Pain management is the practice of medicine that treats all types of pain. This can include musculoskeletal, spinal, and neuropathic pain. Pain management is a rapidly growing field in the healthcare industry and can include a variety of pain specialists. Therefore, whatever type of pain management specialist you are, whether you’re a pain physician or in the physiatry arena, medical pain management billing is a necessary but possibly overwhelming task. Even though managing your practice’s billing can be difficult, cash flow is what enables a business to stay open.

Billing can make a huge impact on your financials. Let PreMD help you generate cash flow! The revenue cycle is important for the continued operations of your business. You’re the expert in diagnosing and treating the cause of pain, and we’re the experts at medical billing practice management. One of our provider specialties is pain management billing. Allow PreMD to implement a medical collections revenue cycle for you.

Optometry billing cycle management too has become an intense exercise. Practitioners, who earlier could easily have managed medical billing in-house, now find it prudent to get it done by an expert outside agency that, apart from ensuring cost minimization and revenue optimization, would enable them to be focused on their core concern: quality medical care. Our Optometry medical billing services, supervised by top-notch pre-qualified billing specialists, can easily be structured and delivered to match unique requirements. As a result, majority of practitioners across the U.S. have benefited from our comprehensive medical billing services.

Our medical billing management cycle with accurate charge-capture, complex procedure coding, electronic filing of claims, patient billing, multi-tiered appeal process, denial elimination initiatives, and compliance standards is the prescription for simplification of your revenue cycle, appreciable increase in collection rates, more patient inflow and referrals, and increased avenue for medical research and development.

Any variations to the pathology service should ultimately take into consideration the requirements of the service users. It is appropriate, therefore, to highlight first who are the main users of pathology services and how they contribute to the changing trends and the challenges that face the specialty. The main users of the pathology service include surgeons, oncologists, gynecologists, hospital physicians, radiologists, general practitioners, students and various research groups.

Surgical specialties, including gynecology, continue to be the major service users of the histopathology service and therefore remain the main drivers of the changes to service delivery and establishment. It was the move of general surgery into numerous surgical sub specialties that originally drove the histopathology service to follow suit. As surgical techniques and approaches develop and progress, the histopathology service should be able to adapt and respond to rising needs and demands. This requires close interaction and better sustained communications between the pathologists and their various surgical colleagues. Equally, newly developed techniques and new knowledge within the various sub specialties of pathology need to be communicated to our surgical colleagues to explain how these new developments can contribute to the management and care of patients.

The PreMD bring over 15 years of radiology billing experience. We guarantee to get your medical claims paid quickly and have a proven track record of success in all forms of radiology, including general radiology, MRI, CT, and all other modalities.  The PreMD can also provide analysis of modality trends, revenue centers, and locations as per request.

Radiology Documentation Guidelines for Optimized Coding and Reimbursement
In radiology, proper documentation is critical to achieve appropriate reimbursement. If the proper terminology is no used or important descriptors are omitted from the radiology report, the physician may not get paid for the services he or she performed.

• Complete Ultrasound of the Abdomen
  The report must include the areas listed below.  Documenting non-visualization of an organ or vessel is acceptable (e.g. surgically absent gallbladder).
• Liver, gall bladder and common bile duct
• Pancreas
• Spleen
• Kidneys
• Upper abdominal aorta and inferior vena cavaComplete Ultrasound of the Retro peritoneum
  The report must mention:
• Kidneys
• Abdominal aorta and common iliac artery origins
• Inferior vena cava
• Kidneys, ureters and bladder if performed for urinary indications
• Documenting Fluoroscopic Guidance
• For fluoroscopic guidance mention the Fluoroscopy time and number of spot films which were taken and read.
• Ultrasound Guidance for PICC
• The report must state that “permanent images were recorded.”

X-Ray Documentation

• The number of views should always be documented in the report.
• Types of views can affect procedure code selection, especially for chest, abdomen, knee and spine x-rays.
• For spine x-rays, be sure to mention flexion, extension, bending or oblique views when performed.

CT Angiography and 3D

When dictating a CTA report, documentation of 3D reconstructions must be included.  The reconstruction does not have to be done on a separate workstation.

Venous Duplex/Doppler

• Be sure to specifically mention all major veins that were imaged.
• Three elements must be documented in each study: imaging, spectral analysis and color flow\

Breast Ultrasound

• Ultrasounds are split into “limited” and “complete.”
• “Complete” requires documentation of all four quadrants and retroareolar area.
• Any report that doesn’t mention all five areas is classified as “limited” and reimbursed at a lower rate.

Breast Tomosynthesis
Must use the word “tomosynthesis” in the dictation; 3D is not acceptable (e.g. “tomosynthesis was performed”).

Conscious Sedation
Must mention the sedation time and indicate that the physician directly supervised the administration of the sedative (e.g. “Under my direct supervision…”).

Diagnostic Guidelines 
Conditions cannot be coded unless they are proven to exist.

Information on a potential condition (e.g. fracture, DVT) that a study is looking for is not helpful from a billing perspective.  We cannot code conditions listed as:

• “Rule out”
• “Possible”
• “Possible”
• “Possible”

PreMD is a leading provider of chiropractic billing services in the USA. We specialize in comprehensive revenue cycle management which includes chiropractic coding and Denial Management for Medicare as well as other commercial and personal injury insurance plans such as no fault and workers’ compensation.

Our team is skilled in the use of the latest technologies and software such as Medisoft, Practice Admin, Eclipse, Chirotouch, ChiroFusion, AdvantX, eClinicalWorks, IDX, Lytec, Isalus and ACOM, among many others.

What We Do

• Work as an extension to your business
• Take care of all advance Insurance verifications and authorization needs
• Improve your Billing workflow and reduce your AR
• Provide accurate management of missing patient information
• Let us manage your chiropractic insurance billing and help rimprove your revenue!

“Save 30 to 40% of your total operating costs”

Ear, Nose & Throat Billing Professionals.

We want our ENT clients focus on their work while our experts focus on the revenue cycle management.  The medical billing professionals at PreMD will do everything possible to get you your hard earned dollars from claims filing, patient billing, and accounts receivable, denial management. Add the most personal attention available in the industry, and you can see why so many healthcare providers trust us.

At PreMD, our job is to help you grow revenue, make comprehensive business decisions, and navigate the challenges of the changing healthcare environment to remain financially strong.  We’re the experts in ENT billing.  Providing audiology, allergy, or even sleep medicine DME?

We’ve got you covered.