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 […]
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, […]
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 […]
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 […]
Client Overview A two-location dermatology practice in Philadelphia was thriving clinically but gradually losing revenue without realizing it. On the surface, claim payments appeared routine and consistent, but a closer look revealed a recurring pattern of payer underpayments across several high-volume CPT codes and procedure bundles. The in-house billing team, already stretched thin managing both […]
What We Saw at the Start A multi-specialty physician group in the southeastern United States, with more than 45 providers across primary care, orthopedics, and cardiology, was in a period of rapid expansion. Over 18 months, the group strengthened its network by acquiring three independent practices. The acquisition promised more revenue and efficiency. However, reality […]
Setting the Stage for Recovery A Utah-based multi-specialty provider faced the complex challenge of liquidating a substantial legacy AR portfolio while maintaining operational efficiency. From February to August 2025, the organization aimed to convert aged receivables into cash, minimize write-offs, and reconcile outstanding credits. At the same time, leadership needed accurate financial forecasts to guide […]
Overview A multi-specialty healthcare organization using an offshore model faced growing challenges with provider dissatisfaction and revenue leakage. Inconsistent workflows, delayed clarifications, and uneven coding accuracy led to high days-not-final-billed (DNFB) and denial rates. These issues disrupted cash flow and delayed month-end close, adding strain on operational and financial teams. To overcome this, the client […]
Overview A multi-specialty provider group in the United States was facing severe AR challenges. Their AR backlog grew, denials increased, and leaders struggled to see how teams performed. They needed help to stabilize cash flow and create a reliable operating model. Within just twelve months, the partnership with AnnexMed expanded from 15 to over 70 […]
Overview In 2024, a health system in central Ohio, two community hospitals, a specialty surgical center, and 25 outpatient clinics, found itself in financial limbo. With 450 providers and a payer mix spanning Medicare, Medicaid, Ohio BWC, and major commercial carriers, its revenue cycle operations were stretched thin.x The source of the pain wasn’t new […]
