Built for independent practices

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.

10–30%typical no-show range reported across outpatient care*
~$200commonly cited cost of one missed appointment*
~14 : 1illustrative return for a 20-visit-a-day practice**

*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.

1

Predict

Every appointment gets a no-show risk score with the factors behind it: history, booking lead time, weather and holidays.

2

Understand

A ranked morning call list shows the likely reason for each at-risk visit, with a call script for the front desk.

3

Resolve

Offer a ride, childcare options, a video visit or a new time, instead of a flat cancellation.

4

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.

Try our live demo

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.

Practice ASlot released

A confirmed cancellation is published as a minimal entry.

Shared waitlistConsented match

Patients who opted in are matched by visit type and availability.

Practice BPatient seen sooner

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.

Slots lost per day2.0
Revenue lost per year$88,000
Recovered with KRENO$26,400
KRENO subscription per year$1,800
Estimated return14.7 : 1

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.

CapabilityTypical reminder toolsKRENO
Who is likely to missEveryone gets the same reminderA score per appointment, with the factors that explain it
Why they missNot capturedReason classified: transport, childcare, forgetting or cost
Action on the causeAnother reminderA ride, childcare option, video visit or a new time
Refilling the slotOwn waitlist onlyOffered to consented patients across nearby practices
Proof of valueRarely reported in dollarsDashboard 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.

Years 1–5Healthcare

Prove the model.

Year 6Beauty salons

Reuse the score and shared waitlist.

Year 7Slot marketplace

Last-minute offers between salons.

Year 7+Other markets

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.