AIM RCM Solutions provides professional Sports Medicine Medical Billing Services designed to support physicians across the USA. Our certified billers review each sports medicine and physical therapy note, apply the correct medical codes and scrub claims to reduce errors. Clean claims are submitted the same day to ensure faster payments and steady cash flow for your practice.
Billing services for sports medicine put everything you do in a clinical day, such arthroscopic knee work, ultrasound-guided injections, baseline concussion testing, post-op rehab, brace or DME fittings, into one revenue cycle pipeline.
When NCCI rules call for it, add treatment or bilateral modifications to each service and attach the right place-of-service flag.
Checks for eligibility, tracking of prior authorizations, and an automated scrub against Medicare LCDs and commercial payer modifications that often cause problems with orthopedic and rehab claims.
After the file is clean, the sports medicine billing staff sends it electronically to the insurer or payer and posts the electronic reimbursement. Our team works on the denial with a coded appeal letter if the claim pings back.
Handles duties related to sports medicine medical billing, coding, and revenue cycle management that have a direct impact on getting paid for athlete care, treatments, therapies, and injury care. We pledge to help sports medicine doctors with all of their medical billing needs.
We do clean and HIPAA-compliant claims that are specific to sports medicine procedures and schedules. Claims are sent in right away.
Accuracy in CPT, ICD-10, and HCPCS coding for sports injuries, rehabilitation, and sports-related tests.
Handling of pre-certifications and insurance authorization for sports treatments, injections, imaging, physical therapy, and surgery.
Has both automated and manual checks that find mistakes and denials before the payer sees the claim. Our first-pass claim acceptance rate is 98%.
Targeted ways to deal with denials related to procedures that happen a lot, like PRP, joint injections, and care after surgery. There is a quick response on denials for procedural overlaps that happen a lot in sports care coding.
Structured appeals with detailed clinical documentation back up your practice when high-value services medication is not paid for or denied.
Real-time insurance checks for each visit to make sure there are no gaps in coverage and no unexpected write-offs for things like physical therapy.
Patients get clear and timely accounts that show the costs of each sports treatment session and operation. Our billers print out financial accounts that show the exact amounts of co-pays, deductibles, and insurance payments.
A line-by-line explanation of the payer's actions to make sure that sports medical providers are not missing out on reimbursements.
Look over your present payor connections and compare them to sports medicine standards and local pay ranges. We match sports medicine centers with payments that best match the level of service you give.
Putting payments in the appropriate codes and service dates, which cuts down on rework and confusion.
Custom monthly reports that indicate how payers act, how much they pay back, and where you missed out on revenue. We make it easy for sports medicine specialists to make excellent decisions for their practice by keeping the numbers transparent.
Full management of the revenue cycle, with a focus on billing for expensive therapies and outpatient surgeries.
Working with commercial insurers and Medicare/Medi-Cal to make sure billing rights are never suspended.
Workflows that follow HIPAA and OIG rules to make sure your sports medical practice is always ready for an audit.
Correct documentation and billing for supplies like ultrasound-guided injections, TENS units, bracing, and taping.
Information on how to get paid for virtual consultations, tele-visits after surgery, and follow-ups for athlete injuries.
Regular checks of clinical documentation to make sure that coding includes all parts of care delivery. Before the payer does, our skilled sports medicine medical billing auditors point out what's lacking.
Follow-ups on old debts to get money back from insurers who don't pay on time. Do you owe the patient's insurance company money? We understand, no balances that are too high.
One-on-one coaching and real-time feedback loops to help your workers write better code and spot hazards to your revenue.
Sports care isn’t just one line of billing. It’s not just “knee pain, billed, done.” One visit for one patient could include checking for injuries, giving guided injections, using therapeutic modalities, planning rehab, and maybe even imaging follow-ups, all of which need their own, precise documentation.
And what about most medical coders? They miss half of it. Ours don’t. We don’t code sports medicine the same way we code other outpatient care. We make sure that every unit of service gets the payment it deserves, whether you’re a performance clinic, an orthopaedic sports practice, or a rehab provider.
Our sports medicine coding services team knows a lot about how to care for athletes, thus our coding guidelines are based on how you really treat players. We conduct real coding based on what you did and why it matters. If it’s not on the claim, it won’t be paid.
Customised CPT and ICD-10 codes for joint discomfort, ligament injuries, and work to help people get back to normal.
Correct use of modifiers for procedures on both sides, phased treatments, and repeat visits.
We code for all visits, not just the main treatment. This includes evaluations of injuries and follow-up therapy.
Coding that is friendly to insurers and lowers the number of claims that are denied for sporting operations.
In sports care, billing isn’t only about getting codes through. It’s important to understand the significance of what the sports care professionals are doing, from visits for acute injuries to rehab follow-ups and more advanced treatments like regenerative therapy.
Our sports medicine billing organization knows how athletic treatment works, how insurance payments work, and what needs to be included so that sports medicine providers don’t lose money because of small mistakes.
We make sure that every service you bill for gets the money it should, whether you run a private clinic, an orthopedic sports center, or a performance rehab program. Not charged too little. Not late. Not lost in the process.
We send out full, error-free claims that speed up the process of getting your money back from your insurance.
Billing shortcuts don't waste your time or money. We make sure that every bill is correct.
When the billing is done appropriately, there are fewer mistakes by the insurance company and less confusion for patients.
Statements that are easy for your patients to understand and don't delay payments.
Want to view our product and medical billing services in action, receive an idea of how much they will cost, or just get in touch with us?
We’ve gathered the most common queries from physicians and practices. From procedures and DME billing to reimbursements and claim accuracy, these FAQs give you clear answers to help manage your billing with confidence.
Services include billing for arthroscopic operations, ultrasound-guided injections, concussion assessments, post-operative rehabilitation, orthopedic braces, and durable medical equipment (DME). Each one is coded and sent in for payment.
Outsourcing saves time, makes things more accurate, costs less, and makes sure payments are made sooner. Expert billers take care of claims, so doctors and staff can focus on helping patients get better and growing their practice.
Certified billers go over notes line by line, use the right codes, clean up claims and follow the rules set by the payer. This cuts down on mistakes, which means that more claims are approved the first time.
Yes. Braces, supports, and rehab aids are all examples of durable medical equipment (DME). Providers get paid on time for DME supplies when they code and document things correctly.
Yes. When marked appropriately, concussion tests, baseline tests, and follow-up rehab sessions can all be billed. Professional billing makes ensuring that practices get paid for all of their services.
Most of the time, reimbursements take a few weeks to process, depending on the insurance company. Faster approvals for claims keep the money coming in.
