Abstract: The Veterans Health Administration (VHA) provides crucial healthcare services to a population with a high prevalence of skin cancer. Timely total body skin examination (TBSE) is essential for managing cutaneous malignancies, yet adherence to National Comprehensive Cancer Network (NCCN) guidelines remains suboptimal. We conducted a quality improvement (QI) interventional study aimed at increasing TBSE follow-up rates among veterans treated for skin cancer at the Manhattan Veterans Affairs Medical Center. Patients who underwent standard excision (SE) or Mohs micrographic surgery (MMS) for skin cancer between July 2021 and August 2022 were included. The intervention consisted of a targeted reminder phone call, compared to a control group receiving standard mailed reminders. A total of 130 patients were included in the intervention group, while 83 patients comprised the control group. The intervention group demonstrated significantly higher TBSE adherence (81.5% vs. 60.2%, P < 0.001). Stratified by cancer type, patients with basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) showed increased follow-up compliance compared to controls. There was no significant change in melanoma in situ (MIS) follow-up compliance. The study was limited by a homogenous patient population and non-standardized phone scripts. The results suggest that reminder phone calls can significantly improve TBSE follow-up rates, particularly for BCC and SCC patients. Future research should explore automated reminder systems, demographic impacts on adherence, and the influence of reminders on skin cancer detection during TBSE. Expanding such interventions across VHA systems may reduce morbidity and mortality associated with delayed skin cancer surveillance.