Maximize Reimbursements for Pain Management Without Billing Delays

Pain management billing involves coding and submitting claims for procedures such as epidural injections, nerve blocks, and spinal cord stimulators. It requires in-depth knowledge of interventional procedures, strict documentation, and compliance with payer-specific rules.

Common CPT codes include 64483, 62323, 63650, and 77003. Proper code selection and accurate modifier use are essential to ensure correct reimbursement.

Yes. Most interventional pain procedures require prior authorization. Our team manages the full process, including documentation, submission, and approval tracking.

Frequent errors include missing modifiers, incorrect diagnosis linking, unbundled codes, and billing outside of global periods. We prevent these issues through thorough pre-bill audits and claim scrubbing.

These procedures involve multiple codes and documentation requirements. We ensure each component is billed correctly, with proper modifiers and prior authorization when needed.

Yes, when medically necessary and documented properly. Modifier 25 is used to differentiate the E/M visit from the procedure. We review documentation to ensure compliance before submission.

Common modifiers include 25, 50, 51, 59, and RT or LT. We apply these accurately to support medical necessity and avoid payer denials.

Yes. We provide tailored billing solutions for both office-based practices and ambulatory surgery centers, ensuring accurate claims and timely reimbursements.

Yes. We monitor global periods closely to ensure services are billed appropriately and to prevent rejections related to post-op care.

We focus on accurate coding, documentation validation, eligibility checks, and pre-authorization. Our proactive approach helps reduce denials and improve first-pass resolution rates.

Claims are submitted daily, and follow-up on unpaid claims begins around day 15. This helps maintain cash flow and reduce outstanding AR.

We offer weekly and monthly reports detailing KPIs such as clean claim rate, denial trends, reimbursement timelines, and aging AR analysis.

Yes. We integrate directly with your existing software such as AdvancedMD, eClinicalWorks, Kareo, or others. No system changes are required on your end.

Yes. We begin with a free performance review to identify gaps in your current process, analyze claims and denials, and uncover revenue opportunities.

Outsourcing gives you access to specialty-trained coders, faster claim turnaround, denial prevention, and stronger compliance while reducing overhead and freeing your internal staff.