Gastroenterology Practices
Reduce prep failures and no-shows for your highest-revenue procedures.
Gastroenterology practices depend heavily on procedure revenue, particularly colonoscopies and upper endoscopies. But these procedures have a unique problem: patients who arrive with inadequate bowel prep waste an entire procedure slot and have to be rescheduled. Between prep failures, no-shows, and the complexity of communicating prep instructions clearly, GI practices lose tens of thousands of dollars monthly. Curowell attacks these problems directly.

Built for your workflow
We understand how gastroenterology practices actually work
Prep failures waste your most valuable time slots
A colonoscopy slot is worth $800-1,500 to your practice. When a patient arrives with inadequate prep, you either cancel the procedure entirely or push forward with a suboptimal exam that may need to be repeated. Studies show prep failure rates of 20-25%, and many of these failures are due to patients not understanding or following the prep instructions.
Smart Reminders
Smart Reminders sends a sequenced prep instruction series starting five days before the procedure. Each message covers the specific step for that day: dietary restrictions, medication adjustments, when to start the prep solution, and when to take the second dose. Patients receive clear, timed guidance rather than a single instruction sheet they lose in a stack of paperwork.
Colonoscopy no-shows are financially devastating
Procedure slots require anesthesia scheduling, nursing staff, and recovery room allocation. A single colonoscopy no-show does not just lose the procedure revenue; it wastes the anesthesia team's time and leaves your endoscopy suite idle for 45 minutes. These slots are nearly impossible to fill on short notice because new patients need prep time.
No-Show Predictor
No-Show Predictor identifies patients with high cancellation risk for procedure appointments based on historical behavior, scheduling lead time, and engagement patterns. Flagged patients receive extra confirmation outreach, and your scheduler is alerted to prepare waitlist candidates who have already completed their prep window. This recovers procedure slots that would otherwise go empty.
Result communication is time-consuming and anxiety-inducing
After a colonoscopy, patients anxiously await pathology results from biopsied polyps. Your staff fields daily calls from patients checking on results. Meanwhile, routine findings that just need a standard communication sit in a queue behind urgent results, and patients with normal findings wait longer than necessary.
Patient Chat
Patient Chat provides a secure channel where routine results can be communicated with appropriate context. Patients receive notification that results are available and can view them with the provider's interpretation. This reduces the flood of incoming phone calls while ensuring patients receive their results promptly and with clinical context rather than raw pathology language.
Common questions
Questions from gastroenterology practices
Can the prep reminder sequence be customized for different procedures?
Yes. Colonoscopy, upper endoscopy, and combination procedures each have their own prep instruction sequences. You can further customize based on prep type, since MiraLAX prep has different timing than GoLYTELY. The system sends the correct sequence based on the specific procedure and prep protocol ordered for that patient.
How does the system handle patients who need a driver for their procedure?
Procedure reminders include a mandatory driver confirmation step. Patients must confirm they have arranged a driver before the appointment is considered confirmed. If a patient has not confirmed driver arrangements by a configurable cutoff, your staff is alerted so they can follow up before the day of the procedure, preventing last-minute cancellations.
Can we schedule screening colonoscopies with appropriate recall intervals?
Yes. After a colonoscopy, the system can set a recall based on the recommended surveillance interval: 10 years for normal findings, 5 years for small adenomas, 3 years for advanced findings. When the recall date approaches, the patient receives outreach to schedule their next screening. This keeps your surveillance population engaged over decades-long intervals.