Accurate Billing for Pain Management Services
< 30
Days in AR
10-15%
Revenue Increase
97%
First Pass Ratio
96%
Collection Ratios
98%
Clean Claims Rate
All-Inclusive Pain Management Billing Services
Whether you are an independent pain management center or render physical therapies for pain relief in a group practice, our comprehensive pain management billing services are purpose-built for your unique needs.
From accurately recording patient information to effectively managing denials, we are part of the entire billing process - Start to finish. Count on us to handle deceptively difficult pain management medical billing for you.
Entering Patient Information
Our patient registration services are accurate, precise, and 100% HIPAA compliant. We use password-protected electronic health records (EHRs) to correctly enter patient information into the system for claim submission.
Insurance Coverage Verification
Determining whether the offered healthcare services are covered under the insurance plan is an important part of our process. We verify patients’ coverage and eligibility to prevent claim denials.
Coding Services
Our pain management billing experts are well-versed in CPT code sets specific to pain relief procedures and techniques. They follow the annually revised coding guidelines to code each service accurately.
Charge Entry
We help you get rightful payments for the rendered services. Our charge entry service includes generating charge slips and superbills, which are then sent to the insurance payers for reimbursement.
Claim Submission
Our highly qualified pain management billing team has a track record of a 95% first-pass claim rate. We submit error-free medical claims to collect full reimbursements within 7-14 days.
AR Follow-Up
We hold your hand from the beginning till the end. After submitting claims, we diligently monitor their status to ensure the insurance company will process and pay them.
Payment Posting
Every payment received, whether from the patient or the payer, is carefully recorded in the electronic system to track and optimize the financial health of your pain management practice.
Denial Management
Our pain management billing specialists turn your denials into dollars through effective resolution and preventive strategies. Be it resubmissions or reversals, we fight denials like ninja warriors.
Challenges in Pain Management Medical Billing
The Centers for Disease Control and Prevention (CDC) reveals that every year, nearly 51.6 million Americans experience chronic pain, which lasts for months and adversely affects their lives. Chronic pain is more common in US adults than diabetes, high blood pressure, and depression.
When such a high number of ailing patients frequent pain management centers, it burdens the administrative staff, who are already occupied with complex medical coding and billing. From high patient flow to time-consuming paperwork and claim denials to changing regulations, the pain management medical billing staff experiences several challenges at every step of the process.
Coding Errors
Along with three categories of current procedural terminology (CPT) codes, billers must also use appropriate modifiers, ICD-10-CM, and HCPCS codes for pain management diagnoses and treatments. Hence, errors are inevitable.
Missing
Documentation
From clinical notes to pre-authorization letters & complete health records, detailed documentation of everything is needed to submit medical claims & collect lawful reimbursements for the insurance payers.
Claim Denials
Recurring claim denials are the biggest challenge in pain management billing. They bring the practice's revenue cycle to a halt, disrupting the provision of quality healthcare due to financial constraints.
Non-Compliance
Industry regulations, coding guidelines, and payers' policies are revised and updated frequently. Providers' inability to keep up with the changing requirements can result in non-compliance, which leads to denials.
Why Choose MediBill MD for Pain Management Billing Services?
Handling pain management billing in-house can be a nightmare, especially if cost reduction is your top priority. Investments, in terms of time and money, are required to hire and train the billing staff, purchase verified coding software, and set up an office space.
But when you outsource medical billing services to a reputable pain management billing company, like MediBill MD, everything gets taken care of at a fraction of the cost. Experience the MediBill MD difference with our:
We only charge between 2% and 5% of your total collections. By offering premium pain management billing services at lower-than-average market rates, we are on a mission to disrupt the industry.
We employ an experienced team of AAPC-certified coders who are aware of the intricacies and revisions in the CPT, HCPCS, and ICD-10 coding guidelines and work with laser-sharp focus to assign accurate pain management codes.
We pride ourselves on submitting clean claims. Our 95% first-pass clean claims rate allows us to collect reimbursements within 7-14 business days. Rest assured that while expediting processes, quality is never compromised.
