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Billing, Reimbursement & Payer Strategy

Category: Billing, Reimbursement & Payer Strategy

By Kalyan Yamijala, COO and Co-founder: PainMed-PAIn Billing, Reimbursement & Payer StrategyPosted January 21, 2025

Navigating Medical Necessity and Billing Challenges for Pain Management Clinics near State Lines

The healthcare landscape is constantly evolving, with insurance companies setting stringent criteria for reimbursement based on "medical necessity." This often...

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By Rajanikanth Kanyaboina, CEO and Co-founder: PainMed-PA In Billing, Reimbursement & Payer StrategyPosted September 20, 2024

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...

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By Rajanikanth Kanyaboina, CEO and Co-founder: PainMed-PA In Billing, Reimbursement & Payer Strategy, Interventional Pain Practice Management, UncategorizedPosted September 18, 2024

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...

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