Suite 1300
Salt Lake City, UT 84111
Block-1 3rd Floor, Perungudi Bypass Rd, Perungudi,
Chennai - 600096
MGR Main Rd,
Perungudi, Chennai - 600096
Villupuram,
Tamil Nadu – 605602
Backlog Clearance Projects
Clear the Backlog. Unlock the Cash Trapped in Your System
Time-boxed, deadline-first surge capacity to clear claim submission backlogs, coding queues, AR follow-up, denial work queues, payment posting backlogs, aged AR, without disrupting your team.
72 hrs
Team Deployment
95%+
Backlog Cleared
To target within project timeline
91.1%
Client Retention
Post-clearance to ongoing RCM
Backlog clearance is not a staffing problem: it is a revenue acceleration opportunity.
Trusted by 100+ healthcare providers | AAPC, AHIMA & AAHAM Certified | SOC 2 Type II
Service Overview
What is a backlog clearance project?
A backlog clearance project is a structured, time-boxed engagement with defined scope, daily production targets, deadline-first prioritization, and a formal handoff report. It is not staffing augmentation. AnnexMed deploys a pre-trained, specialty-matched team with its own project manager, fully operational within 72 hours of scope approval, to work the backlog in parallel with your existing team without disruption.
What generates a billing backlog?
Backlogs are not the product of poor management. They are the predictable consequence of temporary capacity mismatche
- EHR or practice management system conversions that freeze billing workflows
- Rapid provider expansion without proportional billing staff growth
- Staff departures, extended leaves, or sudden increases in patient volume
- Payer transitions, contract changes, or coding guideline updates requiring re-training
- Pandemic-level events, natural disasters, or operational shutdowns
- Audits or compliance reviews that pause normal billing operations
The cash impact: Why backlogs compound faster than they appear
1-30
31–60
61–90
91+
180+
1,800 encounters/week @ $280 – 90 days unbilled
45-day system conversion – sitting 90+ days
Appeal deadline reached in 45-day appeal deadline; weekly recovery declines
Backlog types: revenue layers we clear
Claim Submission Backlog Clearance
What we do?
- Claim queue assessment: volume, age distribution, timely filing risk by payer
- Charge entry review and correction of incomplete or missing charge data
- Coding review for unbilled encounters: ICD-10 and CPT present and billable
- Authorization verification for pending encounters prior to submission
- Payer-specific timely filing risk triage: deadline-sensitive accounts worked first
- Claim scrubbing and front-end edit failure resolution
- Batch submission management and resubmission of returned claims
Medical Coding Backlog Clearance
What we do?
- Coding backlog volume assessment, encounter count, specialty mix, complexity distribution, and coder hours required
- Specialty-matched coder deployment, certified coders (CPC, CCS, COC) matched to the clinical specialties in the backlog
- ICD-10-CM and CPT-HCPCS code assignment for unbilled encounters, outpatient, inpatient, and ancillary
- Evaluation and Management level assignment, documentation review and E-M code selection per AMA guidelines
- High-complexity encounter flagging, encounters requiring physician query or clinical documentation improvement
- Diagnosis sequencing and principal diagnosis selection for inpatient encounters
- Coding quality review, random sampling and review of completed encounters against AnnexMed quality standards
AR Follow-Up Backlog Clearance
Thousands of claims sitting in the follow-up queue without a payer contact, worked systematically before they age past collection.
What we do?
- AR follow-up queue assessment, account count, balance distribution, age buckets, payer mix, and follow-up priority scoring
- Payer contact and claim status verification, direct payer call, portal inquiry, or automated status check for each account
- Denial identification and routing, separating denied accounts from pending accounts for denial management workflow
- Escalation for claims pended beyond payer processing timelines, initiating payer escalation for aged pending claims
- Coordination of benefits follow-up, identifying claims where COB sequencing is delaying adjudication
- Priority queue re-scoring as the project progresses, continuously reprioritizing the remaining queue based on emerging age and deadline data
Denial Work Queue Clearance
Denial accounts aging toward appeal deadline are triaged, worked, and appealed before the window closes
What we do?
