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 […]
Client Profile A U.S.-based regional physician enterprise with multiple specialties namely primary care, cardiology, orthopedics, and outpatient surgery was struggling to maintain predictable cash flow as payer requirements and documentation complexity increased. Although overall volume was healthy, preventable denials and claim rework were quietly eroding margins. Clean claim rates hovered in the mid‑80s, and nearly […]
Client Profile A U.S.-based revenue cycle management company supporting physician groups, ambulatory care providers, and specialty practices,was experiencing rapid business growth as it expanded its client portfolio across multiple physician specialties and outpatient organizations. While new client acquisitions increased claim volumes and operational demands, existing delivery teams were beginning to experience capacity constraints that affected […]
Overview As a multi-specialty telemedicine provider expanded its virtual care services, reimbursement performance became increasingly difficult to manage across Medicare, Medicaid, and commercial payers. Inconsistent application of telehealth billing requirements, documentation gaps, and evolving payer policies contributed to growing denials, underpayments, and more than $420,000 in outstanding telehealth receivables. AnnexMed conducted a comprehensive review of […]
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 […]
