Pain Management Billing

Analysis Report About Practice Billing of the Pain Management Specialists

Pain management is a very distinctive branch that concerns itself with treating, preventing, and curing acute and chronic pain by using interventional procedures, drug administration, and complex therapeutics. Although it is an indispensable medical specialty that makes life enjoyable, the pain management billing is one of the most complicated and prone to audit areas in medical billing.

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    Case Short Description –Pain Management Billing

    Compounded with multi-step processes, complicated guidelines on writing modifiers, and stringent guidelines on documenting with the payers, it becomes quite hard to stay abreast in many practices. Fallacies in the billing may cause denials, time lag in payment, and loss of revenue.

    Revenue cycle management is what we specialize in at NexCure LLC in pain management. Our certified coders with AAPC credentials, billing experts, guarantee complete accuracy in coding, clean claim submission, prevention of denied claims, and adherence to payer specifications (i.e. denial prevention) so that your practice can focus on the health care process whereby we will drive your revenue.

    The Complexity Behind Pain Management Billing
    What Makes the Billing Process a Complex One

    Practices associated with pain management even have billing issues involving highly technical practice:

    Modifier Confusion

    Such modifiers as -50 (Bilateral Procedure), -51 (Multiple Procedures), -59 (Distinct Procedural Service), and modifiers -RT/-LT describing the laterality should be used correctly to ensure that payment is not understated.

    Multi Procedure / Incident

    Pain doctors commonly do a number of injections, nerve blocks, or ablations in a single visit and may need to pay careful attention to the sequencing of CPT codes and use a modifier.

    Review is Commonplace to Pay

    Under the opioid epidemic, payers are selective in covering chronic pain meds and interventional procedure necessities.

    Doc Standard of Sorts

    The operative notes should entail any procedure information, anatomical points, imaging, medicine names, and dosages.

    CPT MPs ICD-10

    The codes used in the pain process change every year; if one uses outmoded codes, claims will be rejected.

    Normal Billing Procedure & CPT Codes

    We have a team of experts in the area of all our major pain management treatments such as:

    Spinal Injections

  • Cervical / thoracic epidural injection – CPT 62321
  • Lumbar / sacral epidural injection – CPT 62323

    • Facet Joint Injections

  • Lumbar / sacral facet joint – CPT 64493–64495

    • Radiosurgery (Radio Frequency Ablation )

  • Cervical / thoracic RFA – CPT 64633–64634
  • Lumbar RFA – CPT 64635, 64636

    • Lumbar Sympathetic Block

  • CPT 20552 (Single or multiple muscle groups)
  • CPT 20553 (Single or multiple muscle groups)

    • Neuromodulation

  • Test of the spinal cord stimulator – CPT 63650
  • CPT 63685 – Pulse generator implant

    • Nerve Blocks

  • CPT 64510 – Stellate ganglion block

    • Pain Pump Procedures

  • CPT 62362 – Pump implantation or replacement

    • 8164
    12

    Years Of Experienced in Medical Services

    Pain Management

    Causes of Why Pain Management Billing Triggers Denials

    Pain Management Billing that are being billed are disappointing with their experience.

    Claims with wrong modifiers usually end up being underpaid.

    Missing documentation for the necessity of surgery or procedure.

    Incorrect order can lessen reimbursement.

    Many high-cost pain procedures require pre-authorization.

    Using outdated CPT codes leads to non-payment.

    The NexCure LLC Benefits

    Eligibility Check Identifications & Benefits Enquiry

    We follow a tested, sequential process to ensure maximum reimbursement and compliance:

    1. Pre-Approvals– Ensure necessary approvals are in place.
    2. Appeals Management / Denial Handling– Strong appeal documentation and follow-up.
    3. Code Accuracy– CPT, ICD-10, and modifiers per current AMA and CMS guidelines.
    4. Claims Scrubbing & Submission– Multi-level review before submission.
    5. Reconciliation– Matching ERAs and EOBs to ensure correct payments.
    6. Clear Patient Statements– Reduce misunderstandings and outstanding balances.
    Why NexCure LLC

    The Advantages of Partnering with NexCure LLC

    Collaboration between NexCure LLC and the company has a lot of advantages:

    • Denial Prevention – Increased Collection Rates– We stop denials.
    • Specialized Skills– Expertise in interventional and chronic pain billing.
    • Compliance-Based Model– Audit-proof your practice.
    • Faster Cash Flow– Reduced AR days through efficient billing.
    • Custom Reporting– Denial trends, collections analytics, and revenue tracking.

    In-Depth Pain Program Services

    Stem cell / PRP therapies

    Palliative medicine for cancer patients

    Surgical pain management

    Chronic pain care solutions

    Put NexCure LLC to Billing Work

    Get a personal demonstration of our specialized pain management billing by calling NexCure LLC now to learn how we can help your collections and compliance.

    We do not just offer standard billing service at NexCure LLC — we are a complete revenue cycle partner. We are specialized pain management experts, coupled with the latest billing software and denial prevention. We have found that practices are receiving high reimbursements, swift-paying collections, and fewer headaches.

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      Client Testimonials

      What Healthcare Providers Say About Us

      "Working with NexCure LLC has been a relief for my clinic. They took care of my credentialing process from start to finish, no delays, no confusion. I also like how they keep up with CMS quality programs and explain things clearly. Honestly, they’ve made my life much easier."

      Dr. Ayesha Rahman, MBBS

      "Before NexCure LLC, our billing was a nightmare — denials, delays, you name it. Their team stepped in and fixed our revenue cycle quickly. What I appreciate most is their guidance on MIPS reporting; they walked my staff through the requirements and we’ve already seen the results. Dependable and professional."

      Dr. James Whitman, MD

      "The attention to detail at NexCure LLC is impressive. They helped us get credentialed with several payers and made sure everything stayed compliant. Their support with HEDIS reporting boosted our scores, which directly benefited our contracts. I’m grateful for their hard work."

      Dr. Maria Gonzalez, MD

      "I’ve been very satisfied with the services from NexCure LLC. They keep me updated on payer rules and compliance, which is something many billing companies overlook. My billing cycle is smoother now, and their assistance with MIPS reporting has been a real plus. It feels like they are part of my team."

      Dr. Omar Al-Farouq, MD

      "Our practice needed someone who really understood billing and coding. NexCure LLC improved our collections and made the whole process less stressful. They’re straightforward, easy to reach, and they actually deliver on what they promise. I recommend them without hesitation."

      Dr. Alejandro Ramirez, DO
      12+

      Years of Expertise in Medical Billing & Revenue Cycle Management

      85+

      Providers Across Multiple Specialties Trust NexCure LLC Consultancy

      97%

      Clean Claims Rate Achieved on First Submission of Project Delivery

      15K+

      Claims Accurately Processed Every Month

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      (929) 587-3833

      Email address:

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      1500 N Grant ST #5001, DENVER, CO, 80203

      United States

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