Fewer empty slots. More care delivered.
KRENO predicts which appointments are at risk, finds out why patients miss visits, and refills open slots through a shared network of independent practices.
PREDICT. UNDERSTAND. RESOLVE. FILL.
No sign-up. The demo runs on simulated patients only.
*Industry estimates, often published by software vendors. We are validating them with real practices. **Illustrative model based on our own assumptions; see the calculator below. Not a guarantee of results.
The problem
A missed appointment is a lost slot, and the cost stays.
Rent, staff and equipment are the same whether the patient arrives or not. Today's tools remind patients but rarely address why they miss visits.
Fixed costs, lost revenue
Each empty slot is revenue the practice cannot recover, while the fixed cost of running the clinic does not change.
Reminders don't ask why
Transport, childcare, forgetting and cost are different problems. A text message solves only one of them.
Freed slots stay empty
A cancellation rarely gets refilled in time, because each practice only has its own waiting list.
The solution
Predict. Understand. Resolve. Fill.
One workflow, from the morning call list to the shared waitlist, built around the reasons patients miss care.
Predict
Every appointment gets a no-show risk score with the factors behind it: history, booking lead time, weather and holidays.
Understand
A ranked morning call list shows the likely reason for each at-risk visit, with a call script for the front desk.
Resolve
Offer a ride, childcare options, a video visit or a new time, instead of a flat cancellation.
Fill
A released slot is offered to consented waiting patients across nearby practices.
See it working in two minutes
An interactive demo with a 15-day schedule. Explore the call list, patient alternatives, the shared waitlist and recovered revenue. No sign-up, simulated data only.
The platform
Six modules, one clear job: keep the schedule full.
Risk score
The probability that each patient will miss, with the factors that explain it: history, lead time, weather and holidays.
Morning call list
At-risk appointments ranked, with the probable reason and a call script for the receptionist.
Video switch
Clinicians authorize video by visit type. Patients receive the option at the moment they would cancel.
Reason for absence
A simple classification with one action per cause, for example offering a ride when transport is the barrier.
Shared waitlist
A slot released at Practice A is offered to a patient waiting at Practice B, with minimal data exchanged.
Dashboard
A schedule colored by risk, and the money recovered, shown in dollars.
The network
Independent practices, connected for the first time.
Large systems share capacity internally. Independent practices rarely do. KRENO links them through a shared waitlist, and every new practice makes the network more valuable for its neighbors.
A confirmed cancellation is published as a minimal entry.
Patients who opted in are matched by visit type and availability.
The patient accepts and gets care earlier. The slot is filled.
Privacy by design
Other practices never see your schedule, patient names or risk scores. Only a minimal, consented matching entry is shared.
Start local
One specialty in one neighborhood, such as behavioral health or physical therapy in Columbia, South Carolina. Two or three practices are enough to begin.
Better for patients
A sooner appointment through the shared waitlist, or a ride, a video visit or a new time instead of a flat cancellation.
Return on investment
Estimate what an empty slot costs your practice.
Change the assumptions to match your clinic. The defaults reflect our reference case.
Illustrative estimate. Assumes a $150 monthly subscription per practitioner and the recovery rate you enter. Real results depend on the practice and will be measured in pilots.
Why KRENO
Reminders tell patients about the appointment. KRENO acts on the reason.
| Capability | Typical reminder tools | KRENO |
|---|---|---|
| Who is likely to miss | Everyone gets the same reminder | A score per appointment, with the factors that explain it |
| Why they miss | Not captured | Reason classified: transport, childcare, forgetting or cost |
| Action on the cause | Another reminder | A ride, childcare option, video visit or a new time |
| Refilling the slot | Own waitlist only | Offered to consented patients across nearby practices |
| Proof of value | Rarely reported in dollars | Dashboard showing revenue recovered |
Who it's for
Designed for independent practices of 1 to 10 practitioners.
Behavioral health, physical therapy and primary care see some of the highest no-show rates, and are often underserved by tools built for large groups.
Front desk
A ranked morning call list with a reason and a script for each at-risk visit. Less time on the phone, more completed visits.
Clinicians
Decide which visit types can move to video, and keep every decision under your control.
Patients
Clear options at the moment they would cancel: a ride, childcare help, a video visit or an earlier slot.
Safeguards
Built for care, with guardrails by design.
No automatic cancellations
Releasing a slot always requires explicit confirmation by staff.
Patient consent
Outreach and network sharing only happen with the patient's consent.
No visit reason in messages
Messages never include the reason for the visit.
Full activity log
Every decision, score update and match is recorded.
No denial of care
A risk score is never used to refuse or limit care.
Minimal sharing
Between practices, only a pseudonymous matching entry is exchanged.
KRENO is a scheduling and outreach tool, not a clinical decision system. The demo uses simulated data only. A full privacy and compliance program, including HIPAA, is part of our roadmap before any real patient data is processed.
Where we're going
Starting in healthcare. Built for every appointment-based business.
If the score and the shared waitlist work in healthcare, beauty and wellness is a natural extension: the same pain, a lower price point, lighter constraints.
Prove the model.
Reuse the score and shared waitlist.
Last-minute offers between salons.
Vets, coaching and more.
Every empty slot is lost revenue. See how KRENO fills it.
Try the interactive demo, or talk to us about a free 30 to 60 day pilot for your practice.
KRENO