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Pain Management Billing Blog Posts

Pain Management Billing Coding Changes in the Year 2020

Harold Gibson

Each year, CMS releases changes that practices across the country must familiarize themselves with or risk facing denials and revenue loss in the coming year. Becoming informed on the new policies and codes early can help set your practice up for success in 2020.  Although some specialties saw very few changes for 2020, there have been some significant changes that will affect the pain management specialty this year. From big changes to somatic nerve injection codes to the E/M coding changes coming in the future, here’s what you need to know. 

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Topics: pain management billing, pain management coding 2020

Best Practices for Pain Management Billing to Increase Collection

Harold Gibson

In just a few short years, the methods and efficiencies of pain management claims reimbursement have undergone dramatic changes. Thanks in large part to the adoption of the more complex ICD-10 codes, pain management practices are finding it increasingly difficult to meet both federal regulators’ and payers’ demands.

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Topics: pain management billing

How to Grow Pain Management Practice Through Referrals

Harold Gibson

One of the best things pain management practice can do to grow their practice and improve patient outcomes is to make sure that you’re going beyond marketing to patients and turning your efforts towards building relationships with other medical practitioners. This allows you to help a patient through a treatment algorithm that may require multiple physicians, which is key to the well-being of your patients. But it also enables you to cultivate relationships that can result in referrals to your practice.  

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Topics: pain management billing, pain management practice

What Practices Need to Know About Pain Management Compliance

Harold Gibson

Pain management: from 2017 and beyond

Tougher pain management billing regulations, along with more documentation and closer scrutiny by payers are the order of the day following 2017’s many changes. Thanks to claims being flagged for review, physicians who were used to being paid within 30 days are now seeing payments held up as long as 180 days! To be approved for pain management charges, you will need to thoroughly document all evidence for supporting the necessity of the procedures.

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Topics: pain management billing, pain management revenue cycle

Code Opioid Use Disorder Correctly for Pain Management Patients

Patrick Dougherty

Opioid use, abuse, and overdose have become an epidemic that led to the President declaring it a national public health emergency. The National Institute on Drug Abuse reports that over 115 people die after an opioid overdose each day within the U.S., and according to the CDC, the economic burden of this epidemic within the United States totals to more than $78 billion each year. 

Prescription drugs continue to play a significant role in the opioid crisis, and prescription opioids include medications like morphine, oxycodone, fentanyl, codeine, and hydrocodone. With opioid overdose and dependence at a crisis level in this country, clinicians must have detailed knowledge of this disorder. Likewise, it’s essential for pain management providers  to be aware of the documentation and coding requirements when encountering cases of opioid use disorder.

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Topics: pain management billing, pain management revenue cycle

About this blog

A place for physicians and other healthcare stakeholders to share and discover information about everything related to running efficient medical practices.

Established in 2002 by a group of physicians, we are a national provider of medical billing services to group practices, clinics, and individual physicians. We also specialize in provider credentialing, payer contract reviews, and medical coding for a wide range of clients - from solo practitioners to multi-site, multi-specialty practices.

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