We manage every aspect of pain management billing to ensure accuracy, minimize claim denials, and amplify repayments. This is the way we make it happen:

Electronic Claims Processing
We leverage advanced software to integrate with EHR/EMR systems, enabling efficient claims submission. Our process includes:

• Electronic claims submission and payments
• Seamless integration with pain management-specific tools

Comprehensive Patient Information Management

Our team gathers all required patient information, including demographics, medical history, and referrals. 

• Prior authorization requirements
• Coverage limits and valid dates
• Accurate claims addresses

Pre-Authorization Handling
We manage pre-authorization requests with detailed clinical justification, reducing rejections and denials at the clearinghouse.

Exact Coding and Consistency

We utilize exact CPT, HCPCS, and ICD-10-CM codes intended for torment the executives, guaranteeing consistency with payer rules. Models include:

• CPT Codes: 62321-64493 (nerve blocks), 64635-64636 (radiofrequency removal)
• ICD-10-CM Codes: M54.5 (low back torment), G89.29 (constant agony)

Insurance Payer Compliance
We adhere to payment rules from major insurers, such as:

• Medicare and Medicaid
• ACA plans
• Private insurers (Cigna, Humana, Aetna, etc.)
• Our team ensures claims align with payer-specific rules and fee schedules.

Payment Review and Disparity Resolution

We carefully investigate Clarification of Advantages (EOBs) to distinguish and determine payment errors. When required, we start the interaction of the request to get exact repayments.

Patient Payment Transparency
We communicate with patients about their monetary obligations, decreasing neglected charges and further developing your training’s income cycle.

We speak with patients about their monetary obligations, decreasing neglected charges and further developing your training’s income cycle.