Your dashboard shows $6.4M at risk. How much did you actually recover last quarter?

Every denied claim that isn’t appealed, every underpayment that goes unnoticed, every AR follow-up that ages out—all come out of your margin.

ANKA doesn’t add another person to your staff. It becomes your execution layer—handling denial appeals, underpayment recovery, AR automation, and follow-ups. All of it, with outcomes guaranteed in the contract.

3–5%
of net revenue leaks through underpayments alone—every month. At most hospitals, it goes completely unnoticed.
ANKA Revenue Cycle PlatformLIVE ANALYTICS
12.4%
Denial Rate
$1.2M
Underpayments Found
$6.4M
AR > 90 Days
$2.1M
Recovery This Qtr
AR Aging Trend
Denials by Payer
UHC
Aetna
BCBS
Cigna
LIVE ACTIVITY
Underpayment detected – CPT 01968 variance $8,4003m ago
Appeal filed – Aetna PPO12m ago
Denial reversed – $12,700 recovered28m ago
Watch the 90-Second Overview 90 sec
38%
Collection rate growth (Rural Oklahoma hospital)
47%
Cost-to-collect reduction
50%
Cost-to-collect reduction (Multi-specialty)
97%
Collection success rate
4 weeks
Time to deploy

You’re running a hospital on margins that leave no room for leakage

1%
Average community hospital net margin
3–5%
Of revenue leaking through unworked denials and underpayments
$1–2M
Per month in avoidable leakage at a 250-bed hospital
500–1,000
Appealable denials per month your hospital generates
35–60%
Of denied claims never get resubmitted. Abandoned. Not unwinnable.
25%
Of billing staff time spent on payer calls. Getting nowhere.

What ANKA actually does at your hospital

Every denial worked

Your team can work 50–100 denials per month per FTE. ANKA processes 500+. EOBs analyzed. Clinical history pulled. Appeals written, submitted, and tracked. No more abandoned claims.

Every underpayment caught

Payers often pay below contracted rates. 99% of underpayments go undetected. ANKA audits every payment against every contract, identifies variances, and executes recovery. Contingency pricing — you pay only on what we recover.

Every follow-up made

Billing staff spend up to 25% of their day on hold. ANKA automates status checks, tracks timely filing deadlines, and escalates issues when needed. Nothing ages out. Every claim that should be worked gets worked.

Aged AR recovery

Claims written off as uncollectible aren’t always unwinnable—they’re unworked. ANKA systematically works through aged A/R, recovering revenue your team didn’t have the capacity to pursue.

Numbers from hospitals like yours

Rural Hospital · Oklahoma

38% jump in collection rate

Before: Denied claims piling up faster than a small team could appeal them. Underpayments going undetected on thin margins. AR follow-up reactive — by the time claims were worked, they’d aged past recovery.

After: Collection rate up 38%. Denials resolved before they hit 60 days. Underpayments caught on every remittance. AR follow-up running continuously — same team, no new hires. Revenue stabilized.

Multi-Specialty Hospital · US Virgin Islands

47% lower cost to collect. $140M in bad debt addressed.

Before: $140M in bad debt. $82M in open AR. Denials resolved too late — if at all. Payments accepted without contract-rate verification. Losing $1–2M/month in underpayments and unworked denials combined.

After: Cost to collect down 47%. Every payment vetted against contracted rates — underpayments flagged instantly. Denials prioritized by recovery value and resolved in 24–48 hours. AR allocated by probability of collection, not age alone.

Multi-Specialty Hospital · Texas

35% collections increase. AR processing cut in half.

Before: Denials from multi-specialty billing complexity going unworked. Underpayments hidden in manual payment posting. AR follow-up slow — claims sitting in queues while revenue aged out of recovery range. Cost to collect rising with no improvement in outcomes.

After: Collections up 35%. AR processing time reduced 50%. Denials caught and routed by specialty-specific logic. Underpayments surfaced before payments are posted as final. Cost to collect down 47%. Claims worked by recovery probability — not first-in, first-out.

$50B in CMS rural health funding. ANKA helps you access it

Rural health outreach grant

CMS funds rural hospitals to improve operations. ANKA’s deployment qualifies as a health IT improvement. The grant can cover implementation and ongoing support—resulting in zero out-of-pocket cost.

Hospital improvement grant (CAH/SCH)

Critical Access Hospitals and Sole Community Hospitals qualify for dedicated funding. Use it to fund ANKA’s deployment. We help you write the application.

Revenue cycle transformation fund

CMS Rural Health Program includes revenue cycle transformation in eligible project categories. Combine this funding with ANKA’s outcome guarantees for a complete funding and execution model.

How it works: Apply for CMS rural health funding. Dedicate funds to ANKA deployment. ANKA executes outcome-based engagement. Your hospital keeps the margin improvement. CMS sees rural healthcare strengthened.

“CMS funding unlocked something we couldn’t afford out of pocket. And ANKA’s outcome guarantees meant we only paid when revenue was actually recovered. That changed the financial math for us.”

— CFO, Rural Community Hospital Network

Hospitals

Does ANKA work with CAHs and SCHs?

Yes. CAHs and SCHs often have the tightest margins, which means ANKA’s outcome-based approach is most valuable. You’re not paying for headcount. You’re paying for results. Many of our best deployments are at CAHs where 1–2 billing staff manage everything.

Can I really fund ANKA through CMS?

Yes, if you qualify for rural health grants. Technology implementation is eligible. The CMS playbook walks you through qualifying programs and the application process. We’ve helped 8 hospitals secure funding. Average approval time: 60–90 days.

What’s the minimum hospital size for ANKA?

No minimum. We work with 25-bed rural hospitals and 400-bed community systems. The math scales. Smaller hospitals see faster ROI because their margins are tighter and our execution is more impactful per bed.

How do we avoid building dependency on ANKA?

You won’t be. ANKA doesn’t replace your billing staff. It removes the impossible work (500 denials per month with 2 people). Your team focuses on exceptions, payer relationships, and strategy. When ANKA is gone, your process is stronger — not weaker.