Pain management billing and coding guidelines change every year. CPT codes are added, revised, and retired. ICD 10 CM updates twice annually. Medicare issues new or revised Local Coverage Determinations. Commercial payers update their medical necessity criteria and authorization requirements. And the AMA’s coding guidance which governs how procedures are
Finding a reliable medical billing and revenue cycle management services in Wyoming is harder than it should be. Wyoming has fewer healthcare providers per capita than almost any other state and proportionally fewer billing companies serving them. Most practices in Cheyenne, Casper, Gillette, Laramie, Rock Springs, and across the state
When a pain management practice evaluates billing companies, the conversation usually starts with three questions: How do you handle prior authorizations for interventional procedures? What is your clean claim rate? How do you manage denials? These are the right questions. But there is a fourth question most practices forget to
The moment a pain management claim submission process is complex & lot of things to be considered before we submit the claim, did we updated correct patient demographic, correct charges & etc. because it may lead to clearing house rejections or insurance denial. If the claim is clean correctly coded,
