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RCM

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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1700 Underpaid Claims Resolved in 6 Weeks

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 […]
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RCM Turnaround Restores $4.2M

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 […]
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Utah Provider Collects $6.49M in Six Months

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 […]
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Multi-Specialty Provider Cut DNFB by 75 Percent

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 […]
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AR Case study

From 15 to 70, Driving AR Growth Through Strategic Scaling

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 […]
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