Medical Billing

Expert medical billing services for your healthcare business. AIMA ensure fast, clean, first-time claims to get you reimbursed quickly and efficiently with fully optimized revenue cycle management services.
Trust AIMA to transform your commercial operations and reduce overheads with first-class revenue cycle management. We take away billing uncertainty and burden, allowing you to grow your healthcare business and care for your patients.
Medical billing is a critical component of the modern healthcare industry. Using the expert services of a professional revenue cycle management partner, such as AIMA, is an effective way to increase revenue and take control of your federal and commercial billing operations.
AIMA Medical Billing Results

Data correct January 2021. Industry Benchmark figures from Medical Group Management Association (MGMA)
Why use AIMA for your Medical Billing
- Dedicated Team and Account Executives. We have the time and resources to commit to ensuring correct, first-time, clean claims. AIMA assign account executives to work side-by-side to ensure you collect dollars on every claim submitted. Our account executives are accessible to you on a direct line any time of the day.
- Billing Experts. Our experienced team have practical day-to-day experience of dealing with all major US insurers and Medicare and Medicaid. We know how to streamline the claims process.
- Coding and Clinical Documentation Improvement. Our coding team complete coding strategy and planning for mid to large-sized laboratories, physician practices and surgical centers. Our auditors provide feedback on clinical documentation to qualify you for incentives from programs, for instance, MIPS/MACRA and achieve high HEDIS scores.
- Real-Time Knowledge of Rules & Regulations. We make it our priority to remain 100% up-to-date with the latest billing and coding rules with real-time industry intel.
- Fully Compliant. You can be confident we operate in total compliance with the latest healthcare laws, including HIPAA and the Health Care Reform Bill.
- Software Flexibility. Our teams are trained and certified on multiple practice management platforms and LIS lab information systems including; AvancedMD, CollaborateMD, Ovation LIS, Kareo, GE centricity, Iridium Suite, PracticeSuite, PracticeFusion, IDX, Allscripts, eClinicalWorks, Criterions, Labgen LIS and more.

