Pain Management

Pain Management Billing Services

VCARE offers a full range of pain management billing services designed for hospitals, solo practitioners, and group practices. We take care of prior authorizations, accurate claim filing and coding, handling claim denials, managing accounts receivable, and following up on unpaid claims.

Billing Challenges for Pain Management Centers & Practitioners

Claim Denial Management

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.

Increased Financial Responsibility of Patients

An analysis conducted by Trans Union Healthcare in 2017 found that patients’ healthcare providers costs had increased by up to 11%. Rapidly increasing patient costs mean it is more important than ever to fully inform patients about their financial responsibility prior to treatment.

The Solution to Pain Management Billing Issues

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.

The Complexities of Pain Management Billing

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.

Coding and Billing Errors

With these inherent hurdles to deal with, it becomes even more important that practitioners aren’t burdened by Pain Management billing issues. Across all fields of medicine, institutions are cutting costs and payers are looking for ways to reduce what they pay, including being very particular about billing and coding errors, which result in claims being rejected or denied.

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