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Specialty billing

Pain Management medical billing

Pain management is authorization-heavy and frequency-limited. Sequencing the paperwork correctly is most of the billing job.

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What we handle for pain management practices

Injections, nerve blocks and prior authorizations kept on track.

Injections and blocks

Coded by level, approach and laterality.

Imaging guidance

Billed where separately payable, and not where it is bundled.

Prior authorization

Obtained before the procedure is scheduled, not after.

Frequency tracking

Repeat procedures monitored against each payer's limits.

Common pitfalls

Where pain management claims go wrong

These are the errors we look for first when reviewing a practice in this specialty. If any sound familiar, a billing review will tell you what they are costing.

  • Procedures performed before authorization is confirmed, which payers rarely pay retrospectively.
  • Guidance billed separately where the procedure code already includes it.
  • Repeat injections exceeding the allowed frequency for the period.

Not sure where your revenue is leaking?

Book a free review. We will look at your recent claims, denial patterns and A/R aging, and tell you what we find — whether or not you work with us.