Prior Authorizations & Comprehensive RCM services
Our Approach: Driven by Payer Clinical Guidelines
In 2025 on a monthly basis we process:
Welcome to Painmed-PA
Our Journey to Transform Pain Management
Fifteen years ago, we embarked on our journey as a traditional Revenue Cycle Management(RCM) company, providing medical billing and related services to practices across the country. We were good at it—really good. But something shifted as we navigated the evolving landscape of healthcare.
Along the way, we had the privilege of partnering with several pain management practices, guiding them through some of the toughest challenges in recent years. It was in those moments, standing shoulder-to-shoulder with our clients, that we found our true calling. We saw firsthand the unique struggles pain management practices face, and we knew we could do more than just offer services—we could make a real impact.
That’s why we decided to make Pain Management our exclusive focus and main mission. We didn’t just want to offer solutions; we wanted to solve the one problem that we knew could change everything for these practices: Prior Authorizations. We believe that if Prior Authorizations are done right, the rest falls into place—revenue improves, denials decrease, and audit risks diminish. It’s a game-changer, and we’re passionate about getting it right.
Most of our clients begin their journey with us through our Prior Authorization services, and many go on to embrace our full billing solutions. But whether we’re handling just your Prior Authorizations or managing your entire billing process, our philosophy remains the same: “Do it right the first time.”
At PainmedPA, we’re not just a service provider; we’re your partners in success, dedicated to elevating your practice and ensuring you thrive in a complex and ever-changing industry.
Solutions
Tailored Solutions for Pain Management Practices
Our deep dive into Prior Authorizations and unwavering focus on Pain Management has allowed us to develop a suite of services that truly make a difference. Here’s how we can support your practice:
Prior Authorizations
This is where we’ve made our name. For a flat monthly fee, we handle Prior Authorizations for Procedures, Medications, and Imaging with precision and expertise, ensuring your practice runs smoothly and your patients receive the care they need without unnecessary delays
Pre-Certifications
Navigating the complexities of state-specific pre-certifications for workers' comp and personal injury visits can be daunting, but we’ve mastered it. Our team brings specialized knowledge to deliver accurate and timely pre-certs, so you can focus on patient care.
Chart Reviews and Coding Audits
Compliance is key, and our chart review and coding audit services are designed to keep your practice on track. Whether you need a one-time review or ongoing monthly services, we help you stay aligned with payer guidelines, reducing the risk of future audits.
Billing and Prior Authorization Workflow Consultation
Your processes are the backbone of your practice, whether you manage them in-house or outsource. We offer expert consultations to review and optimize your billing and Prior Authorization workflows, drawing from our extensive experience across multiple practices to suggest impactful improvements.
Insurance Guidelines Chatbot
Meet your new AI assistant. Our Insurance Guidelines Chatbot crawls through all insurance websites, gathers the latest guidelines, and presents them in a clear, concise format. It’s what we use internally, and now we’re offering it to you as a subscription service to keep your practice informed and compliant.
AR Tracking and Management
Are you confident you’re getting paid the right amount for your procedures? With rising denial rates and frequent medical record requests, diligent tracking of your accounts receivable (AR) is crucial. We provide a real-time dashboard that gives you a clear picture of your AR, helping you identify payment patterns and address issues before they escalate.
Complete End-to-End Billing
Pain Management requires specialized billing, and that’s exactly what we offer. Our end-to-end billing services are tailored specifically to the needs of Pain Management practices, ensuring every aspect of your billing is handled with the expertise and attention it deserves.
Solutions
AI-Enabled Chatbot
Imagine having the knowledge of every payer guideline across all 50 states at your fingertips. Our first-of-its-kind AI-enabled chat does just that, with comprehensive insights into every pain management procedure. This tool is your go-to resource for navigating the complexities of Prior Authorizations with confidence.
EMR-Agnostic AR Tracking Tool
Our AR tracking tool is a game-changer. It consumes raw claims data from any EMR system and intelligently analyzes patterns to give us—and you—valuable insights. This technology allows us to stay ahead of potential issues and ensures that your claims are processed smoothly and efficiently.
Equipped for Success
Our team is armed with these advanced technologies, enabling us to achieve a remarkable 95% success rate in securing Prior Authorizations. But we don’t stop there.
Real-Time Transparency with “Where’s My Prior Auth?”
When your practice partners with us for Prior Authorization services, you and your patients gain access to our “Where’s My Prior Auth?” tool. At any moment, you can check the status of a prior authorization, giving you peace of mind and keeping everyone informed.
Proactive Communication
We take it a step further by proactively managing delays. If a Prior Authorization is taking longer than expected, our system automatically triggers a text message to both the patient and your staff, offering the option to reschedule the appointment at a more convenient time. It’s all about ensuring seamless care without the stress.
Our Mission
At PainmedPA, our mission is to transform Pain Management practices through expert knowledge, innovative technology, and unwavering support. We simplify the complexities of Prior Authorizations and Revenue Cycle Management, allowing our clients to focus on delivering top-notch patient care. By staying at the forefront of industry developments, we aim to be the trusted partner that fuels your practice’s success.
Our Values
Specialized Excellence
We focus exclusively on Pain Management, ensuring our services are finely tuned to your unique needs. Our deep expertise keeps us ahead of industry changes, continuously improving our offerings.
Purposeful Innovation
Our cutting-edge tools, like AI-driven chatbots and AR tracking, are designed to solve real-world challenges and deliver impactful results for your practice
Integrity and Trust
We build lasting relationships on trust and transparency. From our comprehensive services to proactive communication, we’re committed to doing what’s right, every time.
Client-Centered Success
Your success drives us. We tailor our services to help you achieve your goals, from reducing denials to optimizing revenue cycles.
Continuous Adaptation
We stay informed on the latest trends and regulations, ensuring our solutions are always up-to date and ahead of the curve.
Why PainmedPA: Your Trusted Partner in Pain Management
Expertise You Can Rely On
At PainmedPA, our exclusive focus on Pain Management isn’t just a specialty—it’s our passion.This dedication allows us to stay laser-focused on the latest industry developments, bringingyou cutting-edge solutions without you having to lift a finger. With experience across numerous practices nationwide, we have our finger on the pulse of what’s working and what isn’t. We don’t just share knowledge; we deliver tailored insights and actionable advice that drives success in your practice.
Your One-Stop Solution
Consider us your go-to partner for all things operational. Our comprehensive suite of services is designed to every aspect of your practice’s needs, creating a seamless experience with single-point accountability. Whether it’s Prior Authorizations, billing, or workflow optimization, we’re here to ensure that every part of your practice runs like a well-oiled machine, so you can focus on what matters most—your patients.
Our Leadership Team
Rajanikanth Kanyaboina
CEO AND CO-FOUNDER
Kalyan Yamijala
COO AND CO-FOUNDER
Seshu Simhadri
CTO and CO-FOUNDER