You built the practice. Three revenue leaks are draining it.

End-to-end revenue cycle execution—denial appeals, underpayment recovery, and AR follow-up. Your team handles judgment. Everything else executes automatically—with outcomes guaranteed in the contract.

 

35–60%
of denied claims in physician groups never get resubmitted. Not unwinnable — just unworked.
ANESTHESIA GROUP — 12 PROVIDERS DENIALS WORKED 847 this month ↑ 34% appeal rate COLLECTIONS +$342K vs. prior year 18% increase YTD TEAM EFFICIENCY 3 FTEs = 30 people’s work LIVE ACTIVITY Appeal filed: CPT 01968-LT modifier logic $8,400 recovery opportunity · 2m ago Payment posted: UnitedHealth anesthesia time units $5,200 collected · 12m ago Underpayment caught: Aetna denied 15-minute threshold $3,100 to reclaim · queued for appeal Denial reversal: Cigna modifiers re-processed $12,700 recovered · 48m ago Real-time pipeline for 12-provider anesthesia group | Automated appeal logic for time-unit and modifier disputes
Watch the 90-Second Overview 90 sec
51%Collections growth (Anesthesia group)
30%Revenue growth (Pain management)
17%Operational efficiency gain
97%Collection success rate
4 weeksTo deploy

Running physician group billing with 1–3 people is not a staffing problem. It’s an execution problem.

1,300
Denials/month a 25-provider group faces
433 hours
At 20 minutes each = 433 hours/month. Nearly 3 full-time employees doing nothing but appeals
33%
Annual billing staff turnover. Replacing the people who knew.
3–5%
Of revenue leaks through underpayments. Month after month.
25%
Of billing staff time spent on hold with payers. Getting nothing done.
180K–270K
In aged AR you’ve written off that might still be recoverable

The denial triage protocol for understaffed billing teams

A step-by-step framework for prioritizing your AR work. Which denials to work first. Which claims need coding review. Which underpayments to escalate. Which aged AR is still recoverable. Specialty-specific (Cardiology, Anesthesia, Pain management). Works in your EHR. 4 pages. No fluff.

Still have questions? Calculate Your ROI — we’ll map your exact workflow, gaps, and revenue opportunities.

ANKA vs. running it yourself

  Without ANKA With ANKA
Denials per month your team works 53 500+
Who decides which denials to appeal Your team (by urgency, not logic) AI triage, your team reviews top 10%
Appeal success rate 62–68% 97%
Underpayments caught per month 0–2 30–80 (every single payment audited)
Time spent on payer calls 25% of day 5% of day (ANKA automates follow-ups)
Cost per appeal processed $180–250 $15–20
Denial rate after 6 months Stays flat or worsens Down 35–50%

Numbers from practices like yours

Radiology · Texas Multi-Site Group

$5M recovered. 61% fewer denials.

Before: 1 in 4 claims denied or underpaid. Appeals backlogged. Underpayments accepted as paid-correct because nobody had time to audit. AR aging past 90 days with no systematic follow-up.

After: $5M in denied and underpaid claims recovered annually. Denial rate down 61%. Every remittance audited for underpayment. AR follow-up automated — nothing ages without action. Collections up 36%.

DME · Texas-Based Group

13x ROI from aged AR alone

Before: 79% of AR over 90 days. 23% denial rate. Prior auth gaps generating preventable denials. Underpayments buried in aged accounts nobody was reviewing.

After: 13x return from AR recovery. Denials intercepted before they age. Prior auth and eligibility gaps closed at the source. Underpayments identified in accounts previously flagged as uncollectable.

Anesthesia · 12 Providers

51% collections growth in 6 months

Before: 27.93% revenue leaking through modifier-related denials and undetected underpayments. Appeals filed manually — when they were filed at all. A 2-person team drowning in time-unit disputes and payer follow-ups.

After: Collections up 51%. Modifier and time-unit denials resolved automatically. Underpayments on anesthesia time thresholds caught and disputed. AR follow-up running without manual intervention. Same 2-person team — 17% more efficient.

