Case Study: a single-provider plastic and reconstructive surgery practice cuts denials by 34% with AnnexMed

Single-provider Plastic and Reconstructive Surgery Practice cuts reconstructive denials by 34% with AnnexMed

The customer, a single-provider plastic and reconstructive surgery practice, faced recurring payer denials for medically necessary procedures. The challenge was not a lack of prior authorization but incomplete or inconsistent documentation submitted with claims, which created a significant administrative burden. To address this, the practice engaged AnnexMed to implement pre-bill documentation controls.

AnnexMed introduced a process to review documentation before claim submission, including validating medical necessity, aligning authorizations with billing, and ensuring supporting records were complete. This solution resulted in a 34% reduction in reconstructive denials, 27% fewer documentation requests, and 18% faster reimbursement for the practice.

Single-provider Plastic and Reconstructive Surgery Practice