You built the practice. Your revenue cycle has three leaks draining what it earns: denied claims nobody appeals, underpayments nobody disputes, and aging AR nobody follows up on
End-to-end revenue cycle execution. Denials, underpayments, AR follow-up. Your team handles judgment. Everything else: automated.
ANKA manages your full post-submission revenue cycle. Denial appeals. Underpayment recovery. AR automation. Your team reviews exceptions. The rest executes—outcomes guaranteed in the contract.
Running physician group billing with 1–3 people is not a staffing problem. It's an execution problem
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 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
51% Collections Growth in 6 Months
Before: 2-person billing team. Handling everything. 27.93% revenue leakage. Declining collections. Coding errors across modifier logic.
After: Collections increased 51%. 17% operational efficiency. Coding errors eliminated. Same 2-person team doing strategic work instead of manual appeals.
40% Collections Increase in Under 6 Months
Before: 72% of office visit denials traced to a single missed payer authorization (BCBS Health Select). Nobody caught it.
After: 98% reduction in NDC-related denials. 40% collections increase. AI found the root cause at scale. Staff utilization tripled.
30% Revenue Growth in 90 Days
Before: Inconsistent billing across locations. No denial tracking. Manual payer coordination eating up 40% of billing time.
After: 30% revenue growth. Unified denial workflow across all 8 locations. Payer calls reduced 80%. Standardized AR management.
ANKA deploys. Executes. Your team runs the practice.
Built for your specialty. Not a one-size-fits-all
Cardiology
Modifier logic. Global periods. Bundling rules. Cardiology denials follow patterns. ANKA learns them. Appeals structured around cardiothoracic coverage rules. 51% improvement rate.
Anesthesia
Time-unit calculations. Supervision requirements. Modifier stacking. Anesthesia billing is dense and unforgiving. ANKA audits every claim. Catches the errors your team doesn't have time for. 97% success on appeals.
Pain Management
Authorization requirements. Prior auth denials. Payer-specific coding rules (every payer has them). ANKA manages the authorization timeline. Tracks mandatory pre-certifications. Prevents the denials before they happen.
Urology
Procedure bundling. Robotics codes. Post-op complications. Urology has its own reimbursement quirks. ANKA knows them. Codes your claims right the first time. Works denials using urology-specific appeal strategies.
Durable Medical Equipment (DME)
DMEPOS rules. Supplier requirements. Documentation thresholds. DME claims are pure formula. ANKA audits every doc requirement. Works every denial that's due to paperwork, not policy.
Rural Health Clinics & FQHCs
RHC billing rules. PPS rates. Incident-to coding. ANKA knows the constraints. Maximizes what you can bill under rural rules. Finds the recovery dollars hiding in your RHC 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.
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 ROI5–10 business days. Typical finding: $100K+ in recoverable revenue.