Common challenges faced in Medical Billing
Experience tells us, maintaining healthy commercial operations is one of the most significant challenges facing US-based physicians, laboratories, and surgical centers.
Medical billing and medical coding are separate processes, and yet both crucial to a healthy revenue cycle. Medical coding involves extracting billable information from the medical record and clinical documentation. Whereas, medical billing uses those codes to create insurance claims and bills for patients.
- Inadequate Foundations. Firstly, building solid billing foundations is essential. Frequently time-consuming and complicated, the enrollment, contracting, and medical credentialing processes can put unnecessary strain on your healthcare business. AIMA is here to remove the pressure with a seamless and flexible solution.
- Billing Errors. Next, conservative estimates indicate up to 80% of medical bills contain errors. Insurance companies are rigorous on correct medical billing and coding practices. For instance, the smallest mistake can trigger an insurance company to reject a medical billing claim. Chasing denied claims and resubmission is time-consuming. Consequently, additional pressure is put on your already time-poor resources causing payment delays and low cash flow. AIMA has helped many practices resurrect their billing from the significant pitfalls resulting from complacent billers.
- Non-Compliance with Billing Rules and Regulations. Finally, medical billing rules and regulations are changing continually. Physicians and administrators need to invest significant time and money in education, software, and staff training to stay up-to-date.
AIMA remove billing uncertainty and burden, allowing you to grow your healthcare business and care for your patients.
Our flexible and bespoke revenue cycle management solutions deliver consistent results. We work with solo and group physician practices, surgical centers, and laboratories across the US. Our state of the art support services complements our total solution. We help you to achieve faster payments and an average 25%+ increase in revenue.
Operating for 25 years, we know that working within the healthcare sector brings variable challenges. Above all, whatever your priority; maximizing reimbursements, managing growth, maintaining strict standards against industry benchmarks, or building patient service initiatives, AIMA is here to help.
We ensure you are compensated for your healthcare services by seamlessly billing both patients and payers.
Significantly, AIMA only charges our clients for what we collect. As a result, we are invested from day one to ensure your business is fully optimized for sustainable growth. Our pricing structure is simple and calculated on a percentage basis. Therefore we only receive an agreed percentage of the revenue that we successfully bill for your company.
Reduce Overhead Costs and Streamline Operations
AIMA’s medical billing services enable private practices to downsize their internal administrative teams and reduce overhead by eliminating the need for in-house billing staff, ongoing training, and investment in billing software. By outsourcing to AIMA, practices can streamline operations, cut payroll and recruitment costs, and rely on a dedicated team of experts to handle all billing processes efficiently—allowing providers to focus more on patient care and less on administrative burdens.
Contact the AIMA healthcare team today and learn more about how our medical billing services will get you reimbursed quickly and more efficiently.
What are the 3 types of medical billing systems?
Medical billing software systems are generally classified as one of the following:rnrn1.tClosed Systems: These are systems that are installed on premises. These systems have less interoperability features because they are designed to work within a small office with a limited number of users. Small pain management clinics which are focused on value-based care will benefit from such systems for cost considerations, but they are not suitable for mid to large organizations.rn2.tOpen Systems: They are enterprise systems that are generally implemented in large organizations such as hospital systems, large pain management practices, and multi-location specialist practices like Cardiology practices and Orthopedic practices. They have higher interoperability capabilities like the ability to interact with Lab Information Systems, send and receive orders to ancillary providers, generate referrals etc. These systems are particularly advantageous when working with outsourced billing operations.rn3.tCloud Based Systems: These systems are hosted on cloud servers and can be accessed from anywhere with the help of the internet. The greatest advantage of these systems is their ability to scale with the operations. Practices and health systems with an eye on scaling their operations choose these systems. The cost of these systems are subscription based and customers pay for what they use in terms of number providers or actual users.
What are the 3 P's in medical billing?
The 3 Ps in Medical Billing refers to Patient, Provider, and Payer. They represent the most important aspects of Medical billing. The medical billing cycle starts with the Patient scheduling an appointment with the Provider and ends with the Payer paying for this service through claims processing. It is important to note that even though the customer in this process is the Patient, the actual cost is borne by the Payer, so it is important that Providers understand the policies of the Payers before providing services to the Patients. This is a point missed by many Providers and they end up with a lot of denials. AIMA’s Compliance team helps the Providers understand these policies and create strategies for optimum revenue collection for their medically necessary services.
What should a billing statement to a patient include?
A comprehensive and easy-to-understand patient statement is essential for timely payments and maintaining strong patient relationships. It should clearly present all necessary information to help patients understand their financial responsibility and how to make a payment.rnrnKey patient details include the full name, current address, account number, and the statement date. Provider information should list the clinic or provider name, referring provider (if applicable), mailing address, and a phone number for billing inquiries.rnrnService details must outline the date of service, a brief and understandable service description, total charges, and optionally, procedure codes. Payment history should include any prior balance, payments received, insurance adjustments/write-offs, and insurance payments.rnrnThe current balance owed should be prominently displayed along with a clear payment due date. Accepted payment methods (e.g., check, credit card, online portal), mailing address for checks, and website or portal login for digital payments should be included.rnrnOptional helpful additions include the insurance provider's name, policy/group number, explanation of codes or terms, financial assistance options, and custom messages. It is a common practice nowadays to include a QR code for directing patients to payment portal using their mobile phones.rnrnFinally, use a clear, readable layout with logical organization, clear headings, and a summary section to enhance patient understanding and reduce confusion or delayed payments.
What forms do medical billers use?
Billers use HCFA or CMS 1500 forms to bill professional claims and use UB04 forms to bill Institutional claims. Submission of paper forms is discouraged by many payers and everyone prefers the electronic version of these forms. Apart from these claim forms, billers use additional forms like ABN, AOBs, W9, etc based on the requirements.
What are the two most common claim submission errors?
The most common submission errors are submitting claims to wrong insurance and providing services to the ineligible patients. It is important that Pain Management clinics and specialty clinics like Cardiology practices verify the patient’s most up to date insurance information and bill to the correct insurance. Many of these high-cost procedures need authorization from the payer or referral from a PCP before they can be performed. Providers end up providing services to patients without realizing this need and end up with a heavy loss to the practice. AIMA’s automated verification and prior authorization process have helped many specialist practices to streamline their patient intake process, reduce missed revenue. This feature also helps the clinics to reduce the canceled or rescheduled appointments.