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Pain Management Coding  


By increasing the accuracy and thoroughness of your coding (through not only utilizing the correct CPT and ICD-9 codes but also by applying the appropriate modifiers), you will get reimbursed at the correct rate for your procedures, and you will also substantially decrease the number of rejections. It is true that every practice will always have a few cases rejected; however our program, due to its accuracy will cut out many rejections. Additionally, due to its thorough nature, the modifiers (which are basically notes to the insurance companies/payors that let them know you know what you're doing) will also decrease rejections, perhaps by simply using the correct modifier to let the insurance company know that these two procedures performed in the same session are separate, distinct and unrelated, and can be billed together. In some cases, it may be as simple as having the most appropriate and specific ICD-9 as opposed to a generic one. The program also will recognize and apply the appropriate modifiers for global period procedures such as transforaminals or Botox injections.

The program also contains the correct Fluoroscopy code automatically (if you have performed fluoro with the procedure) and will clear up when to use the -26 modifier, and will be able to discern at what locations you can only code for the professional component. The program's thorough database and procedure selector makes selecting codes for baclofen pumps, morphine pumps, intrathecal pumps, as well as for pump refills extremely easy. If you have to code for epidural steroid injections (ESI), facet blocks, sacroiliac (SI) joint injections, or medial branch blocks then there is no other substitute. Nothing will be as quick, as easy, or as accurate.



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