We are 100% HIPAA-compliant, ISO-certified, and adhere to the imposed state and federal laws. From protecting your sensitive information to abiding by the payers’ contract terms and conditions, we follow all to a tee.
We are part of your pain management billing process from the beginning to the end. From the very first patient encounter to payment posting, we work with you to optimize your practice's revenue cycle.
Practices Nationwide
We are omnipresent! As your virtual revenue cycle management (RCM) aides, we offer billing services for pain management practices from the East to the West Coast and beyond.
Our online presence allows us to offer specialized pain management billing services in all 50 states, regardless of their distance from our headquarters. So, whether you are based in Glasgow, Montana, or right around the corner from our office, we are ever-ready to serve you.
MediBill MD Solutions to Pain Management Billing & Coding Errors
The pain management billing process is long and complicated. Minor coding errors and oversights during information gathering and documentation can trigger denial codes, which are costly to rework and appeal.
Recent studies indicate that the average denial rate for physical therapists is 12.3%, and it costs approximately $118 to reverse a medical claim. So, when the numbers paint a grim picture, try MediBill MD’s pain management billing services.
| Common Pain Management Billing Errors | MediBill MD Solution | |
|---|---|---|
| Erroneous Medical Records | Our pain management billing experts maintain accurate and complete documentation, which is regularly verified and updated to avoid discrepancies. Our systems seamlessly integrate with EHRs. | |
| Billing Procedures Solely Based on Summaries | Our certified professional coders (CPCs) look beyond the summaries (written at the beginning of the medical reports) to understand the thoroughness of the procedure and bill accordingly. | |
| Using Incorrect Codes | Our pain management billing team is well-versed in the latest coding guidelines and works diligently to assign accurate codes for pain management symptoms, diagnoses, and procedures. | |
| Using Incorrect Modifiers | Our coders know the appropriate use of pain management modifiers (e.g., LT, RT, AA 50, and 59) and insert the correct ones when needed to prevent claim denials. | |
| Using “Canned” Reports | Instead of using “canned” reports or templates (where the fixed layouts restrict detailed data entry), our pain management medical billers create reports from scratch for complete documentation. | |
| Billing Fluoroscopy Separately | Our medical billers understand that in pain management treatments, fluoroscopy is a bundled service and should not be billed separately. They assign the appropriate bundle code to the procedures. | |
Unmatched expertise at unbeatable prices! Stop throwing money at pain management billing services that give nothing but false promises. Try us and feel the MediBill MD difference at a small percentage of your total collections.
Price Comparison Calculator
Based on your annual collections, we will calculate the in-house medical billing cost and compare it with the MediBill MD service charges.
Get In Touch With Our Pain Management Billing Experts
Are you ready for this partnership? Get in touch with our pain management billing specialists today and let the experts streamline your workflow for you.
FAQs
At MediBill MD, we use tried and tested methods to design our pain management medical billing services and guarantee tailor-made, specialty-specific solutions at affordable rates.
Outsourcing pain management billing services to MediBill MD ensures instant access to AAPC-certified professional coders, and you get rigorous quality checks, clean claim submissions, and timely reimbursements at one-third of the cost.
We charge 2%-5% of your total collections for our professional pain management billing services.
The HCPCS code range for chronic pain management and treatment is G3002–G3003. Providers use it to bill an initial 30-minute face-to-face visit and an additional 15 minutes for the diagnosis, assessment, monitoring, and treatment of chronic pain.
Pain management billing specialists use the ICD-10 code sets to bill the diagnosis of pain control or management.
Pain management providers can document patient encounters, assessments, and treatment plans in the electronic health record (EHR) systems for accurate and complete documentation.
Transitioning to a new pain management billing service is a lengthy process. It can take up to 90 days to onboard a billing company, set up an account, and transfer all the patient records
You can contact our representatives to get the exact number of days if you have decided to outsource billing for pain management services to MediBill MD.
