Pay for Results. Not Headcount
SLAs with teeth. Outcome guarantees in writing. If we miss, your fees go down.
Most vendors: charge whether results improve or not. ANKA: charges only when measurable outcomes happen. Denial rates drop. AR days shrink. Collections increase. Performance-backed SLAs tied to your revenue, not our effort.
Three models. Only one charges you for results
| Capability | Traditional Outsourcer | Software Vendor | ANKA |
|---|---|---|---|
| How They Charge | Monthly FTE cost ($8K–$15K per person) | Per-claim or monthly software fee | Contingency or outcome-based SLA |
| Who Does the Work | Your outsourced staff (offshore often) | Your team (you pay them anyway) | AI execution + your team oversight |
| Appeal Volume Scaling | Costs increase (more FTEs needed) | Scaling built in but not guaranteed | Marginal cost ~$0 per appeal |
| Denial Rate Guarantee | No guarantees | No guarantees | Guaranteed in SLA. Miss? Fees adjust down. |
| AR Days Reduction Guarantee | No guarantees | No guarantees | Guaranteed in SLA. Miss? Fees adjust down. |
| Underpayment Recovery | Not a core capability | Alerts only; you recover manually | ANKA recovers. You pay percentage of finds. |
| Transparency | Black box. Hours logged but results unclear. | Dashboards show alerts, not execution. | Every appeal submitted. Every recovery tracked. Real-time. |
| Upfront Cost | Immediate monthly commitment | Immediate monthly commitment | Zero upfront in contingency model |
Start with contingency. Expand with outcomes
Start: Contingency Underpayment Recovery
Zero upfront. You pay us only when we recover.
How it works:
- ANKA analyzes your claims against payer contracts
- We identify underpayments (typically $100K–$500K in first 90 days)
- We recover the money
- You pay us 25–35% of recovered revenue
- If we find nothing, you owe nothing
Typical finding for a $3M practice: $147K–$210K in underpaid claims, recovered in 60–90 days.
Expand: Outcome-Based SLA Pricing
Base fee + performance. Miss targets? We adjust down.
What's guaranteed:
- Denial rate reduction: 15–25% (measurable in 90 days)
- AR days reduction: 8–15 days (SLA in contract)
- Net collection rate improvement: 5–12% (baseline-dependent)
- Appeals submitted + tracked: 100%
- Uptime & availability: 99.5%
Typical base: $15K–$30K/month depending on claim volume. Performance component tied to measurable KPIs.
What a $3M practice recovers in Year 1
Don't estimate. Calculate. Run your numbers:
See Your Specific ROIOutcome-Based Pricing FAQs
Your outsourcer charges you a percentage of revenue collected. If they work 10 denials and recover 3, you still pay them for the effort on all 10. ANKA is outcome-based: you pay us a percentage of underpayments we actually recover, and a base fee tied to guaranteed KPIs on denial rates and AR days. If we miss the targets, your fee goes down automatically. Most outsourcers: you pay whether results improve. ANKA: you pay only when measurable outcomes happen.
You owe us nothing. Zero. The contingency model is zero-risk to you. We analyze your claims, we take the risk that we won't find recoverable underpayments. In practice, we find $100K+ in the first 90 days for practices processing $2M+ annually. But if somehow we don't, you've paid nothing and learned exactly what your exposure is.
Yes. Most customers do. They start with contingency underpayment recovery (zero upfront risk, proves the value), then expand to outcome-based SLAs once they see the denial management and AR automation results. Once you're in the SLA model, you're guaranteed measurable improvements in denial rates and AR days, with automatic fee adjustments if we miss.
Contingency phase: month-to-month. Expand to outcome-based: 2-year contract with automatic renewal. The longer engagement lets us guarantee results because we have time to embed the workflows, train your team, and optimize. If you want to exit early, you can—but we've never had a customer do that. 100% retention. Our outcomes speak for themselves.
Ready to see what you're losing?
ANKA analyzes your denials, underpayments, and aged AR. Then we show you the dollars.
Start Your Complimentary AssessmentComplimentary for qualified organizations (10+ providers).
5–10 business days. Typical finding: $100K+.