Case Study: a U.S.-based regional physician enterprise achieves a 22% higher clean claim rate with AnnexMed revenue integrity

U.S.-based Regional Physician Enterprise boosts clean claim rate by 22% with AnnexMed

A U.S.-based regional physician enterprise with multiple specialties was struggling with predictable cash flow due to increasing payer requirements and documentation complexity. Preventable denials and claim rework were eroding margins, with clean claim rates stuck in the mid-80s. The organization engaged AnnexMed to design and implement a revenue integrity initiative to address these challenges.

AnnexMed's solution included a baseline assessment, charge capture and documentation alignment, pre-bill reviews for high-risk claims, and the implementation of denial intelligence feedback loops. As a result, AnnexMed helped the client achieve a 22% increase in their clean claim rate, a 30% reduction in preventable denials, and an 18% acceleration in time-to-reimbursement within nine months.