Pain management practices encounter distinct billing challenges due to the high frequency of procedures, especially injections and implantable devices, requiring prior authorization. A survey by the American Medical Association (AMA) revealed that 94% of physicians reported care delays associated with prior authorization requirements.
To reduce the risk of delayed treatments, specialized pain management billing companies handle such prior auths effectively. Apart from that, these speciality-specific billers do their maximum to deliver precise CPT and ICD-10 coding.
However, with everyone claiming to be the best in the business, practitioners may face difficulty in picking the right fit for their clinic. That’s why we’ve compiled a list of the top 12 pain management coding and billing providers. After reading this article till the end, pain specialists can acquire proven expertise fit for their practices.
12 Best Pain Management Billing Companies
Pick any one of the following pain management billing services providers to let them handle the complexities of this specialty.
| # | Company | Details |
|---|---|---|
| 1 | PAR Management | Experts in pain management and anesthesia billing |
| 2 | ADS RCM | Delivers 99% clean claims with AI-driven billing |
| 3 | Transcure | Editor’s choice due to its end-to-end RCM with pre-auth support |
| 4 | Physicians Revenue Group | Experience in denial prevention and A/R recovery |
| 5 | Physicians Group Management | Custom RCM with 8% average boost |
| 6 | Integrity Practice Solutions | Hybrid billing models and claim handling |
| 7 | Invensis | Delivers full-scale RCM for high-volume pain practices |
| 8 | AltuMED | Provides AI claim scrubbing with real-time billing insights |
| 9 | iRCM Inc | Affordable billing at 2.9% with certified coders |
| 10 | Larsen Billing | Over 20 years in CPT coding and A/R cleanup |
| 11 | CureMD | AI-enabled billing with SOAP note automation |
| 12 | SybridMD | Gives free 30-day trial with accurate pain management coding |
1. PAR Management
With over 40 years of combined experience in pain management practice and A/R handling, this company takes pride in a proven track record in maximizing revenue. Since it was founded, PAR Management has delivered efficient claims processing and accurate payments for anesthesia and pain management practices.
Their HIPAA-compliant interfaces enable direct electronic claim submission with major payers. Through this service, they ensure practitioners face fewer delays or rejections. On top of that, each client is assigned a dedicated PAR team leader and management staff to meet specific practice needs.
| Founded In | 1998 |
| Specialty Focus | Pain Management and Anesthesia |
| Best Services |
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| Location | Newton, Massachusetts |
| Final Verdict | Clinics specializing in handling anesthesia and pain management patients should pick this billing company. |
2. Advanced Data Systems RCM
Promising around a 99% clean claims rate on first submission, this pain management billing services provider supports practices through an expert workforce. With their integrated denial prevention and recording alerts, pain management clinics can improve revenue capture and minimize claim rejections.
Along with traditional billing and coding services, this company provides flexible EHR options, including MedicsCloud EHR with voice-to-data charting. Focusing on technology, they have also integrated an AI Rules Engine to minimize manual work and prevent costly billing mistakes.
| Founded In | 1977 |
| Specialty Focus | Behavioral Health, Cardiology, Pediatrics, Pain Management |
| Best Services |
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| Location | Paramus, New Jersey |
| Final Verdict | Fulfilling the needs of this technological era, ADSRCM can be your top pick for medical billing services. |
3. Transcure (Free Consultation Available)
As the best pain management medical billing company, Transcure simplifies the RCM process with specialized services. Through our pain management credentialing services, providers are properly enrolled and approved with payers. Apart from that, we keep your operations smooth with advanced appointment scheduling services.
Before treatments begin, our experts also streamline pre-authorization processes to avoid the usual delays occurring during the pain management care. Moreover, we even perform real-time patient eligibility verification to eliminate eligibility-related rejections.
Benefiting from our certified experts handling medical coding with the latest CPT, ICD-10, and HCPCS standards, practices can avoid costly errors. These experts know the precise use of complex medical billing modifiers such as 25, 24, 76, TC, 73, and 74 to prevent claim denials.
