Pain Management Billing Services

Expert Billing Solutions for Pain Management Practices

Pain management practices deal with a broad range of procedures and therapies to help patients alleviate chronic or acute pain. The complexity of treatments, coupled with stringent payer guidelines, makes billing for pain management services a challenging task. Hello MDS specializes in pain management billing, providing accurate coding, faster claim approvals, and seamless revenue cycle management to ensure your practice thrives.

Challenges in Pain Management Billing

Diverse Treatment Methods: Billing for injections, nerve blocks, and advanced therapies like spinal cord stimulators requires precise coding.

Modifier Usage: Improper use of modifiers for injections and multi-level procedures often leads to claim denials.

Frequent Pre-Authorization Requirements: Payers demand prior authorizations for many pain management treatments, increasing administrative workload.

High Claim Denial Rates: Pain management procedures are among the most scrutinized by payers, leading to increased denials without accurate documentation and coding.

Key CPT Codes for Pain Management Services

Injection-Based Procedures:

62321: Epidural injection, lumbar or sacral

64450: Peripheral nerve block

64633: Radiofrequency ablation, lumbar/sacral facet joint

Advanced Pain Therapies:

63650: Spinal cord stimulator electrode implantation

95972: Neurostimulator programming, complex

Diagnostic Services:

95831: Muscle testing

76000: Fluoroscopy for procedure guidance

64633: Radiofrequency ablation, lumbar/sacral facet joint

Chronic Pain Management:

G2211: Care management for chronic pain

20552: Trigger point injection, one or two muscles

20553: Trigger point injection, three or more muscles

At Hello MDS, we ensure accurate use of these and other relevant CPT codes to maximize reimbursements and reduce claim rejections.

Hello MDS’s Pain Management Billing Solutions

Accurate Procedure Coding

We ensure precise coding and correct modifier application for all pain management treatments, reducing errors and delays.

Pre-Authorization and Eligibility Checks

Our team secures prior authorizations and verifies patient eligibility for complex procedures, minimizing claim rejections.

Denial Management and Appeals

We handle denied claims efficiently, submitting appeals and making corrections to ensure timely reimbursements.

Revenue Cycle Management

From charge entry to payment posting, our streamlined processes optimize your practice’s revenue flow.

Comprehensive Reporting

Detailed reports provide insights into your financial performance, enabling you to identify opportunities for growth and efficiency.

Why Choose Hello MDS for Pain Management Billing?

Improved Collections: Minimize claim rejections and denials with accurate billing processes tailored to pain management.

Specialized Expertise: Our coders are trained in the unique requirements of pain management billing and keep pace with regulatory changes.

Regulatory Compliance: Stay compliant with CMS and payer guidelines, avoiding penalties and delays.

Focused on Patient Care: Outsourcing billing lets your team focus on providing quality care instead of administrative tasks.

Partner with Hello MDS for Pain Management Billing Excellence

Pain management practices require specialized billing expertise to navigate complex procedures and documentation requirements. At Hello MDS, we ensure accurate, compliant, and efficient billing processes, helping your practice grow and succeed.
Contact us today to learn how our pain management billing services can enhance your practice’s profitability and efficiency.