Pain Management Billing & RCM Experts
Revenue cycle solutions for interventional pain practices, opioid compliance, and chronic pain billing challenges.
We help pain specialists navigate complex coding, documentation, and payer guidelines — covering procedures like epidural injections, RFAs, and medication monitoring. Reduce denials and increase reimbursements with our expert billing team.
Schedule a Free ConsultationInterventional Pain Procedure Coding
We code and bill for spinal injections, nerve blocks, radiofrequency ablation (RFA), and other pain procedures using the latest CPT/ICD-10 guidelines. Our coders ensure documentation supports medical necessity.
Medication & Opioid Compliance
We ensure pain practices meet strict regulatory standards when prescribing opioids and managing long-term medications. Our billing specialists help maintain proper documentation and frequency limits.
Pre-Authorizations & Coverage Checks
Our team secures prior authorizations for interventional pain procedures and validates payer coverage rules — helping prevent denials and delays.
- Real-time eligibility and benefit verification
- Payer-specific documentation requirements
- Tracking pre-auth approval status
- Re-authentication for ongoing treatments
Appeals & Denial Management
Pain management claims often face rejections due to lack of documentation, bundling edits, or incorrect modifiers. Our denial team ensures fast appeal submission with strong clinical backup.
Common Denial Reasons:
- Bundling of fluoroscopy with injection
- Missing procedure notes or time logs
- Invalid modifier combinations
- Frequency limitations on RFA
Our Denial Recovery Steps:
- Appeal letter generation with medical support
- Timely filing within payer windows
- Denial code tracking and trend analysis
- Provider documentation education
Pain Management-Specific Modifiers
Modifier misuse causes frequent denials in interventional pain billing. We apply correct modifier usage for bilateral procedures, distinct services, and separate anatomical sites.
| Modifier | Usage | Example |
|---|---|---|
| -50 | Bilateral procedure | Bilateral facet injection |
| -59 | Distinct procedural service | Injection + separate nerve block |
| -LT / -RT | Left/right side designation | SI joint injection (unilateral) |
What Pain Specialists Say
Dr. Melissa Ray
Precision Spine & Pain
"They completely restructured our billing process and helped us recover thousands in denied RFA claims. Excellent with compliance, too."
John T., Practice Manager
Regional Pain Consultants
"Their knowledge of pre-auth rules and pain-specific codes makes a huge difference. We now have cleaner claims and fewer write-offs."
Pain Management Billing FAQs
Do you handle fluoroscopy billing separately?
We ensure that fluoroscopy billing is only applied when appropriate and not bundled with injections as per payer guidelines. We use codes like 77003 when applicable.
How do you manage opioid documentation?
We help practices meet documentation requirements for long-term opioid therapy including monitoring, taper plans, and UDT results. This helps reduce audit risk and claim denials.
Do you support implantable pain device billing?
Yes, we handle coding and billing for spinal cord stimulators (63650–63688), trial phases, and permanent implants with correct modifier usage and device-specific documentation.