Pain Management Medical Billing Services
According to CDC, 1 in every 5 people in the US suffer from chronic pain, the challenge is treating each of these chronic pain keeping in mind the patient’s pre-condition.
Pain Management Billing Service is a challenge for physicians as it requires underlying documentation for each precondition and healthcare update. Here is a list of some of the common pain management treatments: Nerve Blocks, Epidural Steroid Injections, Facet Joint Injections and Radiofrequency Ablations.
According to CDC, 1 in every 5 people in the US suffer from chronic pain, the challenge is treating each of these chronic pain keeping in mind the patient’s pre-condition. Pain Management Billing Service is a challenge for physicians as it requires underlying documentation for each precondition and healthcare update. Here is a list of some of the common pain management treatments: Nerve Blocks, Epidural Steroid Injections, Facet Joint Injections and Radio frequency Ablations.
According to CDC, 1 in every 5 people in the US suffer from chronic pain, the challenge is treating each of these chronic pain keeping in mind the patient’s pre-condition. Pain management billing is a challenge for physicians as it requires underlying documentation for each precondition and healthcare update. Here is a list of some of the common pain management treatments: Nerve Blocks, Epidural Steroid Injections, Facet Joint Injections and Radiofrequency Ablations.
“For pain management we have a team which focusses on patient condition that provide assistance with documentation and coding. Most physicians might consider not billing for pain management resulting in revenue loss later during the billing. It’s important to communicate about the pain management cost that might appear for the patient during the treatment of the underlying condition.” Billing manager of Pain management at Legion.”
– Certified Coder for Pain Management Billing at LHS
Billing only on Condition
Pain management suffers from a unique problem they have to bill from the start of diagnosis. Legion understand this requirement from Medicare/ Payers, billers must bill for any procedures that has been documented in the body of report. Coder needs to go beyond the summary provided by the physicians and start from the beginning of coding purposes.
Documenting based on Requirements
Documentation is critical to ensure the complete payment and pay for service. Having documentation helps in dealing with medical records appropriately, errors during documentation help in next steps when Legion billers are documenting and auditing. Identifying errors during the documentation phase helps in drastically improving the reimbursement amount. Many of the pain management physicians bill for fluoroscopy separately affecting the complete billing cycle. Fluoroscopy needs to be included in intraarticular joint, transforaminal epidural steroid injections, discography, and radiofrequency ablations.
According to our Survey
97 percent of the physicians got paid within 40 days after claim submission that had no errors.
Include Modifier - 50
Pain management physicians will find modifier 50 useful in many cases when extra information regarding procedure needs to be coded. Legion understands that the common mistake physicians make is they forget modifier and code the procedures under completely different codes.
Regular Billing Audits
Medical billing has been going through a string of denials due to change in billing regulations, physicians now need to deal with Medicare/ Medicaid and private payers. Legion invests in medical billing resources bringing analytical solutions and billing managers from industries to help us identify the areas of mistakes and where we need to improve.