Yeah. They can scan photos that are actually passed around, instead of something that's just in a photo library. That will likely result in 2-3 orders of magnitude fewer false positives.
1 in 1 trillion is not a particularly impressive number, considering that users have tens of thousands of photos in their library, and there are a billion active iPhones.
That's if you do believe their claimed false positive rate -- which I don't (yet), because they have published absolutely nothing about how neuralMatch actually works. They have an interesting body of work around how suspected matches are encrypted so Apple can't see them until certain conditions are made, but nothing about how they identify suspect photos.