Hybrid Medical Billing for Modern Healthcare
Hybrid Medical Billing for Modern Healthcare
Be it a fast-paced medical practice, a large facility, or a self-reliant doctor, financial stability hinges on the precision of your revenue cycle. AIE Medical Management introduces a true Hybrid Billing concept—leveraging the best of both worlds by combining onshore accountability with offshore efficiency.
The Power of the Hybrid Model
In the past, providers had to choose between the high cost of local billing companies and the communication gaps of overseas vendors. AIE Medical Management eliminates this compromise.
Our Hybrid Medical Billing model utilizes a strategic mix of onshore and offshore operations. We maintain a strong US-based team for complex appeals, client communication, and strategic account management, while leveraging our global workforce for labor-intensive tasks like data entry and payment posting. This results in superior quality at a highly competitive cost.
What is Hybrid Billing?
Hybrid billing creates a robust financial ecosystem. It combines the accessibility and expertise of our US-based leadership with the scalability and speed of our offshore operations. You get the best of both worlds: local service, global power.
Our Complete Financial Stack
We offer more than just billing. Through our unique network of partners and internal capabilities, we provide a powerful group of financial services designed to stabilize and grow your practice.
Hybrid Billing
Our core service. Integrating onshore oversight with offshore speed to reduce overhead and increase revenue.
Advanced Claims Payment
Accelerate your cash flow. We offer solutions that can advance payment on outstanding claims, smoothing out the revenue volatility typical in healthcare.
Healthcare Bookkeeping
Specialized financial record-keeping for medical practices. We ensure your books are audit-ready and give you a clear picture of your profit and loss.
Contract Negotiation
Don't accept low reimbursement rates. Our experts review and negotiate payer contracts to ensure you are paid what you deserve.
Precision in Charge Capture
Revenue leakage often begins before a claim is even submitted. Our team works to ensure that every billable service is captured and coded correctly. We utilize advanced scrubbing software that checks for errors, unbundling, and missing modifiers, ensuring your claims are “clean” before they ever reach the payer.
Automated & Accelerated Workflows
Time is money. We leverage automated medical billing technologies to streamline repetitive tasks, such as eligibility verification and claim status checks. This automation allows our human experts to focus on high-value tasks like complex denial resolution.
Compliance & Risk Mitigation
The healthcare regulatory landscape is a minefield of potential penalties. AIE Medical Management adheres to the highest standards of compliance, including HIPAA regulations and OIG guidelines. We stay ahead of annual updates to CPT and ICD-10 codes.
Our Proven Billing Process
- Patient Registration & Eligibility: We assist in verifying insurance coverage prior to the appointment. This proactive step reduces denials caused by terminated coverage.
- Coding Review & Charge Entry: Our AAPC-certified coders review documentation to assign specific diagnosis and procedure codes, ensuring medical necessity is clearly established.
- Electronic Claims Submission: We utilize secure EDI connections to submit claims. Our system tracks the claim from the moment it leaves until it is accepted by the payer.
- Payment Posting & Reconciliation: As payments are received, they are posted promptly. We reconcile every deposit against your bank statements for total transparency.
- Denial Management & Appeals: We analyze the root cause of every denial—whether it’s a coding error or payer issue—and launch a timely appeal to recover your revenue.
How AIE Makes a Difference!
Providers today face a “perfect storm” of financial pressures. AIE Medical Management’s hybrid solutions are designed to address these specific pain points.
- Reducing High Denial Rates: Our rigorous pre-claim scrubbing process aims to achieve a “First Pass Resolution” rate well above the industry average.
- Managing Staffing Volatility: AIE acts as your stable, scalable partner, ensuring your billing never stops due to staff vacations or turnover.
- Navigating Complex Payer Rules: Our team specializes in payer-specific nuances (Medicare, UnitedHealthcare, Aetna), preventing administrative errors.
Our Complete Financial Stack
We offer more than just billing. Through our unique network of partners and internal capabilities, we provide a powerful group of financial services designed to stabilize and grow your practice.
Real-Time Dashboards
View your key metrics, such as total collections, A/R aging, and denial rates, at a glance.
Customizable Reports
Detailed breakdowns by payer, provider, or location to help you make informed business decisions.
EHR Integration
We are experienced in working with major Electronic Health Record systems, ensuring a seamless interface between your clinical and financial data.
Why prefer AIE Medical Management?
Your expertise lies in treating patients; our expertise lies in ensuring you are paid for that treatment. By choosing AIE Medical Management, you are choosing a partner dedicated to the financial health of your practice.
Ready to modernize your revenue cycle?
Speak to our Experts to learn more about our Hybrid Billing and Financial Stack.
