$5B+

In collected anesthesia payments

$315M+

Collected in CY 2025 alone

1M+

New anesthesia claims processed annually

40+

Certified Professional Coders in anesthesia

100+

Dedicated onshore anesthesia professionals

300+

Total dedicated anesthesia professionals

Why anesthesia groups choose Knack

Built for the realities of anesthesia practices.

What makes us different?

CPC-certified coders and auditors (≥95% coding accuracy)
Technology-driven workflows with AI-assisted management reporting
Benchmarks that outperform industry KPIs
White-glove client service
What we deliver

Three pillars, one accountable partner

01 · Revenue cycle precision

End-to-end RCM by certified specialty coders

Comprehensive onboarding and provider enrollment

Accurate, efficient coding and auditing by CPCs (≥95% accuracy)

Eligibility and address validation with electronic data capture for clean claims

Electronic payment posting, A/R follow-up, and patient inquiries via online portal

Independent Dispute Resolution (IDR) and collections review for high-risk accounts

02 · Insightful reporting & benchmarks

Anesthesia KPIs that do more than report the past

Comprehensive RCM reporting with KPI benchmarks that outperform industry standards

AI-assisted management reporting that surfaces denial patterns, underpayments and reimbursement risk

OR efficiency reporting tied to case mix, staffing, and scheduling

Provider and surgeon productivity reporting for performance and staffing decisions

03 · Practice & hospital partnership

Strengthen practice economics & hospital/ASC relationships

Hospital and ASC contract and stipend negotiation support grounded in data

Staffing model development informed by OR volumes, payer mix and productivity

Payer contracting support aligned with your clinical and financial priorities

Case studies

Two decades of anesthesia partnerships — with the numbers to prove it

98%

Net collection rate — top of the industry’s 94–98% world-class range

≥95%

Coding accuracy by CPC-certified anesthesia coders

Benchmark-beating

Days in A/R & denial rates vs. industry KPIs

Kentucky Anesthesia Group

Since 2003

At the top of the industry’s 94–98% “world-class” range — we state the benchmark alongside the number so it means something.
Knack RCM (then Merrick Management) stood up KAG from scratch in 2003 — state filings, hospital and payer contracts, credentialing, benefits and optimized RCM — and has been a growth partner ever since.

250%

Increase in annual collections

97%

Net collection percentage

26

Days in accounts receivable

95%+

Compliance audit score
Knack RCM’s practice management services have aided us in maintaining our initial hospital relationships since 2003 — more than doubling the number of cases and revenue our practice generates annually.
Raymond Depa, DO · President, Kentucky Anesthesia Group

Anesthesiology Consultants Enterprises

Since 2007

Louisville, Kentucky · Provider-owned · 38 anesthesiologists + 90 CRNAs · three tertiary-care hospitals
In 2007, Knack RCM (then Merrick Management) helped ACE’s founders move from a hospital-employed model to private practice — negotiating the coverage and subsidy arrangement, securing payer contracts, and handling business formation.

15%

Collections lift in Year 1

98%

Net collection percentage

25–30

Days in accounts receivable

95%+

Compliance audit score
We have grown from $6 million in clinical to almost $30 million. It is due to our ongoing partnership with Knack RCM and Ryan that we’ve been able to accomplish this growth.
Kenneth A. Thielmeier, MD, FACC · Anesthesiology Consultants Enterprises
Leadership & team

The people behind your revenue

Ryan Nunnelley

Co-President · Anesthesia

RCM & Practice Management

View profile

Kelly Ison

Co-President · Anesthesia

RCM & Practice Management

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Connor Nunnelley

Vice President · Anesthesia

RCM & Practice Management

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Dennis Chaney

Vice President · Anesthesia

Operations

View profile
LEADERSHIP & TEAM


Thought leadership

Payer advantage, ASC economics & the provider power shift

Anesthesia benchmark review

See how your anesthesia revenue compares.

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  • CPC-certified anesthesia coders
  • 98% net collection rate
FAQ

Anesthesia revenue cycle management, answered

Straight answers to the questions anesthesia groups, hospitals and ASCs ask most.

Download Our Guide

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