- Denial work queue assessment, account count, denial code distribution, dollar value by category, and appeal deadline urgency
- Denial categorization, clinical, technical, administrative, coding, authorization, and timely filing by count and dollar value
- Appeal deadline urgency triage, accounts sorted by appeal deadline proximity, with high-urgency accounts worked first
- Technical denial resolution, correcting and resubmitting claims denied for administrative or technical reasons
- Formal appeal filing, appeal letters prepared and submitted for clinically appropriate denials within remaining appeal windows
- Payer-specific appeal submission, correct channel, format, and timeline for each payer's appeal process
- Root cause tagging, every denial tagged with root cause to support post-project prevention reporting
A payment posting backlog means your AR picture is wrong and every day it stays wrong, the downstream consequences multiply
What we do?
- Payment posting queue assessment, remittance volume, age, ERA vs manual EOB mix, and posting complexity
- ERA auto-posting configuration review, identifying ERA files that should auto-post but are not, and resolving configuration issues
- Manual EOB posting, posting payments from paper remittances, exception reports, and manually processed EOBs
- Underpayment identification during posting, flagging claims where payment received is less than contracted rate
- Overpayment identification, flagging payments received in excess of contracted rate for credit balance resolution
- Contractual adjustment application, applying correct contractual adjustment amounts per payer contract
Prior Authorization Backlog Clearance
What we do?
- Authorization queue assessment, pending requests by service type, urgency, payer, and days pending
- Urgent authorization escalation, same-day or 24-hour follow-up on authorizations for scheduled procedures within 72 hours
- Missing clinical documentation follow-up, contacting clinical staff for documentation needed to complete pending authorization requests
- Peer-to-peer scheduling for clinically denied authorizations, coordinating treating physician availability for P2P review
- Retroactive authorization initiation, initiating retro-auth process for services performed without authorization where retro pathway exists
AR accounts that have been sitting unworked in aging buckets are assessed, stratified, worked for recovery, and properly adjudicated.
What we do?
- Old AR portfolio assessment, account inventory by age bucket, payer, balance amount, and collection viability
- Collectibility stratification, scoring accounts by recovery probability: high-yield, moderate-yield, low-yield, and write-off
- Payer-specific late appeal options, researching whether payers offer late appeal or reconsideration pathways for aged accounts
- Patient demographic verification, current address, insurance, and contact information update for patient-responsibility accounts
- High-yield targeted recovery, focused AR follow-up on accounts in the high-yield and moderate-yield stratification tiers
- Compliance-reviewed adjustment posting, bad debt, contractual, and small balance write-offs documented per compliance standards
Not every account in the backlog Has the same recovery probability.
Filing Deadline Engine
Calculates exact filing window remaining for every account across all payer contracts. Accounts within 30 days of deadline are automatically escalated to immediate priority regardless of dollar value.
Denial Pattern Detection
Identifies systemic denial patterns across the backlog before work begins, enabling preventive correction at volume rather than account-by-account resolution, reducing rework rates by up to 40%.
Collectibility Scoring
Every old AR account scored for recovery probability based on payer behavior, account age, balance, and prior activity. High-yield accounts receive dedicated focus; low-yield accounts are documented efficiently.
Before clearance vs. After clearance
BEFORE: Backlog Active
AFTER: Backlog Cleared
Claims
Claims aging toward timely filing deadlines; submission pace falling behind encounter volume
All backlog claims submitted; zero timely filing write-offs recorded on in-scope accounts.
AR Picture
AR balances inaccurate; staff chasing paid claims; underpayments invisible; finance reports distorted
AR reflects true outstanding balance; collections resume with confidence; underpayments flagged
Denials
Denial queue growing; appeal deadlines approaching; recoverable revenue converting to write-offs
All denial accounts within remaining appeal windows worked and either resolved or formally appealed
Collections
Reduced cash collections due to unworked accounts and unposted payments delays.
Cash flow accelerated as accounts are resolved, payments posted, and denials appealed
Staff
Internal team overwhelmed; morale declining; new volume continuing to accumulate
Internal team returns to steady-state current work; backlog project managed independently
Revenue
1–3% of net revenue at risk from backlog-driven losses and delayed collections impact.
