viGI & Endoscopy
Endoscopy throughput, IBD,
and the workflows that connect them.
GI practices live and die on endoscopy throughput. The workflows that determine it (scheduling, prep instructions, pathology follow-up, IBD biologic prior auth) span the practice, the endoscopy center, and the patient at home. Cara sits across all three.
Sub-practices
Where our work tends to sit.
General GI
General gastroenterology with mixed clinic and procedural load. Endoscopy scheduling, screening colonoscopy outreach, and pathology follow-up.
Hepatology
Hepatology and liver-focused practices. Hep C treatment workflows, NAFLD/MASLD management, and pre-transplant coordination.
IBD & Crohn's Centers
Inflammatory bowel disease centers with high biologic volume. Prior authorization for Stelara, Skyrizi, Entyvio, and the IBD biologic shelf, plus symptom tracking and disease-progression workflows.
Endoscopy Centers (ASCs)
Ambulatory endoscopy centers focused on throughput. Slot optimization, pre-op clearance, day-of orchestration, and pathology turnaround.
Anorectal & Colorectal
Colorectal-focused practices with surgical workflows. Surgical scheduling, pathology coordination, and post-op communication.
PE-Backed GI Platforms
Private-equity-backed GI rollups standardizing operations. Tuck-in integration, centralized RCM, and platform-wide endoscopy analytics.
Patterns
Where Cara sits in the work.
A representative flow — not a template. Every engagement shapes its own pattern around the partner’s actual constraints.
Example engagements
Patterns we keep seeing.
Screening colonoscopy outreach and scheduling
Population-health outreach to age-eligible patients, with scheduling, prep instruction delivery, and confirmation handled inside one workflow. Hits both the practice's procedure volume and the payer's quality measure.
Endoscopy prep adherence
Prep instructions sent at the right times, with patient confirmation and triage of common prep problems. Reduces same-day cancellations and the wasted block time they create.
Pathology follow-up and result communication
Pathology results routed to the right clinician, with templated patient communication, follow-up scheduling for surveillance intervals, and registry capture for high-grade findings.
IBD biologic prior authorization
Prior auth for Stelara, Skyrizi, Entyvio, Humira, and the IBD biologic shelf. Includes step-therapy handling and the exception requests required when a patient has failed first-line therapy.
Common questions
What partners ask before
they get on the call.
- Which GI EHRs does Cara work with?
- ModMed Gastroenterology, gGastro, Provation, Epic, and the endoscopy-specific systems that ASCs typically run. Cara writes back to the procedural EHR, the practice EHR, and the pathology system as appropriate.
- How does the screening outreach handle FIT versus colonoscopy?
- The agent uses the payer's preferred screening modality and the patient's history (prior screening, risk factors) to route between FIT, colonoscopy, and Cologuard, then handles the scheduling or kit-delivery workflow for each.
- Can Cara integrate with our endoscopy center's reporting system?
- Yes. Provation, Endoworks, and other endoscopy reporting systems integrate against the practice EHR and the pathology system. Cara handles the data routing so results land in the right place automatically.
- What about PE-backed GI platforms?
- Common pattern. Centralized endoscopy analytics, standardized intake and screening outreach, and tuck-in integration are the workflows that improve EBITDA inside the hold window.
“Endoscopy throughput is the single most important number in a GI practice. Half of throughput is the case. The other half is the workflow around it.”