Blog
Practice Resources & Insights
Practical guides for practice managers on reducing no-shows, improving scheduling, and running a more efficient operation.
Why Patients Miss Appointments And What Practices Can Do About It
No-show rates run between 15-30% at most practices. Here's why patients miss appointments and what modern practices are doing to stop it.
JUNE 25, 2026
What a Modern Appointment Rebooking Workflow Actually Looks Like
A cancelled appointment doesn't have to mean lost revenue. Here's how automated rebooking workflows help practices fill slots before they go to waste.
JUNE 02, 2019
How to Implement a Card-on-File Policy Without Losing Patients
A card-on-file policy can dramatically reduce no-shows, but only if it's implemented the right way. Here's how to do it without damaging patient relationships.
OCTOBER 29, 2016
The Real Cost of No-Shows to Your Practice (And How to Measure It)
Most practices underestimate how much no-shows are actually costing them. Here's how to calculate the true revenue impact and what to do about it.
JULY 22, 2013
FAQ
Everything You Need to Know Upfront
How does Punctil reduce no-shows?
Punctil sends automated, multi-channel reminders to patients at configurable intervals before their appointment, by text, email, or both. Reminders include a confirmation link so your team has real-time visibility into who is and isn't confirmed, without any manual follow-up.
What happens when a patient cancels last minute?
When a cancellation comes in, Punctil automatically triggers a rebooking workflow to fill the open slot. You can configure how the workflow behaves, whether that means reaching out to a waitlist, offering the slot to other patients, or simply notifying your front desk, so nothing falls through the cracks.
How does the card-on-file feature work?
At the time of booking, Punctil prompts patients to securely store a payment method on file. If a patient no-shows or cancels outside your policy window, you can apply the fee directly: no awkward front-desk conversations, no manual follow-up. Payment data is stored securely and never handled by your staff directly.
Does Punctil integrate with our existing practice management system?
Punctil is built to connect with the practice management systems your team already uses. Setup is handled by our implementation team and most practices are live within a week, with no IT project required on your end.
Is patient data handled securely and in compliance with HIPAA?
Yes. Punctil operates on SOC 2 compliant infrastructure and is built with healthcare data requirements in mind. Patient information, payment data, and communication records are all handled in accordance with applicable privacy and security standards.
How does Punctil reduce no-shows?
Punctil sends automated, multi-channel reminders to patients at configurable intervals before their appointment, by text, email, or both. Reminders include a confirmation link so your team has real-time visibility into who is and isn't confirmed, without any manual follow-up.
What happens when a patient cancels last minute?
When a cancellation comes in, Punctil automatically triggers a rebooking workflow to fill the open slot. You can configure how the workflow behaves, whether that means reaching out to a waitlist, offering the slot to other patients, or simply notifying your front desk, so nothing falls through the cracks.
How does the card-on-file feature work?
At the time of booking, Punctil prompts patients to securely store a payment method on file. If a patient no-shows or cancels outside your policy window, you can apply the fee directly: no awkward front-desk conversations, no manual follow-up. Payment data is stored securely and never handled by your staff directly.
Does Punctil integrate with our existing practice management system?
Punctil is built to connect with the practice management systems your team already uses. Setup is handled by our implementation team and most practices are live within a week, with no IT project required on your end.
Is patient data handled securely and in compliance with HIPAA?
Yes. Punctil operates on SOC 2 compliant infrastructure and is built with healthcare data requirements in mind. Patient information, payment data, and communication records are all handled in accordance with applicable privacy and security standards.
How does Punctil reduce no-shows?
Punctil sends automated, multi-channel reminders to patients at configurable intervals before their appointment, by text, email, or both. Reminders include a confirmation link so your team has real-time visibility into who is and isn't confirmed, without any manual follow-up.
What happens when a patient cancels last minute?
When a cancellation comes in, Punctil automatically triggers a rebooking workflow to fill the open slot. You can configure how the workflow behaves, whether that means reaching out to a waitlist, offering the slot to other patients, or simply notifying your front desk, so nothing falls through the cracks.
How does the card-on-file feature work?
At the time of booking, Punctil prompts patients to securely store a payment method on file. If a patient no-shows or cancels outside your policy window, you can apply the fee directly: no awkward front-desk conversations, no manual follow-up. Payment data is stored securely and never handled by your staff directly.
Does Punctil integrate with our existing practice management system?
Punctil is built to connect with the practice management systems your team already uses. Setup is handled by our implementation team and most practices are live within a week, with no IT project required on your end.
Is patient data handled securely and in compliance with HIPAA?
Yes. Punctil operates on SOC 2 compliant infrastructure and is built with healthcare data requirements in mind. Patient information, payment data, and communication records are all handled in accordance with applicable privacy and security standards.