+1 (307) 209-2667
info@hhsbilling.com
30 N Gould St Ste R, Sheridan, WY 82801, USA
Pain Management Billing
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What We Do:
Manage time-based and diagnostic code-specific claims
Verify insurance coverage for interventional pain procedures
Ensure accurate billing for multi-level spinal injections and nerve blocks
Reduce denials through pre-bill audits and modifier precision
Maintain full HIPAA compliance and payer-specific requirements
End-to-End Billing Expertise for Interventional Pain Practices
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Billing support for epidural steroid injections (cervical, lumbar, caudal)
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Accurate claim submission for radiofrequency ablation and spinal cord stim trials
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Verification and billing of peripheral nerve blocks and joint injections
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Proper use of modifiers for bilateral/multiple procedure claims
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Coordination of ASC and physician billing in facility-based pain practices
Pain management billing is one of the most complex specialties in medical billing due to high-ticket procedures, frequent changes in payer policies, and stringent documentation requirements. At Horizon Healthcare Solutions, we understand the nuances of coding and billing for multi-modal pain therapies.
From verifying pre-authorizations for nerve blocks and spinal procedures to applying modifiers for bilateral services and fluoroscopy guidance, our team ensures accuracy and speed at every step. We reduce delays caused by missing documentation, incorrect units, or bundled service denials.
Whether you’re a solo interventional pain specialist or part of a multidisciplinary clinic, our billing solutions are built to adapt to your workflows, ensuring revenue protection and regulatory compliance under HIPAA.
Billing for Pain Management Services Comes with High Stakes and Higher Complexity
01
Incorrect Modifier Usage for Multi-Level Procedures
Pain procedures often require specific modifiers (like 50, 59, XS), and misapplication leads to bundling or partial reimbursement.
02
Denials Due to Incomplete Procedure Documentation
Missing fluoroscopy guidance notes or lateralization details can result in claim rejection or medical necessity audits.
03
Complex Coding for Spinal Injections and RFAs
Accurate coding for levels, laterality, and diagnosis linkages is essential—but often mishandled due to coding changes.
04
Prior Authorization Requirements Not Met
Many interventional pain procedures require authorization, and lack of it can lead to total write-offs.
05
Unbundling and Incorrect Units of Service
Payers may deny claims if multiple procedures are not correctly bundled or if the wrong number of units are reported.
06
Challenges Coordinating ASC vs. Physician Billing
For procedures done in outpatient surgical centers, confusion between facility and provider billing often causes claim overlap or delays.
Precision Billing Support for Complex Pain Procedures
At Horizon Healthcare Solutions, we bring accuracy, compliance, and speed to pain management billing so you can focus on delivering relief—not chasing payments. Our team is trained in the nuances of interventional pain coding, including the correct use of modifiers, diagnosis linking, and bundling rules.
We offer full-cycle RCM services—covering insurance verification, pre-authorizations, claims, payments, and appeals—to reduce denials and keep your revenue predictable. Our workflows are tailored for both outpatient clinics and ASC-based pain practices.
Our HIPAA-compliant systems, experienced billers, and real-time reporting ensure that you get paid faster and more accurately for the high-value services you provide. Partner with us for stress-free pain management billing that protects your practice’s profitability.
How We Add Value to Your Practice
Redefining Industry Excellence
HIPAA Compliant
Our commitment to HIPAA compliance ensures the highest standards of data security and patient confidentiality. We implement robust safeguards to protect sensitive information, allowing healthcare providers to focus on delivering exceptional patient care.
Proven Results and Cost Efficiency
Customized, Client-Centric Approach
Committed to Your Success
Comprehensive Claims Reviews
Regularly conducted assessments of denied claims to pinpoint submission errors and enhance future claim accuracy.
Ease and Simplicity
Our services integrate with your existing software and in-house team to ensure efficient and profit-focused processes.
Reliable Support, When You Need It
Our dedicated team is available to assist you during convenient hours and ensures prompt responses to your inquiries by phone, email or chat.
