21+
Years of Experience
1000+
Experienced Resources
200+
Satisfied Clients
Proven Pain Management Billing and Coding Solutions
With its vast scope, new technologies, changing medical codes, government regulations, and payer policies, pain management is a complex specialty.
We provide comprehensive and HIPAA-compliant billing solutions tailored specifically for pain management practices. Our goal is to streamline your administrative processes, and maximize your revenue, so that you can focus on what matters most – providing exceptional care to your patients.
Comprehensive Revenue Cycle Management for Pain Management Practices
We manage all aspects of your revenue cycle – patient appointment scheduling, medical billing, insurance verification and authorization, medical coding, coding audit, and more. We efficiently handle claim submission for various types of pain treatments such as Nerve blocks, office visits, injections, cancer pain management, diagnostic and therapeutic injections, discography, intrathecal pump implant, DRG/nerve root stimulation, spinal cord stimulators, facet joint procedures, arthrocentesis and anesthesia.
Medical Billing
Our billing specialists verify coding/charge entries before claim submission. They also check for missing/illegible documents and authorization numbers to ensure accuracy. Our AAPC-certified coders are experienced in assigning CPT, ICD-10, and HCPCS codes and have proper knowledge of NCCI edits.
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Prior Authorization
Our team has expertise in pain management protocols and insurance intricacies. We can speed up the authorization process, minimizing delays in patient treatment. Our proactive approach involves thorough verification and documentation, maximizing the chances of swift approval.
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Insurance Verification
We also verify insurance benefits and secure the necessary authorizations before any procedures are performed, ensuring compliance with payer requirements. This proactive approach simplifies the billing process and enhances patient satisfaction by providing clarity and transparency about their coverage.
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AR Follow Up
Our service ensures efficient management of your revenue cycle. With a team well-versed in the complexities of pain management billing and coding, we are proactive in addressing outstanding claims. By continuously monitoring and analyzing AR data, we identify trends and opportunities for process improvement.
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Benefits of Professional Pain Management Billing Services
Managing your practice’s financial health while providing treatments and complex pain management procedures can be a real challenge. With professional billing services, practices can benefit from
- Increased revenue
- Enhanced efficiency
- Accurate medical coding
- Compliance assurance
- Reduced administrative burden
- Transparent finance reporting
- Dedicated billing support
Unique Advantages OSI Provides
Expertise
We have comprehensive knowledge and experience in navigating the complexities of insurance protocols. We provide HIPAA-compliant services for pain management clinics, individual physicians, group practices, hospitals, and ambulatory surgical centers.
Live Callers
We provide the service of live callers for insurance verification, thus offering a personalized and efficient approach. With real-time conversations, OSI fosters clear communication among patients, providers, and insurance companies.
We serve all 50 states
Why Choose OSI?
From diagnosis coding to procedure coding and clean claim submission, our team is dedicated to optimizing your revenue cycle and reducing compliance risks. Here are the advantages of partnering with OSI:
- Adherence to AMA and CMS guidelines
- System-based claims scrubbing before the claims go out
- HIPAA compliance
- Comprehensive tracking of underpayments and non-payments
- Regular QA checks
- Weekly and monthly reports
- Full-time access to our software
- Customized TAT
- No long-term yearly contracts
- 24/7 technical support
Our Pain Management Billing and Coding Process
Our medical billing process begins with accurate and thorough coding, followed by timely claims submission to ensure swift reimbursements. We also provide continuous denial management and detailed reporting to maximize your practice’s revenue and maintain financial health.
1
Patient Enrollment
Billing and Reconciling of Accounts
4
2
Verification
Accounts Receivable
Collections
Collections
5
3
Coding
Denial
Management
Management
6
1
Patient Enrollment
2
Verification
3
Coding
4
Billing and Reconciling of Accounts
5
Accounts Receivable Collections
6
Denial Management
Patient Enrollment
Demographic information, Insurance information
Verification
Insurance verifications, Authorizations
Coding
ICD, CPT, HCPCS, HCC, MRA
Billing and Reconciling of Accounts
Charge entry, Cash posting, Reconciliation
Accounts Receivable Collections
Insurance collection, Patient collection, AR follow up and collections
Denial Management
Perform a root-cause analysis, Review the rejected claims
Affordable & Flexible Pricing Plans
We offer transparent pricing and customizable packages. Options include:
Full-Time Equivalent
In this model, services are billed based on the equivalent cost of a full-time employee (FTE) for a specified duration, usually monthly or annually.
Per Verification Billing
Like an FTE model, a person is dedicated to your practice. Perfect for a practice that is busy. They work as an extension to your business.
FTE/Per Verification Billing
This option is ideal for a practice that is unsure about their work requirements. This can have per request pricing for eligibility and other functions.
AR is only FTE
In this model, you will be charged a fixed monthly or annual fee based on the number of full-time equivalent staff required to manage your practice’s AR follow-up activities. We are also considering a blended model for AR.
FAQs
Why is insurance verification important for my practice?
Verifying patient insurance eligibility and benefits upfront helps avoid claim denials due to coverage issues. The process involves confirming a patient’s insurance coverage and benefits before services are provided. It can avoid claim denials and unexpected costs, ensuring a smooth billing experience for both your practice and patients.
How do you handle denied claims?
We proactively manage denied claims by identifying the cause, correcting errors, and resubmitting them promptly. Our goal is to resolve issues quickly and ensure you receive timely payments.
Can you help with authorization for the concerned procedures?
Yes, we handle pre-authorization processes, securing necessary approvals from insurance providers before the procedures are performed. This helps prevent delays and ensures compliance with insurance requirements.
How do you ensure compliance with industry regulations?
Our team stays updated with the latest healthcare regulations and coding standards. We conduct regular audits and training to ensure your practice remains compliant and minimizes risk.
What kind of reports will I receive?
We provide detailed financial reports that offer insights into your practice’s performance, including revenue trends, claim statuses, and areas for improvement, allowing you to make informed decisions.
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