Pain Management Billing with Sudaco

Take the Pain out of Pain Management Billing

In recent years, insurance carriers from Medicare to Blue Cross Blue Shield to United Healthcare have implemented dozens of medical policies aimed at limiting payments for pain management procedures. Not only are there the usual detailed payable diagnosis lists per procedure, but requirements around prior conservative treatment, correlating laterality of modifier with diagnosis, and hidden variations in the carrier policies all work together to make it more difficult to get your claims paid. Sudaco has not only successfully navigated these payor policies, we have incorporated their specific requirements into our ChargeChecker proprietary claim scrubber. Benefitting from Sudaco’s years of experience in pain management billing, your claims will be flagged and fixed before they reach the clearinghouse resulting in fewer denials and faster payments!

Our staff has years of experience in the complex coding environment for viscosupplementation. We know the hidden variations in carrier policies, and can identify the common traps that practices fall into when billing for these injections.

Our DME experience will get your claims out the door with the correct and required modifiers for medical necessity, laterality, and rental versus purchase. We help analyze your documentation to ensure you have the order, proof of delivery, and the correct code selected for the device you are supplying as well as the medical necessity to justify the order.

We are true specialists in Pain Management billing.

At Sudaco, we specialize in pain management billing. We recognize the impact CPT code changes, ICD-10 and industry regulations can have on your processes. Our team brings over two decades of pain management coding experience and includes Certified Professional Coders (CPC) through AAPC and Certified Coding Specialists – Physician based (CCS-P) through AHIMA, both nationally recognized.

We deal with a variety of Pain Management coding areas, including:

• Hyaluronic Injections
• Cervical, Thoracic, Lumbar Epidural Steroid Injections
• Intra-articular Facet Block
• Transforaminal Epidural
• Trigger Point Injections
• Occipital Nerve Blocks
• Stellate Ganglion Nerve Blocks
• Sacroiliac Joint Injections

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