- 5885 Allison St Unit 1029 Arvada, CO 80001-2645
- tj@amb5280.com
- (303) 940-1613
Pain management billing involves complex procedures, frequent use of injections and interventional treatments, strict payer requirements, and ongoing authorization tracking. Small documentation or billing errors can quickly result in denied or delayed claims.
Accurate Medical Billing (AMB) delivers complete pain management revenue cycle management services designed to reduce denials, improve reimbursement accuracy, and ensure compliance with Medicare, Medicaid, and commercial insurance policies.
We handle the full billing workflow—from patient intake and insurance verification to claims submission, payment posting, and reporting—allowing providers to focus on patient care while we manage the financial operations.
Accurate collection and entry of patient demographics, insurance details, and required documentation to prevent errors at later stages.
Verification of active insurance coverage, policy details, and payer requirements before services are rendered.
Confirmation of patient benefits, deductibles, co-pays, and coverage limitations to avoid unexpected denials.
Complete recording of all billable services and procedures to prevent revenue leakage and under-billing.
Electronic submission of clean claims to insurance companies in a timely and compliant manner.
Accurate posting of payments from ERAs and EOBs to maintain transparent and up-to-date financial records.
Identification of denial causes, correction of errors, and submission of appeals to recover lost revenue.
Regular tracking and follow-up on unpaid or underpaid claims to reduce aging AR and improve cash flow.
Clear and timely patient statements along with support for resolving billing questions and outstanding balances.
Detailed performance reports covering collections, denials, reimbursements, and overall revenue trends.
Most pain management procedures require strict prior authorization and documentation of medical necessity.
Interventional treatments, injections, and recurring visits demand detailed and consistent clinical documentation.
Insurance providers often limit frequency, duration, and type of pain management services covered.
Missing documentation or authorization errors frequently lead to claim rejections.
Strict Medicare and payer guidelines require continuous monitoring and compliance adherence.
For higher-collection practices, we offer volume-based discounts — as volume increases, the percentage can decrease. We’ll confirm the best-fit rate after a quick review.
Most practices fall in the 6%–12% range. Final pricing depends on volume, payer mix, specialty complexity, and current A/R and denial patterns, confirmed after a quick review of your last 60–90 days.
We prioritize electronic workflows to reduce cost and improve turnaround. If you request optional services outside standard billing, we scope and quote those items clearly up front—no surprises.
