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Smarter Billing for Pain Management Clinics
Robust Billing Processes Built To Support Compliance, Performance, & Continuity of Care.
Specialized Interventional pain procedure billing expertise.
Optimized Improve reimbursement for complex procedures.
Secure Ensure compliance with medical necessity rules.
Insightful Monthly trends to track service-level profitability.
Streamlined Medical Billing Solutions
Designed To Maximize Your Practice Revenue
Our Experienced Team Delivers Accurate, Compliant, & Efficient Billing Services, Helping Healthcare Providers Reduce Denials, Improve Cash Flow, & Focus On Patient Care.
Numbers That Tell Our Story
” BEHIND EVERY STAT IS A MILESTONE WE ARE PROUD OF “
IN BUSINESS
CLAIMED PROCESSED
REDUCTION IN AR
REVENUE IMPROVEMENT
FIRST PASS CLAIM RATE
Smarter Pain Management Billing Across
States Designed To Scale
Optimized Billing for Pain Specialists
Pain management billing covers injections, nerve blocks, and advanced procedures, each with strict documentation and authorization requirements. Payers in California, Florida, and New York often require detailed pre-authorizations, which Evocare automates to reduce administrative burden, streamline workflows, and accelerate claim processing efficiently. Our specialty-focused clean edits minimize denials, improve first-pass acceptance, and ensure ongoing compliance with payer rules, enabling pain management practices to achieve faster payments, higher reimbursements, and consistent, optimized revenue.
Prevent Pain Management Claim Denials
Denied claims often stem from missing modifiers, improper procedure coding, or incomplete documentation. States like Texas, Illinois, and Ohio experience high rejection rates in pain management, increasing administrative burden and delaying revenue. Evocare reduces these risks with proactive claim checks, payer-specific compliance updates, and continuous monitoring of evolving regulations. Our specialty-focused processes maintain a 98% clean claim rate across all services, helping pain specialists maximize reimbursements, minimize delays, and ensure consistent, optimized revenue.
Revenue Solutions Tailored For Pain Practices Designed To Scale
We offer specialized revenue cycle management solutions for pain management practices, combining deep industry expertise with proven billing strategies. Our team understands the complexity of pain management coding, documentation, and payer requirements, reducing denials, accelerating reimbursements, and improving cash flow. By leveraging compliant workflows, specialty-focused knowledge, and advanced billing processes, we help practices focus on patient care while managing financial performance with accuracy, efficiency, and consistency.
Pain Management RCM Process
Overcome financial and operational challenges with processes designed for injections, nerve blocks, and complex pain procedures.
Pain Management Billing Excellence &
Compliance Focused Services
Maximizing Reimbursements For Advanced Interventional Pain Management Procedures.
Real-time verification that prevents rejections & secures faster payments.
Fast, accurate credentialing that gets your providers enrolled & billing without delays.
Patient-focused CCM programs that improve outcomes & generate recurring revenue.
Skilled virtual assistants who simplify clinical tasks & boost provider productivity.
Efficient front desk operations improving accuracy, workflow, & patient satisfaction.
Real-time verification that prevents rejections & secures faster payments.
Fast, accurate credentialing that gets your providers enrolled & billing without delays.
Patient-focused CCM programs that improve outcomes & generate recurring revenue.
Skilled virtual assistants who simplify clinical tasks & boost provider productivity.
Efficient front desk operations improving accuracy, workflow, & patient satisfaction.
Billing Without Hassle!
Streamline Your Workflow & Boost Productivity With Our Innovative Solutions.
EHR’s We Work With
Evocare Billings Keep Your Billing Flawless & Fully Integrated – No Matter Which EHR or EMR Your Practice Runs On
Hear From Our Clients
From Struggle To Streamlined — Their Words, Our Wins, & Voices Of Success.
Optimize Billing for Your Pain Management Practice
Pain management billing involves high-complexity claims, frequent documentation of medical necessity, and payer-specific guidelines. Our team of AAPC-certified billing professionals & Certified Professional Coders (CPCs) specializes in coding injections, nerve blocks, and spinal procedures with precision to minimize denials and ensure steady revenue.
We provide end-to-end billing solutions, from prior authorizations to claims follow-up, ensuring compliance and accuracy throughout the process. By streamlining workflows, leveraging the expertise of our certified professionals, and reducing administrative burdens, we help pain management practices improve financial performance and maintain focus on patient care.
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Frequently Asked Questions By
Pain Managemnet Physician
If You Can’t Find The Answer You’re Looking For, That’s No Problem. Schedule a Demo, & We’ll Work To Answer Your Question.
Why do epidural injection claims frequently deny?
CPT 62323 requires fluoroscopic guidance (77003). Missing guidance code or non-covered ICD like M54.50 (unspecified back pain) leads to denial.
How do facet joint injections complicate billing?
64490–64492 cover cervical/thoracic, 64493–64495 lumbar/sacral. Each code covers one level. Billing multiple without the correct modifiers results in downcoding.
Why do radiofrequency ablation claims fail?
64635 requires a prior diagnostic block (64493). Billing ablation without documenting two diagnostic injections leads to payer rejection.
How do ICD-10 pain codes impact denials?
Using R52 (chronic pain, unspecified) denies frequently. Payers prefer G89.29 (other chronic pain) or site-specific pain codes like M54.16 (radiculopathy).
Why are depression screening codes underused?
80307 requires medical necessity for pain management compliance. Billing without ICD Z79.891 (long-term opioid use) often denies. Overuse triggers payer audits.
Why do spinal cord stimulator claims often get denied?
Spinal cord stimulator claims are often denied due to missing prior authorization, insufficient documentation of medical necessity, or incorrect coding of the procedure. Insurers may also require detailed trial outcomes before approving permanent implantation. Ensuring compliance with payer-specific guidelines reduces rejection risk.
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