Pain management specialists deal with patients who are suffering, and they know how important treatment is—but payers are often extremely critical of billing for pain treatment when the cause isn’t something that shows up on an x-ray or has a disease diagnosis. Recent regulations have increased scrutiny of medications used for pain and the penalties for misuse to the extent that many doctors refuse to practice pain management. Working with a specialized pain management medical billing company can help navigate these complexities and ensure maximum reimbursement.
With these inherent hurdles to deal with, it becomes even more important that practitioners aren’t burdened by pain management billing issues. Government and private payers are looking ways to cut down reimbursement rates across various fields like medicine, neurosurgery, cardiology, physical therapy, hospice, rehab, and podiatry. They vigilantly check each and every detail of the insurance claim and are very particular about billing and coding errors, which result in claims being rejected or denied.
It’s possible for Pain Management Centers to offer fewer pain management services as compared with other health care providers because more than 100 million Americans experience chronic pain. An examination of the most common issues in pain management billing services revealed these common challenges.
Rejection or denial of claims for the tiniest errors is common. Every letter must match the patient record exactly, and payers do not even try to determine what was meant if something seems amiss. The pain management billing RCM process relates to every aspect of patient care from patient intake information to payment collection, so there are innumerable errors that can be made in entering just the right information.
Many pain management practices manage claim denials by a very laborious manual process done by in-house staff. This results in slow claim submission and increased labor costs. Outsourcing pain management billing services to a team of specialists can significantly improve claim denial resolutions, case mix performance and the time claims are in accounts receivable.
Medcare MSO takes care of revenue cycle management (RCM) from beginning to end, allowing doctors and staff to focus on patients, knowing that the necessary billing and coding services are getting done. The extent of services includes not only what would be assumed to be part of Pain Management medical billing, but also payroll costs, revenue increments, ensuring compliance and more.
As specialists in medical billing and coding, Medcare MSO keeps up with the annual code changes as well as the various rules and pain management billing guidelines that are constantly changing. Because we have customers of all sizes, in every major field of medicine, or certified coders are kept up to date and trained on the specialized codes of each specialty they work with. Get a free demo today and see how we can help you and your practice run more efficiently, increase revenue & improve cash flow.
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