Medical coding
Medical Coding Solutions
Precision Medical Coding. Maximize Revenue, Minimize Risk.
Accurate medical coding services are the need of healthcare providers in the USA. AIE Medical Management (Augustus International Enterprises) stands at the forefront of the industry as a technology-enabled medical coding company. Our system blends sophisticated rules engines and workflow automation with the judgment of AAPC-certified specialists to deliver a “closed-loop” coding process that protects your bottom line.
- Providers reduce lag days and improve cash flow.
- Data integrity is ensured from chart to claim.
- Resources are matched to operational needs.
How does AIE Medical Management help?
The AIE Advantage: Many providers are hesitant to trust their revenue solely to a “black box” algorithm. We understand that. That is why we are defined as the best company for medical coding services that utilize advanced technology to support, rather than replace, the human element.
Code Assignment & Verification
Our system uses a multi-faceted rules engine to support accurate code assignment. This is then verified by specialty-specific coders. This synergy eliminates the common errors of manual entry while avoiding the nuances missed by software-only solutions.
Reduced Lag Days
Our streamlined workflow accelerates claims submission. This significantly improves cash flow for the healthcare organization.
Closed-Loop Process
We integrate seamlessly with your billing system to ensure data integrity from chart to claim.
Scalable Staffing
From temporary help during backlogs to long-term contract outsourcing, we match our resources to your operational needs.
Try our coding service that pays for itself...
Our medical coding and auditing recovers revenue that you’re currently missing. The increased reimbursement will more than cover our reasonable fees.
- Certified coders
- Zero-defect compliance
- Detailed reporting
- Rapid turnaround
Why Choose AIE Medical Management for Medical Coding?
Accurate medical coding has become a necessity, particularly in an era of shrinking margins and increasing scrutiny. Relying on outdated manual workflows is a liability.
At AIE, our AAPC-certified coders undergo rigorous, ongoing education. Technology is only as good as the people managing it. We match these experts to your specific sub-specialty to ensure they add value immediately.
We follow the latest medical coding guidelines so your claims comply. Compliance is our “North Star.” Our multi-tiered review process and automated rules engine ensure adherence to ICD-10-CM, AMA CPT-4, and CMS guidelines. This protects you from audit risks.
We don’t just code; we recover. AIE provides underpayment recovery services to detect payment variances and flag incorrectly closed claims. We work to recover dollars that have already been written off, often at no upfront cost to you.
Put AIE’s tech-enabled coding services to work for your practice. Our hybrid approach ensures you get the speed of automation with the safety of expert oversight.
Advanced medical coding involves using sophisticated workflow tools to analyze clinical documentation and suggest the appropriate CPT, ICD-10, and HCPCS codes.
At AIE Medical Management, we use these technologies to:
- Automate Charge Entry: Eliminating manual keystrokes and transcription errors.
- Pre-Validate Claims: Running charts against thousands of payer rules and CCI edits before they are submitted.
- Flag Deficiencies: Identifying missing documentation before it becomes a denial.
This technology allows our expert coders to work faster and more accurately, ensuring that your practice remains compliant with the ever-changing guidelines from CMS and the AMA.
Hospital Medical Coding Solutions
Hospital coding is complex, requiring a distinction between facility and professional fees. As a specialized hospital medical coding partner, AIE offers robust solutions for high-volume environments.
Facility & Professional Coding
We ensure you capture the full value of your services by accurately coding for both the facility (technical component) and the provider (professional component). Our team is versed in the distinct guidelines that govern inpatient (IP) versus outpatient (OP) reimbursement.
Specialty-Specific Expertise
Generalist coders often miss revenue opportunities in complex fields. We dedicate specialty-specific coders to your account who are experts in Emergency Department (ED), Surgery and Anesthesia, Radiology and Pathology, and Cardiology and Orthopedics.
Risk Adjustment & HCC Audits
Beyond standard coding, we offer specialized Risk Adjustment audits. We validate the accuracy of diagnosis coding related to Hierarchical Condition Categories (HCC), ensuring you are properly reimbursed for the complexity of the patients you treat. This is essential for value-based care models.
Get Medical Coding Done Right with Our Proven Process
Transitioning to AIE is designed to be frictionless. We act as an extension of your existing team. Here’s our systematic approach to represent patient documentation within the codes.
Integration
connects securely with your EHR or Hospital Information Management (HIM) system.
Analysis
utilizes automated tools to analyze records for documentation completeness.
Coding & Audit
involves certified coders assigning codes, supported by our rules engine to check for bundling issues (CCI) and medical necessity.
Submission
ensures clean claims are entered into your billing system for submission.
Feedback
provides documentation tips to your providers, helping them translate their thought processes into better notes for future claims.
Ready to Optimize Your Revenue Cycle?
Don’t let coding backlogs and denials hold your growth hostage. Partner with AIE Medical Management, the industry leader in technology-enabled coding solutions. Experience the precision of automation with the expertise of certified professionals.
Tech-Enabled Coding vs. Traditional Coding
Common Questions about Our Coding Services
Does AIE replace my current billing software?
No. We integrate with your existing infrastructure. Our goal is to optimize your current investment, not rip and replace it. Our “closed-loop” process ensures our coding feeds directly into your billing system.
How do you handle temporary staffing shortages?
We offer flexible engagement models. Whether you need to bridge a temporary staffing gap due to leaves of absence or need a long-term outsourcing partner to handle total volume, AIE can deploy certified coders quickly.
Is your coding purely automated?
No. We believe in “Human-in-the-Loop.” While we utilize advanced rules engines to speed up the process, all complex coding is validated by expert human auditors to ensure the highest degree of accuracy that software alone cannot guarantee.
What is your accuracy rate?
We strive for 98%+ accuracy. By combining automated validation rules with multi-tier human reviews, we consistently outperform industry averages, reducing your risk of external audits and take-backs.
Ready to Optimize Your Revenue Cycle?
Don’t let coding backlogs and denials hold your growth hostage. Partner with AIE Medical Management, the industry leader in technology-enabled coding solutions. Experience the precision of automation with the expertise of certified professionals.
