Turn Missed Calls Into Booked Surgeries with AI

Jul 1, 2025 | by Brad Bichey

I talk with surgeons every day who are looking for immediate AI solutions that are game-changing—not someday, but right now.

In a typical medical practice, a significant number of patient calls go to voicemail (20% to 40%) and a large portion of callers who reach voicemail don’t leave messages (~80%). Missed calls are a huge problem but there’s a simple solution you should consider to easily improve your case mix: Missed-Call-Text-Back.

Most surgical practices don’t realize how many opportunities they lose simply because a call went unanswered. Traditional workflows depend on synchronous communication—phone calls during business hours, voicemails, phone tag. But in today’s world, asynchronous, AI-enhanced engagement is proving to be a force multiplier.

🔁 The Missed-Call-Text-Back Method

Here’s how it works:

  • A patient calls the surgical office but doesn’t connect.
  • An AI-driven system automatically follows up via SMS—instantly.
  • The patient engages on their time, not just during office hours.
  • The system uses natural language understanding + ICD-10 mapping to determine the probable clinical need.
  • Patients with higher likelihood of surgical indications are automatically prioritized for scheduling.
  • Humans-in-the-loop validate edge cases where nuance matters.

This is not a chatbot. It’s a vertically integrated AI+human system designed to triage and route patients intelligently, within the existing practice workflow.

📊 IMPACT: Real Numbers From a Sinus Practice

  • 3 surgical cases per 200 inbound calls
  • 75% reduction in front-desk staffing load
  • $90,000 in annual overhead reduction
  • Improved patient satisfaction, especially among working adults who prefer asynchronous communication.

Compare that to the typical setup:

  • Call missed → voicemail
  • Patient may or may not call back
  • Front desk manually follows up
  • Delays and drop-offs are common
  • Priority isn’t based on clinical need—it’s based on who happens to get through

💡 Why This Works Universally

Every surgical practice—regardless of specialty—relies on inbound phone communication. That channel is ripe for transformation.

Missed-Call-Text-Back converts noise into action. And when you compare this to conventional solutions like call centers, the differences become even more pronounced:

Traditional Front Desk

  • ~$10–$25 per call
  • No clinical triage
  • Limited availability

Missed-Call-Text-Back

  • Significantly lower cost
  • ICD-10-based prioritization
  • 24/7 asynchronous access
  • Scales with AI + humans in loop

The key takeaway: AI doesn’t replace clinical judgment—it amplifies your operations by unlocking trapped value in your communication channels. If your practice handles high surgical volume and relies on inbound calls, this method changes the economics and experience of patient access.

No workflow disruption. No staff increase. Just better throughput.

#HealthTech #SurgicalInnovation #AIinHealthcare #PracticeManagement #HealthcareOps #Otolaryngology #Orthopedics #SpineSurgery #DigitalHealth