Working with a specialized pain management medical billing company can help navigate these complexities and ensure maximum reimbursement. Pain management specialists deal with patients who are in pain and understand the importance of treatment, but payers are often very 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 point where many doctors refuse to practice pain management.
It is even more crucial that practitioners be not hampered by pain management billing concerns because of these innate challenges. In a number of specialties, including medicine, neurosurgery, cardiology, physical therapy, hospice, rehabilitation, and podiatry, government and commercial payers are searching for methods to reduce reimbursement rates. They carefully review every aspect of the insurance claim and are extremely picky about billing and coding mistakes that lead to claims being refused.
Claims are frequently denied or rejected for even the smallest mistakes. Payers don’t even bother to figure out what was meant if something seems off, and every letter needs to match the patient record perfectly. There are several mistakes that can be made when entering the correct information because the pain management billing RCM process touches on every facet of patient care, from patient intake data to payment collection.
According to a 2017 Trans Union Healthcare research, the costs of patients’ healthcare providers had gone up by as much as 11%. Giving patients complete financial information before treatment is more crucial than ever due to the sharp rise in patient expenses. Additionally, pain management clinics are finding it increasingly difficult to collect the money that is owed to them as a result of the rising expenditures. These issues can be resolved and the collection process enhanced by collaborating with a specialist pain management billing business.
Because Medsurebilling handles revenue cycle management (RCM) from start to finish, physicians and staff can concentrate on patients knowing that the required billing and coding services are being completed. The scope of services covers more than just what is often included in medical billing for pain management; it also covers payroll expenses, revenue increases, compliance assurance, and more.
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