Most importantly, our EHR Integration services ensure seamless data flow between your clinical and billing operations for optimized performance. All of these pain management billing services will bring over a 10% increase in revenue collection for your clinic.
| Founded In | 2002 |
| Specialty Focus | Nephrology, Pain Management, Orthopedics, Dentistry, Psychiatry, Surgery, Endocrinology, and many more |
| Best Services |
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| Location | Woodbridge, New Jersey |
| Final Verdict | Transcure is the best medical billing company for clinics handling every type of patients, from pain management to surgery. With experts for each kind of speciality, our team will improve your revenue exponentially. |
4. Physicians Revenue Group
While looking for the best pain management billing companies, consider PRG, as it is designed to support the financial growth of healthcare practices. Their experts verify patient insurance information to prevent claim denials due to eligibility issues. Plus, they manage precise entry of charges and deductibles based on patient treatments for error-free claim processing.
After submitting claims, their team conducts consistent follow-ups to reduce aging receivables and recover outstanding revenue. Moreover, experts at PRG do their best to identify and correct the root causes of claim denials for faster reimbursement.
| Founded In | 1997 |
| Specialty Focus | Neurology, Oncology, Podiatry, Pain Management |
| Best Services |
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| Location | Downers Grove, Illinois |
| Final Verdict | As one of the pioneers of this industry, PRG proves to be an ideal choice for pain management specialists. |
5. Physicians Group Management (PGM)
PGM proves to be a trusted provider of customized RCM healthcare services for pain management specialists for years. With deep expertise in the unique billing complexities of anesthesia, such as time unit calculations and concurrency rules, this pain management billing company helps practices overcome documentation shortfalls.
Supporting over 30 other specialties, their team promises to deliver an 8% average increase in collections. Surprisingly, they even offer cloud-based RCM and EMR tools with full third-party integration for improved practice operations.
| Founded In | 1981 |
| Specialty Focus | Emergency Medicine, Pain Management, Mental Health, Urology |
| Best Services |
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| Location | Lyndhurst, New Jersey |
| Final Verdict | With their focus on technology along with billing services, PGM stands out as one of the top pain management billing companies. |
6. Integrity Practice Solutions
Being a leading provider, IPS supports all facets of pain management medical billing, including chiropractic, orthopedic, and physical therapy. Having the chance to oversee the finances of companies from multiple states, they have the necessary knowledge to tackle every pain management billing problem.
Moreover, their team has experience in handling complex cases like ASC billing and auto injury claims. To match the needs of pain management patients and providers, they even manage hybrid billing models with both in-network and out-of-network insurance plans.
| Founded In | 2011 |
| Specialty Focus | Internal Medicine, Chiropractic, Cardiology, Pain Management |
| Best Services |
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| Location | Franklin, New Jersey |
| Final Verdict | Experienced in handling multiple specialities, experts at IPS have the talent to optimize your pain management RCM. |
7. Invensis
Through the end-to-end pain management billing services, Invensis takes care of each step of the RCM process to bring maximum profits. With deep expertise in handling multiple procedures, such as nerve blocks and infusion therapies, their team ends up bringing a better reimbursement amount.
To avoid denials, their expert coders assign precise ICD-10, CPT, and HCPCS codes backed by complete documentation. Most importantly, these professionals conduct regular audits for HIPAA and NCCI compliance to stay updated on payer rules and billing regulations.
| Founded In | 2000 |
| Specialty Focus | Pain Management, Anesthesia, Gastroenterology, Radiology |
| Best Services |
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| Location | Lewisville, Texas |
| Final Verdict | Invensis is a perfect pain management billing company for large healthcare enterprises with an enormous team of 5000 experts. |
8. AltuMED
AltuMED delivers efficient solutions for pain management medical billing, including complex coding and payer requirements that often burden this practice. With its AI-powered claim scrubbing, their experts detect and correct errors before submission, earning up to a 97% clean claim rate.
