tremendous. Two-Way Texting is the most surefire way of getting in touch with patients for surgery.

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