Pain management billing involves accurately coding and submitting claims for procedures and treatments that relieve chronic and acute pain. This process requires expert knowledge of CPT and ICD-10 codes, proper use of modifiers, and strict compliance with payer rules. At ProMantra, we handle these complexities with thorough claim audits, prompt submissions, and focused denial management to help your practice increase revenue and reduce administrative burdens
ProMantra improves your revenue cycle with expert CPT and ICD-10 coding, fast claim submission, and targeted denial management. We focus on minimizing write-offs and accelerating payments while maintaining full compliance with payer rules and healthcare regulations
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ProMantra offers end-to-end billing solutions tailored for pain management practices, focusing on accuracy, compliance, and revenue optimization
ProMantra specializes in pain management billing, focusing on accuracy, compliance, and revenue optimization tailored to your practice’s needs
Our team has extensive experience coding complex pain management procedures, including epidural steroid injections (CPT 62310), spinal cord stimulator implants (CPT 63650), and nerve blocks (CPT 64483). We apply precise ICD-10 diagnosis codes for conditions such as chronic pain syndromes and neuropathies. This accuracy minimizes claim rejections and ensures proper reimbursement.
We design billing workflows specific to each payer’s requirements, including adherence to local coverage determinations (LCDs), prior authorization protocols, and proper modifier usage essential for pain management services. This customization helps avoid denials and ensures compliance with diverse payer guidelines.
Our denial management team focuses on pain management–specific issues like medical necessity denials, bundling conflicts based on NCCI edits, and documentation deficiencies. Through root cause analysis and timely appeals, we recover revenue and minimize write-offs effectively.
ProMantra offers transparent and detailed reporting on your billing and revenue performance. We work closely with your clinical and administrative staff to quickly resolve claim issues, improve collections, and maintain compliance with CMS and payer regulations.
Billing workflows combined with continuous monitoring and analytics help reduce denials, speed reimbursements, and protect your revenue cycle
Develop and maintain customized pre-authorization protocols and claim submission guidelines that address payer variations in pain management coverage and reimbursement policies. This targeted approach reduces claim delays and denials.
Integrate eligibility verification and comprehensive claim scrubbing focused on pain procedures like nerve blocks and spinal implants. Ongoing denial tracking and root cause analysis streamline cash flow and reduce days in accounts receivable.
Maintain rigorous documentation standards aligned with CMS and state opioid management policies, including proper recording of controlled substance prescriptions. Prepare practices for payer audits through regular internal reviews and risk assessments.
Leverage detailed dashboards to monitor denial reasons, reimbursement timelines, clean claim rates, and payment variances specific to pain management billing. Data-driven insights support continuous process improvement.
Deliver ongoing education for billing teams on the latest CPT and ICD-10 codes, payer policy changes, and compliance updates, helping reduce coding errors and improve claim acceptance rates.
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ProMantra revolutionized our prior authorization process. Their expertise and automation tools significantly improved our approval rates and boosted revenue. We now focus on patient care without the hassle of administrative delays.
ProMantra has been a game-changer for our practice. Their proactive approach and expertise in denial management significantly reduced our claim denials and improved our bottom line. We highly recommend their services!
ProMantra’s medical coding services have streamlined our entire revenue cycle. Their precision and efficiency have significantly reduced our claim denials and boosted our revenue. Highly recommended
It ensures timely reimbursement, reduces claim denials, and allows you to focus on patient care instead of billing complexities.
It covers a variety of conditions like arthritis, back pain, migraines, neuropathic pain, cancer pain, and more, focusing on the procedures performed and diagnoses made.
CPT, HCPCS, and ICD-10 codes are used to identify specific procedures and diagnoses related to pain management treatments.
ProMantra handles all aspects of billing, from coding to claim submission, insurance verification, and prior authorization, ensuring accurate reimbursement.
Streamline your pain management billing with expert solutions for accurate claims, faster reimbursements, and optimized revenue
Promantra, established in 2003, specializes in AI and RPA driven revenue cycle management and IT solutions for the healthcare sector. We offer comprehensive end-to-end services, including medical billing, coding, eligibility verification, accounts receivable management, and denial management. Our commitment to quality and security is underscored by ISO 9001 and ISO 27001 certifications.