Moreover, pain specialists can monitor billing performance and revenue trends from multiple insightful angles using AltuMED’s KPI dashboards. Plus, a dedicated team handles medical LCD validation and payer pre-auth requirements for procedures like injections and stimulators.
| Founded In | Billing Department Established in 2008 |
| Specialty Focus | Physical Therapy, Cardiology, Pain Management, Oncology |
| Best Services |
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| Location | Bingham Farms, Michigan |
| Final Verdict | Small pain management practices can benefit from this affordable medical billing company. |
9. iRCM Inc
Backed by HIPAA compliance, iRCM helps pain management specialists streamline their revenue cycle while keeping operational costs low. With pricing as low as 2.9% of monthly collections, this pain management billing company provides one of the most affordable RCM solutions out there.
Moreover, they have AAPC-certified coders who perform precise coding for time-based visits and procedures. Plus, iRCM provides billing solutions for all pain subspecialties, including orthopedic and psychological pain management treatments.
| Founded In | 2013 |
| Specialty Focus | Urology, Neurology, Pain Management, Geriatrics |
| Best Services |
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| Location | Brooklyn, New York |
| Final Verdict | With expertise in all the subspecialities of pain management, this billing company can be an excellent option for practices. |
10. Larsen Billing
Specializing in delivering medical billing services for pain management practices, Larsen Billing reduces the administrative burden of claims. Their experts have experience of over 20 years in handling complex pain management-related CPT codes to minimize claim denials.
Compared to basic medical billers, they carry out aggressive claim follow-up and A/R cleanup strategies for maximum reimbursements. Furthermore, this pain management medical billing company provides credentialing support to keep providers in-network and avoid costly delays during the lengthy payer enrollment process.
| Founded In | 2001 |
| Specialty Focus | Mental Health, Primary Care, OBGYN, Pain Management |
| Best Services |
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| Location | Salt Lake City, Utah |
| Final Verdict | Larsen emerges as an ideal pain management billing company for practices seeking fewer administrative headaches. |
11. CureMD
Considering all the complexities of pain management billing services, practitioners should choose experienced billers at CureMD to handle their finances. Their team is fully able to deal with every unique challenge of this specialty, including handling the coding for procedures like nerve blocks and complicated pain therapies.
To make things easier for their team, this company has integrated an AI medical scribe for automatic SOAP note generation. Moreover, clinics with pending claims can benefit from their advanced tracking and follow-up system for better cash flow.
| Founded In | 1997 |
| Specialty Focus | Pain Management, Nephrology, Endocrinology, Urology |
| Best Services |
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| Location | New York, NY |
| Final Verdict | Having a great focus on AI technology, this pain management billing services provider can help advanced healthcare clinics. |
12. SybridMD
SybridMD emerges as one of the best pain management billing companies, known for its accuracy and commitment to maximizing revenue. Moreover, their team expertly handles the complexities of pain management coding, such as nerve blocks and chronic therapies.
For utmost accuracy, every code is reviewed thoroughly by its coder to maximize claim approval rates for pain management practices. Along with their competitive pricing and customizable plans, SybridMD offers a 30-day free trial to help you experience full-service billing without paying anything.
| Founded In | 2009 |
| Specialty Focus | Dermatology, Pain Management, Chiropractic, Surgery Center |
| Best Services |
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| Location | New York, NY |
| Final Verdict | Benefiting from a free trial, pain management specialists can streamline their operations with this low-risk solution. |
Final Thoughts
As mentioned throughout this article, pain management clinics face a unique set of billing challenges, including securing prior authorizations. All of such hurdles can quickly lead to claim denials and revenue loss if not handled properly.
That’s why partnering with specialized pain management billing companies becomes a necessary move. Each of the 12 best pain management billing services providers mentioned here understand the nuances of this specialty inside and out.
Among these billing companies, Transcure clearly stands out with its specialty-focused services and certified coders. So, if you’re ready to eliminate billing headaches and boost revenue, acquiring the services of Transcure is the way to go.
