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RCM

48-Hour Turnaround for Trauma Center Coding Backlogs

Overview A community trauma center handling 35,000–45,000 emergency encounters each year was struggling to keep trauma charts moving. With only a small coding team, trauma activations and critical care encounters were piling up, and a 4–5 day backlog had become the norm. Important details were being missed, injury specificity, sequencing, and critical care time increments, […]
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12,000 Charts Reviewed with 98 Percent Accuracy

Overview This multi-location OBGYN practice serves more than 5,000 patients each year and supports everything from routine prenatal visits to high-risk pregnancies, cesarean deliveries, and minimally invasive gynecologic surgeries. As the practice continued to grow, the billing team began noticing a steady increase in claim denials. What started as isolated issues gradually became a consistent […]
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$640K IOP Revenue Recovered from Midwestern Behavioral Health Network

Overview A growing behavioral health organization delivering outpatient mental health and substance use treatment services had steadily expanded its footprint across multiple states. In addition to standard therapy services, the practice operated structured Intensive Outpatient Programs (IOP) supported by a network of approximately 35–38 licensed providers across four states. As program participation increased, daily therapy […]
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Audit Risk Eliminated at a 145-Bed Regional Medical Center

Overview This hospital serves a rural population with high-acuity needs. Despite its small size, the facility manages a steady volume of emergency and short-term critical care patients, often stabilizing complex cases before transfer to larger regional hospitals.Physicians balance bedside care with documentation responsibilities, and the revenue cycle team is lean. The hospital reached out to […]
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Community Hospital Prevents $420K in Write-Offs

Overview A 55-bed community hospital located in the Midwest generates approximately $48M in annual net patient revenue. The hospital serves a mixed rural and suburban population and maintains a payer mix primarily composed of Medicare and regional commercial payers, with a moderate Medicaid presence. The organization initially engaged AnnexMed to support broader revenue cycle optimization […]
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Critical Care Hospital Ads $325K in Collections

Overview This hospital serves a rural population with high-acuity needs. Despite its small size, the facility manages a steady volume of emergency and short-term critical care patients, often stabilizing complex cases before transfer to larger regional hospitals.Physicians balance bedside care with documentation responsibilities, and the revenue cycle team is lean. The hospital reached out to […]
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Dental Practice Improves Implant Billing Accuracy by 27%

Overview A multi-location dental practice specializing in restorative and implant procedures had experienced steady growth in implant case volumes over recent years. The practice provided a range of advanced services including implant placement, abutment procedures, bone grafting, and final crown restorations. While clinical outcomes remained strong, they began noticing inconsistencies between completed implant treatments and […]
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48-Hour Turnaround for Trauma Coding Backlogs

48-Hour Turnaround for Trauma Center Coding Backlogs

Overview A community trauma center handling 35,000–45,000 emergency encounters each year was struggling to keep trauma charts moving. With only a small coding team, trauma activations and critical care encounters were piling up, and a 4–5 day backlog had become the norm. Important details were being missed, injury specificity, sequencing, and critical care time increments, […]
Read more
Proactive-Audits

Proactive Audits Mitigate 60% of Payer Denials

Overview A mid-sized surgical and outpatient practice was experiencing mounting operational strain as preventable denials and documentation inconsistencies continued to disrupt their revenue cycle. Irregular pre-bill reviews, delayed clarification loops, and uneven modifier usage drove higher rework volumes and elongated reimbursement timelines. These gaps inflated AR, slowed cash visibility, and made month-end close increasingly unpredictable […]
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The Prior Auth Overhaul That Cut

The Prior Auth Overhaul That Cut 22 Days to One Week

Overview A small but rapidly expanding pain management group in the Midwest, operating with four providers across two clinic locations, was experiencing significant delays in prior authorization processing. Despite using an EHR-integrated workflow, their average turnaround time had stretched to 22 days. High volumes of authorizations for lumbar injections, RFAs, stimulators, advanced imaging, and conservative […]
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