Recoverable revenue maximized; write-offs documented with compliance-reviewed basis only
Phase
Activities
Deliverable
Backlog
Assessment
Inventory full backlog by volume, age, payer mix, dollar value, and deadline risk. AI prioritization engine maps filing risk and appeal deadline exposure.
Assessment report including backlog scope, detailed recovery estimate, deadline risk analysis, and actionable insights for prioritization and operational planning.
Project Scoping Process
Define scope, timeline, resource requirements, daily production targets, and success metrics. Establish system access, workflow protocols, and reporting cadence.
Project scope document detailing defined deliverables, project timeline, escalation protocols, and approval status, finalized and signed off before team deployment begins.
Team Deployment
& Onboarding
Deploy dedicated clearance team. Configure EHR, practice management, and payer portal access. Complete specialty-specific training. Establish daily reporting.
Team becomes fully operational within 72 hours of scope approval, ready to execute backlog clearance efficiently, ensuring minimal disruption and maximum revenue recovery
Clearance
Execution
Work through backlog systematically, deadline-sensitive accounts first, then highest-dollar, then volume. Daily production against defined targets. Weekly client reporting.
Daily reports include queue depth reduction, accounts worked, revenue recovered, outstanding items, and insights for ongoing backlog management and process improvement.
Handoff & Root
Cause Report
Confirm backlog cleared to target. Prepare root cause analysis of what generated the backlog and what process changes prevent recurrence. Document ongoing follow-up accounts.
Final clearance report includes accounts worked, revenue recovered, write-offs documented, root cause analysis, and actionable prevention recommendations for future cycles.
What sets AnnexMed apart?
Structured Projects - Not Staffing Augmentation
Staffing firms provide temporary workers needing training. AnnexMed deploys coders, AR, denial, and posting experts as a pre-trained team with scope and daily targets.
Deadline-First Prioritization
Every backlog project starts with deadline mapping. Accounts with timely filing, appeal, or retro-authorization deadlines are worked first, regardless of value, to maximize recovery from accounts.
72-Hour Operational Deployment
AnnexMed teams achieve operational status within 72 hours, including system access, EHR/PM orientation, payer setup, and workflow. Fast deployment preserves recovery value.
AI Prioritization Built In
Our AI engine sequences the backlog by recovery probability, filing deadline urgency, and denial pattern risk, ensuring that accounts are worked first at every stage of the project.
Root Cause Analysis Included - Not Optional
Each project concludes with a root cause analysis identifying workflow, staffing, or system factors that caused the backlog and recommends changes to prevent recurrence and future delays.
Works Alongside Your Team Without Disruption
Clearance teams work alongside your staff without disrupting operations. No training required. AnnexMed manages project independently and reports progress daily.
Transition to Ongoing Services Available
If ongoing capacity needs are identified, the clearance project can transition into a managed service. The trained team continues without onboarding, providing seamless revenue cycle support.
Backlog Clearance
Acceleration Layer
AR Management
Denial Management
Prevention Engine
Revenue Integrity
Revenue Integrity
Project outcomes & performance standards
72 hrs
Team fully operational from scope approval
48 hrs
Deadline risk map delivered from data access
48 hrs
Backlog cleared to target within project timeline
0
Timely filing write-offs on in-scope submitted accounts
Frequently Asked Questions
Every day the backlog sits is revenue at risk.
Trusted by 100+ Healthcare Providers | AAPC, AHIMA & AAHAM Certified | SOC 2 Type II
Case Studies
See the impact we deliver
Discover how AnnexMed reduces denials, accelerates reimbursements, and strengthens financial performance. Backed by measurable outcomes and proven RCM expertise, we deliver operational excellence, revenue stability, and sustainable growth you can trust.
Client Voices
See how our clients succeed
Proven RCM expertise. Delivered at scale.
For over 20 years, AnnexMed has delivered RCM solutions nationwide, combining expert billing, coding, and AR support to drive measurable results and growth.
- 20+ years of proven healthcare RCM experience
- 1,500+ professionals supporting billing, coding & AR
- 500+ certified coders across multiple specialties
- 99%+ compliance with HIPAA and security standards
- All 50 states served with consistent, scalable operations
