Case Study: a mid-sized surgical and outpatient practice reduces payer denials with AnnexMed

A mid-sized surgical and outpatient practice cuts payer denials by 60% with AnnexMed

The customer, a mid-sized surgical and outpatient practice, faced significant revenue cycle disruption due to preventable payer denials and documentation inconsistencies. These issues, driven by irregular reviews and incorrect modifier usage, inflated accounts receivable and created operational strain. To regain financial stability, the practice partnered with AnnexMed for its structured, human-led pre-bill review framework.

AnnexMed implemented a disciplined 48-72 hour pre-bill review cycle targeting high-risk encounters. Their solution included manual claim validation, physician query alignment to strengthen documentation, and root-cause analysis to guide staff training. As a result, AnnexMed helped the practice achieve a 60% reduction in payer denials and a 41% drop in claim rework volume, while also establishing a consistent 48-hour priority claim turnaround time.