Case Study: Midwestern Behavioral Health Network recovers $640K in IOP revenue with AnnexMed

Midwestern Behavioral Health Network recovers $640K in IOP revenue with AnnexMed

Midwestern Behavioral Health Network, a multi-state behavioral health organization, faced a challenge where revenue from its Intensive Outpatient Programs (IOP) was not scaling with its clinical activity. Discrepancies in billing were caused by scattered program documentation, inconsistent practices across states, and no process to reconcile scheduled therapy sessions with billed charges. They engaged AnnexMed for a revenue cycle review to address these issues.

AnnexMed implemented a solution that included standardizing documentation, introducing a validation step for program encounters, and establishing a charge capture monitoring system. This created a formal schedule-to-billing reconciliation process and a billing oversight framework. As a result, AnnexMed helped the customer recover $640,000 in revenue, identified $380,000 in billing gaps, and achieved a 34% improvement in charge capture accuracy.