Engagement Snapshot A mid-sized medical billing company supporting multiple physician groups experienced a seasonal increase in claims volume that exceeded its existing processing capacity. Hiring permanent employees for a temporary workload increase would have added recurring costs without addressing the underlying variability in demand. AnnexMed provided a dedicated white-label billing team that operated within the […]
Engagement Overview A multi-location dental group providing implants, crowns, bridges, and other high-value restorative treatments faced recurring delays between treatment planning and appointment scheduling. Inconsistent predetermination submissions, incomplete documentation, and limited follow-up visibility made it difficult to provide patients with timely insurance benefit information. AnnexMed established a structured predetermination workflow that brought greater consistency to […]
Engagement Overview A multi-location oral and maxillofacial surgery group identified inconsistencies in how procedures were evaluated for potential medical insurance coverage. Although certain surgical services could qualify for medical billing depending on diagnosis, payer policy, and documentation, eligibility reviews varied across locations. AnnexMed introduced a structured dental-to-medical cross-coding review process to identify potentially eligible procedures […]
Overview A growing Dental Support Organization (DSO) operating 18 acquired dental practices needed to bring consistency to billing operations that had evolved independently across locations. Differences in claims management, accounts receivable follow-up, payment posting, and performance reporting limited centralized oversight and created operational inefficiencies. AnnexMed supported the DSO in establishing a standardized billing framework, aligning […]
Overview A growing healthcare organization was managing increasing claim volumes across multiple locations and payer contracts. Its internal revenue cycle team was performing well in several areas, but pressure was building unevenly across billing, denials, AR follow-up, eligibility exceptions, and coding overflow. The organization was not looking to outsource its entire revenue cycle. It needed […]
Practice Profile A two-provider chiropractic practice serving approximately 600 patient visits per month was experiencing growing claim rework despite maintaining consistent patient volume. Claims were frequently being corrected before submission or reworked after payer edits, increasing administrative effort and slowing reimbursement. A closer look showed that the problem was not one major billing failure. Small […]
Practice Profile A two-provider chiropractic practice serving approximately 600 patient visits per month was experiencing growing claim rework despite maintaining consistent patient volume. Claims were frequently being corrected before submission or reworked after payer edits, increasing administrative effort and slowing reimbursement. A closer look showed that the problem was not one major billing failure. Small […]
The Situation A 10-provider anesthesia group supporting a regional hospital and two ambulatory surgery centers was seeing recurring claim denials and payment delays tied to medically directed anesthesia services. The group’s case volume remained steady, but inconsistencies between anesthesiologist and CRNA documentation were creating uncertainty around modifier selection, provider participation, and claim support. Because many […]
Client Profile A four-provider outpatient behavioral health practice lost a key billing team member during a period of steady patient volume. With limited internal coverage, claim submission, rejection management, and payer follow-up began slipping almost immediately. Within a few weeks, nearly 300 claims had accumulated across unsubmitted encounters, rejected claims, and accounts requiring additional documentation […]
Client Profile A regional oncology practice with 32 medical oncologists, 6 infusion centers, and approximately 18,000 patient encounters annually was experiencing increasing treatment authorization delays. High-cost infusion therapies, biologics, and specialty medications frequently required complex payer approvals, creating scheduling disruptions, delayed treatment initiation, and growing financial risk. To improve authorization accuracy and protect reimbursement for […]
