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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.

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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.

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Numbers That Tell Our Story

” BEHIND EVERY STAT IS A MILESTONE WE ARE PROUD OF “

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REDUCTION IN AR

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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.

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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.

Medical billing services focused on improving revenue, reducing delays, and strengthening healthcare cash flow

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.

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Streamlined billing to maximize reimbursement & reduce overhead.

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End-to-end solutions accelerating cash flow & minimizing denials.

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Real-time verification that prevents rejections & secures faster payments.

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Proactive A/R follow-up improving collections & revenue turnaround.

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Streamlined authorizations for faster access & timely reimbursements.

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Fast, accurate credentialing that gets your providers enrolled & billing without delays.

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Patient-focused CCM programs that improve outcomes & generate recurring revenue.

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Live scribing support that enhances accuracy & reduces charting time.

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Skilled virtual assistants who simplify clinical tasks & boost provider productivity.

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Efficient front desk operations improving accuracy, workflow, & patient satisfaction.

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Streamlined billing to maximize reimbursement & reduce overhead.

Revenue cycle management icon representing end-to-end billing optimization and denial reduction

End-to-end solutions accelerating cash flow & minimizing denials.

Eligibility and benefits verification icon representing accurate insurance coverage and claim approval support

Real-time verification that prevents rejections & secures faster payments.

Accounts receivable management icon representing proactive AR follow-up and faster payment collections

Proactive A/R follow-up improving collections & revenue turnaround.

Accounts receivable management icon representing proactive AR follow-up and faster payment collections

Proactive A/R follow-up improving collections & revenue turnaround.

Prior authorization services icon representing timely insurance approvals and reduced claim denials

Streamlined authorizations for faster access & timely reimbursements.

Provider credentialing services icon representing fast payer enrollment and billing readiness

Fast, accurate credentialing that gets your providers enrolled & billing without delays.

Chronic care management services icon representing patient monitoring and recurring revenue support

Patient-focused CCM programs that improve outcomes & generate recurring revenue.

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Live scribing support that enhances accuracy & reduces charting time.

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Skilled virtual assistants who simplify clinical tasks & boost provider productivity.

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Efficient front desk operations improving accuracy, workflow, & patient satisfaction.

Billing Without Hassle!

Streamline Your Workflow & Boost Productivity With Our Innovative Solutions.

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EHR’s We Work With

Evocare Billings Keep Your Billing Flawless & Fully Integrated – No Matter Which EHR or EMR Your Practice Runs On

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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.

64490–64492 cover cervical/thoracic, 64493–64495 lumbar/sacral. Each code covers one level. Billing multiple without the correct modifiers results in downcoding.

64635 requires a prior diagnostic block (64493). Billing ablation without documenting two diagnostic injections leads to payer rejection.

Using R52 (chronic pain, unspecified) denies frequently. Payers prefer G89.29 (other chronic pain) or site-specific pain codes like M54.16 (radiculopathy).

80307 requires medical necessity for pain management compliance. Billing without ICD Z79.891 (long-term opioid use) often denies. Overuse triggers payer audits.

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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Get paid faster with 24/7 expert medical billing support

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Seamless integration with your EHR for smooth workflow operations

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Trusted nationwide for a 99% client retention rate

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