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Your dashboard shows $6.4M at risk across denials, underpayments, and aging AR. How much did you actually recover last quarter?

Every denied claim that doesn't get appealed. Every underpayment that goes unnoticed. Every follow-up that ages out. That's coming out of your margin.

ANKA doesn't add another person to your staff. ANKA becomes your entire revenue cycle. Denial appeals. Underpayment recovery. AR automation. Follow-ups. All of it. Outcome guaranteed in the contract.

3–5%
Of net revenue leaking through underpayments alone. Every month. At most hospitals, this is completely invisible.
ANKA hospital revenue cycle platform showing system-wide denial rates, underpayment tracking, and AR aging dashboard
38%Collection rate growth (Rural Oklahoma hospital)
47%Cost-to-collect reduction
50%Cost-to-collect reduction (Multi-specialty)
97%Collection success rate
4 weeksTo 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 works 500+. EOB reads. Clinical history pulled. Appeals written. Submitted. Tracked. No more abandoned claims.

Every Underpayment Caught

Payers pay below contracted rates. 99% of underpayments go undetected. ANKA audits every payment against every contract. Variance identified. Recovery executed. Contingency pricing — you pay only on what we recover.

Every Follow-Up Made

Your billing staff spend 25% of their day on hold. ANKA automates status checks. Tracks timely filing deadlines. Escalates to supervisors. Nothing ages out. Everything 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 AR. Recovers what your team didn't have capacity to pursue.

What ANKA delivers to hospitals like yours

Hospital Group · 4 Locations

47% Cost-to-Collect Reduction

Before: $82M open AR. $140M flagged as bad debt. 33% net collection rate. 67% clean claim rate. Losing $1–2M per month in avoidable leakage.

After: Cost-to-collect down 47%. Denials resolved 24–48 hours. Net collection rate improved significantly in Q1. AR aging improved across all payers.

Community Hospital · 150 Beds

22% Revenue Growth in 180 Days

Before: Revenue cycle running lean. Staffing gaps at 2–3 FTE short. Manual denial process with 35% success rate. Underpayment recovery nonexistent.

After: 22% revenue growth without hiring. Denial success rate to 97%. Underpayment recovery running $50K–80K per month. Staff utilization improved 40%.

Rural Health Network · 6 Hospitals

25% Claims Processing Reduction

Before: Claims taking 45–60 days to resolve across network. Inconsistent processes between hospitals. No visibility into underpayments.

After: 25% reduction in processing time. Standardized workflow across all 6 locations. Underpayment recovery identified and executed at scale.

$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 counts as a health IT improvement. Grant covers implementation and ongoing support. Zero out-of-pocket.

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 with ANKA's outcome guarantees for a complete funding + execution package.

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.

"The CMS funding unlocked what we couldn't afford out-of-pocket. ANKA's outcome guarantees meant we'd only keep what we actually recovered. That changed the financial math for rural hospitals."

How to Fund Revenue Cycle Technology Through CMS Rural Health Programs

A playbook for CAHs and rural hospitals. Which programs qualify. How to apply. Timeline to funding approval. Grant language that works. How to bundle ANKA with your CMS application for faster approval. 8 pages. Grants officer reviewed.

Already familiar with CMS programs? Start Your Assessment — we'll identify your specific funding and recovery opportunities.

Questions about rural hospitals, funding, and RCM

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.

Find out what you're losing

ANKA runs a detailed assessment of your unworked denials, underpaid claims, and aged AR. See your specific leakage and recovery opportunity. Then decide: Fund through CMS, or take a contingency approach.

Start Your Complimentary Revenue Cycle Assessment

Complimentary for qualified organizations (10+ providers).

5–10 business days. Typical finding: $100K–$500K.