Specialty intelligence.
White-glove partnership.
Technology-driven performance.
Outcomes that outperform.
White-glove partnership.
Technology-driven performance.
Outcomes that outperform.
CPC-certified coders · ≥95% coding accuracy
Benchmarks that outperform industry KPIs
In collected anesthesia payments
Collected in CY 2025 alone
New anesthesia claims processed annually
Certified Professional Coders in anesthesia
Dedicated onshore anesthesia professionals
Total dedicated anesthesia professionals
Built for the realities of anesthesia practices.
Anesthesia is one of the most complex specialties to manage financially, with intricate coding, shifting payer rules, and rising pressure on hospital and ASC economics. Knack RCM has focused on anesthesia revenue cycle and practice management since 1975, and we still partner with our very first client. Our teams blend deep specialty knowledge with AI-assisted tools and white-glove service to protect margin, reduce friction for providers, and keep your group resilient in changing markets.
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
Three pillars, one
accountable partner
01 · Revenue cycle
precision
End-to-end RCM by certified specialty coders
The complete anesthesia revenue cycle, handled — so your clinicians can focus on care. CPC-certified coders and auditors reduce leakage and accelerate cash.
- Comprehensive onboarding and provider enrollment
- Accurate, efficient coding & 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
We turn operational and financial data into insight for your group and your hospital and ASC partners — showing where margin is at risk, and how to fix it.
- 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 and hospital or ASC relationships
We support the broader strategy behind the revenue cycle, helping you secure sustainable contracts, stipends and staffing models.
- 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
Two decades of anesthesia
partnerships — with
the numbers to prove it
Provider-owned anesthesia groups Knack RCM helped build from the ground up — and grow, year over year.
98%
Net collection rate — top of the industry’s 94–98% world-class range
≥95%
Coding accuracy by CPC-certified anesthesia coders
Benchmark-beating
Kentucky Anesthesia Group
Since 2003
Georgetown, Kentucky · Provider-owned · 6 anesthesiologists + 30+ CRNAs across six facilities
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
The people behind your revenue
Meet the leaders guiding Knack RCM Anesthesia Services — including the Merrick and PPM leaders who built five decades of anesthesia expertise.
Ryan Nunnelley
Co-President · Anesthesia
RCM & Practice Management
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Kelly Ison
Co-President · Anesthesia RCM & Practice Management
View profile →
Connor Nunnelley
Vice President · Anesthesia RCM & Practice Management
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Dennis Chaney
Vice President · Anesthesia Operations
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Payer advantage, ASC economics & the provider power shift
Practical perspective for revenue leaders navigating denials, payer pressure and the economics behind anesthesia and surgical care.
See how your anesthesia
Revenue compares.
Share a few high-level metrics and we’ll benchmark your anesthesia program against top-performing peers — and show where specialty-intelligent RCM can move the needle.
CPC-certified anesthesia coders
98% net collection rate
Anesthesia focus since 1975
— FAQ
Anesthesia revenue cycle
management, answered
Straight answers to the questions anesthesia groups, hospitals and ASCs ask most.