The Revenue Execution Gap

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

Denials go unworked. Underpayments go unnoticed. AR sits untouched — not because your team isn’t capable, but because there aren’t enough hours.

ANKA executes what your team can’t — appeals, recovery, and follow-ups — so every claim gets worked. Your team handles judgment. Everything else gets done.

65%
Of denied claims in physician groups never get resubmitted. Not unwinnable — just unworked.
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How revenue leaks — and how ANKA closes them
CLAIM SUBMITTED to payer PAYER RESPONSE EOB received LEAK 1 Denied 65% never resubmitted LEAK 2 Underpaid ~90% undetected LEAK 3 Aging AR ~70% never collected WITHOUT ANKA: REVENUE DISAPPEARS ANKA executes · recovers · resolves REVENUE RECOVERED
The Execution Problem

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
Every single month. Most unworked.
433 hrs
Per month on appeals alone
At 20 min each — nearly 3 full-time employees
33%
Annual billing staff turnover
Institutional knowledge walks out the door
3–5%
Of net patient revenue lost to leakage
Including underpayments posted as correct
25%
Of billing staff time spent on hold
With payers. Getting nothing done.
$180K–270K
Aged AR written off — still recoverable
Not uncollectable. Just untouched.
Specialties

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.

Anesthesia

Time-unit calculations. Supervision requirements. Modifier stacking. ANKA audits every claim, identifying documentation and coding errors your team may not have time to catch.

Pain Management

Authorization requirements. Prior authorization denials. ANKA manages authorization timelines, tracks pre-certifications, and flags missing documentation early — preventing avoidable denials.

Urology

Procedure bundling. Robotic surgery codes. Post-operative complications. ANKA understands urology’s unique reimbursement rules, coding claims accurately and resolving denials using urology-specific strategies.

DME

DMEPOS rules. Supplier requirements. Documentation thresholds. ANKA audits every documentation requirement and resolves denials caused by missing or incomplete paperwork.

Rural Health & FQHCs

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

Deployment

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.

FAQ

Physician Groups

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.
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.
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.
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

Three leaks. One execution layer.

Denial management

How ANKA automates appeal letters and denial resolution for physician groups.

Learn more

Underpayment recovery

Detect underpayments across every payer contract in your practice.

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How it works

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

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Find out what you're losing

Complimentary revenue cycle assessment. If we don't find revenue worth recovering, you've confirmed your cycle is tight.

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ANKA

AI that executes your revenue cycle. Not another dashboard.

A Jindal Healthcare Company

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Denial Management Underpayment Recovery AR Follow-Up
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