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
Hospitals and Health Systems
Driving Financial Performance for Health Systems
Enterprise revenue cycle performance, clinical documentation excellence, and AI-powered analytics that help hospitals improve case mix, reduce denials, accelerate cash flow, and strengthen operating outcomes.
Margin Compression
Hospitals operate on 2–4% margins. A single percentage point improvement in revenue capture can mean $1.5M+ annually for a 200-bed facility.
Fragmented Revenue Cycle Operations
HIM, coding, billing, AR, and compliance operating in silos across departments — or across acquired facilities with inconsistent standards and no unified visibility.
Payer Complexity at Scale
Complex contracts, site-of-service differentials, Medicare DRG rules, and Medicaid policy variation — each driving denials and underpayments at volume.
Inpatient Coder Workforce Shortfall
25% vacancy rates, 25–35% annual turnover, and 4–6 months to fill open roles. Coding backlogs accumulate fast — at $200K/day in unbilled revenue for a 200-bed hospital.
Systematic Denial Accumulation
Hospital denial rates average 15–20%. A 5-point reduction recovers $5–$10M annually. Most hospitals lack the infrastructure to prevent denials before they happen.
200+
Certified Hospital Coders On Bench, Ready to Deploy
48–72 hrs
Standard Inpatient Coding Turnaround (vs. 7–14 day avg.)
$8M–$20M+
Typical Annual Financial Impact for a 200-Bed Hospital
Upstream
Before the claim is coded
- Registration accuracy & insurance verification
- Authorization management & charge capture integrity
- Medical necessity validation before submission
- Preventing denials at the point of origin
Coding
Our core expertise
- DRG assignment, validation, and CMI optimization
- Accurate compliant coding across all service lines
- Concurrent review and physician query management
- 100% review on high-risk DRGs, multi-level QA
Downstream
After coding, through collections
- Claim scrubbing and denial prevention
- Systematic AR follow-up and payer management
- Underpayment identification and recovery
- Patient financial services and collections
Improvement Area
Estimated Annual Impact
CMI Improvement (0.05–0.10 points)
$2M – $5M annually
Denial Rate Reduction (15% → 10%)
$5M – $10M annually
Inpatient Coding Turnaround (10-day backlog → 48–72 hrs)
$1.4M in cash released immediately; continuous unbilled reduction
Clean Claim Rate Improvement (88% → 95%+)
$1M – $2M in reduced rework and write-offs
A/R Days Reduction (65 → 50 days)
$6.2M in freed working capital
Staffing Cost Elimination / Reduction
$1.5M – $3M annually
Audit Defense / Reduced Recoupments
$500K – $2M protected annually
Hospital Performance Targets
Performance Metric
AnnexMed Target
Industry Benchmark
Inpatient Coding Turnaround
48–72 hours
7–14 days industry average
Coding Accuracy
98%+
Industry avg: 90–93%
Clean Claims Rate
> 95% first-pass
Industry avg: 85–88%
Denial Rate
< 10%
Hospital average: 15–20%
Days in A/R
< 50 days
Industry avg: 60–75 days
CMI Improvement
0.05–0.15 points within 12 months
Baseline dependent
RAC Audit Validation Rate
95%+
Industry average: 75–85%
Net Collection Rate
> 96%
Industry avg: 91–93%
In-House / Traditional
AnnexMed Partnership
Coder Staffing
15–25% vacancy rates, 4–6 months to fill, perpetual recruiting cycle
200+ certified coders on bench; capacity deployed in days with zero turnover risk
Coding Turnaround
7–14 days typical; 20–30 day backlogs common
48–72 hours standard; backlogs eliminated within 2–4 weeks
Service Line Expertise
Generalists covering all areas; depth limited by team size
Service line specialists: ED, inpatient, surgical, ancillary — deep expertise in each
CMI Optimization
Dependent on individual coder skill and CDI program quality
Systematic CMI improvement: concurrent review, physician queries, ongoing monitoring
Compliance & Audit Defense
Variable quality; limited audit defense infrastructure
Multi-level QA, 100% review on high-risk DRGs, < 5% overturn rate, full audit defense
Technology
EHR-native tools; best-of-breed costs $500K–$2M+ in licensing
Enterprise AI + advanced analytics + executive dashboards included in partnership
Scalability
Every change requires hiring; 3–6 months per role
Instant scaling: seasonal surges, new service lines, facility acquisitions
Executive Visibility
Manual reports, often delayed weeks
Real-time Power BI dashboards: system-wide and facility-level views
Multi-Facility Standardization
Fragmented operations across acquired facilities
Unified processes, consolidated reporting, 30–45 day acquisition integration
Powered by proprietary AI & analytics
AI Agents & Intelligent Automation
Autonomous AI agents across the full revenue cycle — eligibility, prior auth, claims, payment posting, and denial management at hospital scale.
Data & Analytics
Platform
Real-time Power BI dashboards for hospital executive visibility — system-wide KPIs, service line performance, payer analysis, and financial forecasting.
Intelligent
AR Management
AI-prioritized worklists by dollar value and aging, payer-specific follow-up rules, automated escalation for high-value accounts, and full claim accountability.
Computer
Assisted Coding
Intelligent chart assignment by service line, TAT tracking with SLA monitoring, quality audits with accuracy scoring, and enterprise coder performance management.
