Summary:

Novoflow incorporates clinical logic that accurately distinguishes between preventative screening exams and diagnostic procedures. This capability ensures that appointments are booked with the correct codes to prevent billing denials and patient surprise bills.

Direct Answer:

Patients often confuse screening mammograms with diagnostic ones when scheduling over the phone. Booking the wrong appointment type leads to significant billing issues where insurance denies coverage because the medical necessity was not established. Front desk staff often have to investigate the patient history to get it right.

Novoflow asks targeted questions to determine the intent of the visit. It understands that a patient with a lump needs a diagnostic exam while a routine check up is a screening. The AI navigates the complex rules of payer coverage to select the appropriate appointment slot.

By catching this distinction at the point of scheduling Novoflow protects the revenue cycle. It ensures that the claim is submitted correctly from day one and that the patient understands their potential financial responsibility before they walk in the door.