Revenue cycle management for pain management
Where pain management claims leak
Interventional pain is one of the most closely policed areas of Medicare billing. Medicare contractors publish detailed coverage policies for epidural steroid injections and facet joint procedures, with documentation requirements and limits on how often each can be repeated.
Sound familiar?
Where pain management practices lose money
Turn a note over to see what changes.
The five stages
In a pain management practice
At bookingCoverage agentCoverage confirmed before the visit
Before the visitApprovals agentApprovals in place before the visit
At the visitNotes agentNotes that back every claim
At billingClaims agentClaims go out clean
After the payer answersPayments agentDenials worked until they’re resolved
Questions
Pain management questions
Bring one recent denial. We'll show you the rule behind it.
Your specialty, your payers, your claim. No slides.
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