Start Your Free Assessment →

Built for specialty workflows—not a one-size-fits-all system

Cardiology

Modifier logic. Global periods. Bundling rules. Cardiology denials follow predictable patterns. ANKA identifies those patterns and structures appeals around cardiology coverage policies and cardiothoracic procedure rules. Up to 51% improvement in overturn rates.

Anesthesia

Time-unit calculations. Supervision requirements. Modifier stacking. Anesthesia billing is complex and highly rule-driven. ANKA audits every claim, identifying documentation and coding errors your team may not have time to catch. 97% appeal success rate.

Pain management

Authorization requirements. Prior authorization denials. Payer-specific coding rules. ANKA manages authorization timelines, tracks required pre-certifications, and flags missing documentation early, preventing avoidable denials before they occur.

Urology

Procedure bundling. Robotic surgery codes. Post-operative complications. Urology has unique reimbursement rules. ANKA understands them, coding claims accurately the first time and resolving denials using urology-specific appeal strategies.

Durable medical equipment (DME)

DMEPOS rules. Supplier requirements. Documentation thresholds. DME claims are highly documentation-driven. ANKA audits every documentation requirement and resolves denials caused by missing or incomplete paperwork.

Rural health clinics & FQHCs

RHC billing rules. PPS rates. Incident-to coding. ANKA understands the constraints of rural reimbursement models and helps maximize allowable billing under RHC and FQHC rules, identifying recoverable revenue within your claims structure.

4 weeks. EHR-agnostic. Outcome-based

EHR-agnostic

NextGen. Athena. Medidata. Allscripts. Epic. Your system, your workflow. ANKA integrates without rebuilding what you have.

Start with contingency

Zero upfront. Zero monthly. ANKA recovers underpayments. You pay a percentage of what we find. If we find nothing, you owe nothing.

Outcome-based SLAs

Denial rate targets. AR days targets. Collection targets. We hit them or your fees adjust down. Guarantees in the contract, not in the pitch deck.

4-week deployment

Not quarters. Not years. Your team stays. Knowledge stays. ANKA connects and goes to work. You see results in 30–60 days.

Questions about billing, staffing, and execution

Do you work with small groups (3–10 providers)?

Yes. We have groups with 2 providers and groups with 200+. The math works at any size. Smaller groups see faster ROI because the unit economics are tighter. Your 3-person team is the limiting factor, not your size.

What if our EHR doesn’t integrate well?

We’ve integrated with 40+ EHR systems. If integration isn’t possible, we still work your denials — your team exports the file, we process it, we resubmit. Less elegant, but the outcome is the same. Your denials still get worked.

What happens if I can’t find staff to integrate with ANKA?

That’s actually an advantage. ANKA is built for underresourced teams. You don’t need a data analyst. You don’t need an IT project manager. Your billing team connects ANKA to your system. Done. If you don’t have bandwidth for that, we can handle it with oversight from you.

How long until we see money?

Most groups see first appeal wins in 3–4 weeks. First collections improvements in 4 weeks. Underpayment recoveries start flowing within 2–3 weeks. We track every dollar from the moment ANKA goes live.

Solutions for your practice

Denial management →

See how ANKA automates appeal letters and denial resolution for physician groups.

Underpayment recovery →

Detect underpayments across every payer contract in your practice.

How it works →

From data intake to payment posting — see the full ANKA workflow.

Start with a complimentary revenue cycle assessment

ANKA analyzes your unworked denials, underpaid claims, and aged AR. If we find revenue opportunities, you decide whether to recover them. Complimentary for qualified organizations (10+ providers).

Calculate Your ROI

5–10 business days. Typical finding: $100K+ in recoverable revenue.

Serving healthcare organizations across the Southeast & Southwest

ANKA partners with physician groups, hospitals, and PE-backed healthcare organizations in Florida, Texas, Georgia, and Oklahoma — and nationwide.

Florida

Miami, Tampa, Orlando, Jacksonville, Fort Lauderdale, St. Petersburg, Tallahassee

Texas

Houston, Dallas, San Antonio, Austin, Fort Worth, El Paso, Arlington

Georgia

Atlanta, Augusta, Savannah, Columbus, Macon, Athens, Sandy Springs

Oklahoma

Oklahoma City, Tulsa, Norman, Broken Arrow, Edmond, Lawton, Moore