PracticeSuite and AIMA


AIMA

AIMA Coding
& Credentialing Services

Coding, auditing, and compliance
management teams to ensure the quality and efficiency of services

Our team consist of AAPC & AHIMA certified Medical coders, auditors and coding trainers who are vastly experienced in professional and facility coding services.

Physician Coding Services

Services provided by an individual physician who is licensed under state law to practice medicine and hospital services, including but not limited:

Ambulatory surgery center (ASC) coding

Same day surgery or ambulatory surgery center are health centers where outpatient surgeries are performed on the same day and does not require an overnight stay/ hospitalisation

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Specialities

  • Our team has in-depth knowledge and expertise in the following medical coding specialties:
  • Physician coding services
  • Hospital coding
  • Ambulatory surgery center coding
  • Independent laboratory services coding
  • HCC coding
  • Ambulance coding
  • Dental coding (CDT)

Independent laboratory coding services

An independent laboratory performs diagnostic tests and is independent of both the attending or consulting physician’s office and/or the hospital where services are rendered.

Hospital Coding

The below mentioned inpatient and outpatient services are provided in hospital coding.

Hierarchical condition category (HCC) coding

HCC is a risk adjustment model which is used to calculate risk scores (HCC scores), which is required to adjust capitated payments made for aged and disabled beneficiaries who are enrolled in Medicare Advantage (MA) and other plans. Some providers have the resources and are good enough in risk adjustment modeling to justify all of the compliance risks that they face. This creates a problem for providers as significant dollars are at risk for their organization. HCC audits are done In order to reduce these risks and perform risk adjustment for providers.

Ambulance coding

Ambulance coding is done for patients who utilize ambulance services where the use of other methods of transportation is contraindicated by the individual’s condition, but only to the extent provided in regulations. The nature of an ambulance’s response (whether emergency or not) does not independently establish or support medical necessity for an ambulance transport. Rather, Medicare coverage always depends on, among other things, whether the service(s) furnished is actually medically reasonable and necessary based on the patient’s condition at the time of transport

Medical Coding

Services

AIMA Credentialing Services

AIMA helps independent physicians/group practices and other Healthcare professionals to setup businesses and make them successful. With a proven track record of more than 25 years in Healthcare Services industry, there is no single department of practice implementation that AIMA has not excelled in and Credentialing and Contracting is a service that AIMA takes great pride in their capabilities.

AIMA has a strong team with exceptional performance track record who has developed a unique work-flow to achieve the best results with zero errors.

AIMA specializes in following categories of credentialing work

  • Credentialing & Contracting(Commercial payers)
  • Provider enrollment(Federal payers)
  • Contract Renegotiation
  • CAQH Registration & Enrollment
  • NPI Application(s) and/or update NPI profile(s)
  • State Licensure
  • Hospital privileging
  • CLIA Registration
  • EDI Enrollment
  • EFT Enrollment

We help practices of any type and size to achieve revenue goals

  • Physicians & Physicians groups
  • Nurse Practitioners
  • Physician Assistants
  • Labs & Imaging Facilities
  • DME suppliers
  • Portable Diagnostic Imaging Supplier’s
  • Hospital Affiliations

Physicians & Physicians groups

  • Nurse Practitioners
  • Physician Assistants
  • Labs & Imaging Facilities
  • DME suppliers
  • Portable Diagnostic Imaging Supplier’s
  • Hospital Affiliations
See How PracticeSuite and AIMA Work Together!
See How PracticeSuite and AIMA Work Together!
Questions?
Call (510) 284-2425