How Atlantis RCM Resolved 90% of AWV Denials
for a Florida Internal Medicine Clinic

A Florida internal medicine clinic faced 300+ denied AWV claims due to coding and timing errors.
Atlantis RCM resolved 90% of the backlog and prevented recurring denials.

Billing Success for an Internal Medicine Clinic

Location Florida
Practice Type Internal Medicine Clinic
Challenge A backlog of 300+ claims due to recurring denials for Annual Wellness Visits (AWVs), causing significant revenue leakage and administrative waste
Solution Targeted claims audit, coding correction, and process implementation from Atlantis RCM
Results Resolution of 90% of the backlog, elimination of recurring AWV denials, and establishment of preventative billing protocols

Challenge

An Internal Medicine Clinic contacted Atlantis RCM in early 2025, frustrated by a persistent and costly pattern of claim denials. The practice was burdened with a backlog of over 300 claims, primarily for Annual Wellness Visits (AWVs), which were consistently being rejected by payers.

The core issues were billing AWVs too soon after a previous visit and using incorrect diagnosis codes. This cycle of errors created a constant administrative drain, tying up staff and delaying revenue. The clinic lacked the specialized expertise to identify and correct the root cause of the denials.

“We were stuck in a loop—submitting the same visits, getting the same denials, and watching our A/R grow. It felt like we were throwing away money every month,” shared the practice manager.

Solution

The Atlantis RCM team specializing in primary care billing launched a targeted intervention to resolve the backlog and break the cycle of denials.

Here’s how we resolved it:

  • Conducted a focused audit of the 300-claim backlog, categorizing denials by specific reason (timing vs. coding).
  • Verified payer-specific guidelines for Annual Wellness Visit frequency and correct coding requirements.
  • Corrected and resubmitted all viable claims with accurate diagnosis codes and supporting documentation.
  • Prepared and filed appeals for more complex denials, justifying the medical necessity and timing.
  • Implemented new billing protocols and provided staff training to prevent recurring errors in future claims, leveraging denial management services to address issues proactively.

Our dual-focused approach not only cleaned up the past but also fortified the clinic's billing processes for the future, turning a reactive problem into a proactive solution.

Get in touch with us

“The Atlantis team brought order to chaos. They didn’t just process claims; they diagnosed the disease and cured it,”
said the practice owner.

Results

Through the structured recovery project, the Internal Medicine Clinic achieved rapid and sustainable results:

The practice manager highlighted the dual value of recovery and prevention, affirming the partnership's strategic impact.

“They didn’t just clear a backlog; they changed how we operate. Our claims are now clean from the start, which is a game-changer for our practice's health,”
the manager stated.

A Partnership That Prevents Revenue Loss

Today, the Internal Medicine Clinic enjoys a predictable revenue cycle with minimal AWV denials. They rely on Atlantis RCM as an essential partner for maintaining billing integrity, ensuring compliance, and protecting their financial well-being.

Our ongoing mission is to help primary care providers like this Internal Medicine Clinic eliminate recurring denials, maximize reimbursements, and secure a stable financial foundation through expert revenue cycle management.

Transform Your Revenue Cycle with Atlantis RCM

Optimize collections, reduce denials, and unlock hidden revenue opportunities.

Audit Icon

Get a Free Medical
Billing Audit

Identify revenue leaks and missed
opportunities in your billing process.

Uncover what you're losing and
how to fix it.

Start Your Free Audit
Meeting Icon

Schedule a Meeting
with Experts

See how Atlantis RCM can streamline
your workflow and boost cash flow.

Get a personalized walkthrough
tailored to your practice.

Schedule a Meeting
Help Icon

Need Help?
Contact Us Anytime

Our billing specialists are ready to
support you with real-time solutions.

Fast answers. Reliable support.
Real results.

Call Us
Call Now