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Pain Management Revenue Cycle Blog Posts

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

Issues That Affect Pain Management Billing & Revenue Cycle

Patrick Dougherty

Medical billing is the backbone of any pain management practice revenue cycle. Unfortunately, many pain clinics experience some big challenges with accurately and efficiently billing payers and patients for services. The medical billing process includes multiple steps, various healthcare stakeholders, and communication across payers and departments to run smoothly. Effective medical billing is essential to reducing the number of days in accounts receivable and optimizing your clinic’s revenue cycle. Unfortunately, there are some big issues that can affect your revenue cycle, and for many pain clinics, outsourcing medical billing can offer an excellent solution. 

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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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