In independent pain practices, write-offs rarely result from a single large mistake. They accumulate quietly, one denied claim at a time, often...
What is Kyphoplasty (CPT® 22514) and why is documentation critical?
Kyphoplasty is among the most heavily audited procedures in interventional pain and spine practices. Across multiple payers, practices are experiencing...
Top Denial Trends in Interventional Pain Management (2025) and How Practices Can Get Ahead of Them
Denials are rising across healthcare, but pain management practices are feeling this pressure more than most. High-dollar procedures, complex payer...
Benchmarking Your Pain Management Practice: How to Uncover Hidden Revenue, Fix Billing Gaps, and Raise Collections
Two months into our review of an independent pain management practice, the lead practitioner admitted, “We bill for every procedure...
What Should Independent Practitioners Know About Medicare’s Prior Authorization Pilot Beginning in January 2026?
Earlier this year, one of our long-standing clients, a solo pain management practitioner in Texas, asked us a question many...
How Should Providers Document to Demonstrate Medical Necessity?
During insurance audits, providers sometimes write a letter detailing why they believe a service is medically necessary. However, payers often...
The Role of Medical Necessity Reviews
When a practice undergoes an audit, payers often request medical records for a small segment of patients to assess provider...
Crafting Comprehensive Records: The Essence of Medical Necessity Documentation
In the realm of pain management, ensuring documentation aligns with the criteria for medical necessity is paramount not only for...
Mastering Conservative Care Documentation in Interventional Pain Management
Firstly, when compiling a medical record, are all the relevant documents included? Think about it: perhaps you've received Physical Therapy...
Mastering the Art of Pain Management Documentation
Renowned physician and Chairman of the Board and CEO of ASIPP, Laxmaiah Manchikanti, MD aptly stated,” Documentation assists health care professionals...
The Critical Role of Conservative Therapy in Pain Management Practices
Across payers, the core objective of conservative therapy guidelines remains steadfast: to enhance patient outcomes while mitigating the need for...