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Pain Management Practice Billing Services

Pain Management Billing is a part of the broader scope of physical medicines like PMNR, Chiropractor, Physical Therapy (PT), Orthopedic, etc. At Integrity Practice Solutions, we have deep experience in all the facets of Pain Management Billing including

  • Doctors’ professional services
  • Ambulatory Surgery Center (ASC) Billing on UB-04
  • Urine drug screens.
  • In-network providers, out-of-network and hybrid practices who are in-network with some payors while out-of-network with others.
  • Auto Injury (PIP / No-Fault) and Workers’ compensation, arbitration, LOP

Many Pain Management practices also have conservative treatment providers like chiropractors and Physical Therapist (PT’s) on staff. There are also mid-level physicians like Nurse Practitioners (NP) and Physician Assistant (PA). The rules governing “incident-to” billing are very intricate and offices have to be careful which insurances allow those.

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Since we work with many different offices in many states, we are intimately aware of the issues that practices encounter during the billing process and work pro-actively to make sure those mistakes are avoided so the office gets paid on time and cash flow is never an issue.

Integrity Practice Solutions will help your practice deal with insurance providers and proper management of the billing process. We serve hundreds of providers in NY, NJ, PA, DE, MI, FL, TX  area and throughout the US. Our personal touch and years of experience allows us to collect the money you deserve.

To receive the income you deserve on a timely basis, you will need a professional eye that knows what goes into the billing process. A company that will understand the big data as well as small nuances that are required to receive your payment the first time. We understand everything that goes into the Pain Management Billing process and we’re ready to help.

Pain Medicine Billing TIPS

  • Is your billing company following up the law firms for your litigation / arbitration cases?
  • Coding for Pain management can change based on the place of service. Make sure your billers are sending out the correct POS.
  • Many of the injection codes like 64483 for Transforaminal Epidural Injections (TFESI) includes Fluroscopy. Do not bill it separately.
  • If you are doing multiple levels, use the addon code like 64484 and NOT the bilateral modifiers unless you are doing bilateral.
  • If you do bilateral, keep in mind that many insurances will apply the Multi Procedure Payment Reduction (MPPR)
  • Many insurances have strict limit on the number of times in a year, treatment can be provided. Some are strict with the number of times facet injections
    can be administered before considering Radio Frequency Ablaation (RFA). Be careful with coding when you are doing multiple levels.
  • If you are doing urine drug screens, there has to be a presumptive before dong confirmation. Make sure you don’t miss billing the presumptive else it
    can lead to an audit.

Benefits of OUTSOURCING

GET PAID FASTER & FOR EVERY PATIENT

GET PAID FASTER & FOR EVERY PATIENT

Our billers will review all the claims and send them out within 24 hours. Any missing information will be promptly discussed with the office so there are no delays in claims processing. We can use our software for billing or bill from your existing EHR. We have worked with Medisoft, eClinicalworks (eCW), Kareo, STI, OmniMD, Meditab IMS, OfficePracticum (OP), Healthfusion among many others.

REDUCE EMPLOYEE DEPENDENCE WITH MEDICAL BILLING OUTSOURCING

REDUCE EMPLOYEE DEPENDENCE WITH MEDICAL BILLING OUTSOURCING

Cash flow of your office is dependent on your claims going out in a timely manner. You cannot afford to have that stop when someone takes a vacation or has to take time off. With our size, your claims will never stop going out and your collections will always be worked on. You never have to worry about that.

SAVE MONEY BY OUTSOURCING YOUR BILLING

SAVE MONEY BY OUTSOURCING YOUR BILLING

We get paid only if you get paid. You get the benefit of having a specialized team of experts working on your account without worrying about training, vacation etc. If you go on a vacation, you do not have to pay any of your billing and collections staff.

REDUCE PAYER DENIALS

REDUCE PAYER DENIALS

You do not need to live in a vacuum!! We work with hundreds of providers and learn from the denials and push back that we receive from insurance. We learn from this and educate our practices so they do can get paid on the first time.

FULL TRANSPARENCY

FULL TRANSPARENCY

You and the staff you designate will always have full access to your data. We do not want to hide anything from you. When we do follow up, the notes will be attached to the patient chart and you can review them. We believe in 100% transparency.

NO CONTRACTS

NO CONTRACTS

It is your money and it is your right to work with whomever best serves your need. We do not impose any contracts. We are confident in our service that you will not find a harder working billing service provider.

How It WORKS

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Denial MANAGEMENT

Denial management is the key to a successful revenue cycle program. Many companies claim to “automate” RCM but they fail to acknowledge that the problem in denials is the “intention” and not “technology”. There is no other alternative to being on the phone with the insurance company for hours on end and fighting for a claim to get paid. Nonetheless, smart billers learn from their interaction with insurances and pass on that knowledge to the offices they work with so they can take care of these “gottchas”. For e.g. many companies will deny a claim if you send a specific (e.g Lt knee pain) and unspecified pain diagnosis on the same claim.

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Contact Us Now ! 1-844-245-5633

Integrity Practice Solutions – A Professional Medical Billing Company.

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