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RCM

Audit Risk Eliminated at a 145-Bed Regional Medical Center

Audit Risk Eliminated at a 145-Bed Regional Medical Center

Overview The client is a 145-bed regional medical center generating approximately $125M in annual net patient revenue, serving patients across several surrounding counties. The hospital provides a wide range of services including emergency care, inpatient medicine, orthopedics, general surgery, and specialty outpatient programs. With a payer mix consisting largely of Medicare, regional commercial plans, and […]
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Critical Care Hospital Ads $325K in Collections

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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community hospital prevents 420k writeoffs

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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1.9 million identified in soecialty charge leakage

$1.9M Identified in Specialty Charge Leakage

Overview Our Client is a 220-bed specialty hospital focused on cardiac and neurosciences services, including interventional cardiology, electrophysiology, stroke care, and neurosurgery. The organization operates in a competitive urban market with a commercially weighted payer mix and moderate Medicare exposure. The hospital generates approximately $210M in annual net patient revenue. High-acuity procedural service lines contribute […]
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Stabilizing DNFB in 60 Days Through Labor Optimization

Academic Health System Stabilizes DNFB in 60 Days

Client Overview The conversation began in a small executive conference room just off the finance suite. On the screen: DNFB trending upward for the fourth consecutive month. Coding queues growing longer. Overtime costs climbing faster than budgeted. For a mid-sized Academic Medical Center with roughly 350 beds and $750M in annual net patient revenue, the […]
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28% Fewer Procedure Cancellations Through Pre-Service Control

Hospital Health System Cuts Procedure Cancellations by 28%

Client Overview The organization is a six-hospital health system with more than $2.1B in annual net patient revenue, supporting high procedural volume across surgery, imaging, gastroenterology, cardiology, and hospital-based outpatient departments. While downstream revenue cycle indicators appeared directionally stable, leadership identified a growing pattern of financial erosion occurring upstream—before claims were created and before traditional […]
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From Earned Revenue to Realized Cash

$18.4M in Cash Accelerated in 90 Days for a 300-Bed Hospital

Client Overview The client is a 300-bed community hospital with approximately $450M in annual net patient revenue, serving a mixed urban and suburban population. The hospital processes an average of 22,000 inpatient discharges and 180,000 outpatient encounters annually, supported by a lean internal revenue cycle team. The payer mix is weighted toward commercial and Medicare, […]
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12,000 Charts Reviewed with 98 Percent Accuracy

12,000 Charts Reviewed with 98 Percent Accuracy

Overview The OBGYN practice, serving over 5,000 patients annually across two locations, specialized in prenatal care, high-risk deliveries, and minimally invasive gynecologic procedures. Billing inaccuracies had led to claim denials exceeding 15% of submissions, primarily due to incomplete documentation of procedures like cesarean sections and hysterectomies. These issues strained cash flow and compliance with payer […]
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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, […]
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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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