How to Choose the Right Pain Management Billing Company?

Today a major chunk of US citizens suffers from some form of chronic pain management issues. These include over-reliance on opioids, access to care, and much more. Moreover, the interventional pain management service has stringent regulations. These are Drug Enforcement Administration (DEA) regulations, Prescription Drug Monitoring Programs (PDMPs), and many more. These regulations are set by the federal government, medical boards, state bodies, and other authorities as well. So that is why you need to maintain proper documentation, correct billing formalities, and accurate medical coding to keep your practice running seamlessly.  

Every minor change in the billing regulations can impact on your financial health. There are several frequently used on-codes in pain management services. One is Epidural Steroid Injections which are denoted by the code 62321. The facet joint injections are denoted by the code 64490.   

Apart from that, there are several frequently used ICD codes in pain management. G89.4 is used to document chronic pain. M54.5 is used to document lower back pain. Moreover, G90.511 is the code to capture complex regional pain syndrome I of the right upper limb.   

Here, the third-party pain management billing company has specialized experts having knowledge of all these on-codes to make a streamlined claim submission. That is why many healthcare providers are planning to outsource their billing operation to third-party billing solutions. However, the real problem is that most of them do not know how to choose them correctly. So, let’s dive into this.  

Ways to Select a Pain Management Billing Company  

Check if they comply with the updated regulation- The healthcare regulations are becoming more and more complex, and they are also continuously changing. Now, if the providers start taking notes of these changing regulations, then they will not get enough time to focus on patient care.  

Here, the pain management RCM service has specialized experts. They keep themselves updated with the ever-evolving billing regulations. Moreover, they have the experience to work with all the complex billing nuances to streamline the claim submission process. So, before choosing a billing service, check out their reviews to see if they properly comply with the updated regulations or not.  

They help with prior authorization procedure- Prior authorization is a very complex process to manage. Apart from that, it takes a large amount of time for the healthcare staff to perform this process. As it involves various methods, it takes time due to the authorization initiation, approval and constant follow up. With third-party pain management billing services, it takes very little time to streamline prior authorization.   

They have dedicated resources- Outsourcing to expert billing solution gives you the advantages of having a dedicated resource solely taking care of your pre and post billing responsibilities. This leaves you with faster and efficient billing operation and better ROI.  

Final Thoughts  

In short, pain management services come with a lot of challenges. These challenges include complex coding processes, duplicate billing, and much more. Hence, if the healthcare staff focuses on solving these issues, then they will not get the time to improve patient care.  

That is where it can be a feasible option to outsource a pain management billing company. They keep themselves updated with the changing regulations and double-check each patient's information to create an accurate billing process. Moreover, having an operational extension partner can help you with time as well as money, as they are equally cost effective. There are RCM experts with clients across all states only charging $7 an hour while ensuring the highest productivity metrics. So, you can focus on what matters the most to you, which is improving your patient care.