Pain Management Practice Offices - Billing and Coding for Drug Testing Payers' Policy, Documentation and Utilization Guidelines are all here! DISCLAIMER: Below are payers' guidelines and policy that we have been using primarily for compliance, medical necessity and utilization guidelines. These policy serves as our guide in all that we do in revenue cycle management, patients access and prior authorization process and we are sharing this to our provider, group and facility clients. All these payer guidelines and the contents on this page are from its own sources and public web portals domain. It is always your responsibility to contact your local carriers, commercial payers, claims adjusters and case managers should you have any questions and any concerns regarding medical necessity policy and determination including utilization and medical/surgical frequency guideline. Reimbursement and clinical guideline questions should always be given to your payers and obtain information/answers from your insurance payers. Local Coverage Determination, Medical Policy and Guideline Read the Coverage Guidance:
Medicare Part B CaliforniaMedicare Part B FloridaMedicare Part B HawaiiMedicare Part B IndianaMedicare Part B IowaMedicare Part B KansasMedicare Part B MichiganMedicare Part B MissouriMedicare Part B New JerseyMedicare Part B New YorkMedicare Part B NebraskaMedicare Part B NevadaMedicare Part B North Carolina Medicare Part B South CarolinaMedicare Part B Washington State
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Full Revenue Cycle Management
98% of the time your claims can get paid
Cash flow increase up to 35% in 90 days
Accounts Receivables Management
Denial Management
Motor Vehicle Cases
Workers Compensation Cases
Prior Authorization Process
Coordination of surgical orders management
Prior-to-insurance eligibility and coverage verification
Utilization and medical policy review
Medical necessity evaluation and screening
Financial clearance process
Patients Access
Patients Registry and Initial Demographic Entry
Patients Scheduling and Confirming Appointments
Coordination of prior-to-encounter orders management
Prior-to-encounter insurance verification
Obtaining Referral
Obtaining Prior Authorization
Obtaining Peri Operative Orders
Financial Counseling
Insurance Credentialing and Contracting
Payers' Contract Fees Negotiations
Documentation Review
Evaluation and Management Coding Review
Surgical Coding Review
Compliance Program
Office and Surgical Scheduling
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