Pain Management Billing Services in California For Pain Care Facilities
Our pain management billing company in California helps your practice:
- Complete Pain Management RCM from Scheduling to AR Follow-Up
- Quick Prior Authorizations for Injections, RFA, SCS, and Imaging Procedures
- 99.99% Clean Claim Rate powered by AI-driven RCM automation
- 100% Compliance with Medicare guidelines, DMHC, and Medi-Cal policies
- Complimentary Credentialing and Payer Enrollment for CA Pain Specialists
What Pain Management Billing Challenges Do California Practices Commonly Face?
Pain management practices in California commonly face billing challenges, including:
- Frequent Medi-Cal & Private Insurance Updates: Pain procedures like RFA, SCS trials, and sympathetic nerve blocks require updated coverage and documentation under Medi-Cal and California commercial plans.
- Complex Coding for Injections & Interventional Procedures: Codes like 64479, 20552, 64510, 63685 require accurate modifiers and imaging documentation to avoid underpayments.
- Surprise Billing Law Compliance: Practices face major compliance challenges with the No-Surprises Act and California AB72, especially when billing out-of-network anesthesia and facility services.
- Strict Prior Authorization Rules: California providers struggle with strict prior authorization rules for high-cost procedures such as epidural steroid injections, spinal cord stimulators, and kyphoplasty.
How Transcure Simplifies RCM with Their Pain Management Billing Services in California?
Transcure makes revenue cycle management easier for pain management centers in California using AI-powered solutions. Our simplified billing solutions include:
Real-Time Eligibility Checks
We have integrated the ELIXA AI agent into our pain management billing services to instantly confirm insurance coverage, including epidural steroid injections and spinal cord stimulation.
Efficient Prior Authorization Handling
Our PRIA AI agent accelerates approvals for complex pain management treatments (epidural injections, spinal cord stimulators, and radiofrequency ablations).
California Regulatory Compliance
Our billing workflows adhere to the No Surprises Act, NCCI Edits, Cal. Code Regs. Tit. 8 § 9792.5.2, Tit. 22 § 51502, and HIPAA standards.
Accurate Pain Management Coding
Our CODIN AI and AAPC-certified coders apply precise CPT, ICD-10, and HCPCS coding with correct modifiers like 25, 59, 76, and 77.
Automated Claim Processing
Transcure even integrated the CLAIR AI agent into their workflow to automate pain management claim creation, error checking, and submission for faster reimbursements.
Denial Prevention and Management
We also use our AI agent DEXA to monitor recurring denial patterns and automatically generate appeals to help prevent repeated pain management claim losses.
Our Success in Numbers
Which Cities in California Are Covered by Transcure’s Pain Management Billing Services?
Los Angeles, California
San Diego, California
San Jose, California
View All Cities
San Fransisco, California
Fresno, California
Sacramento, California
Long Beach, California
Bakersfield, California
Oakland, California
How Much Can CA Pain Management Practices Save by Outsourcing Billing to Transcure?
According to ZipRecruiter, the average medical billing specialist in California earns around $42,114 per year. By outsourcing CA pain management billing services to Transcure, your practice pays just 5% of the revenue collected. In this way, you get to avoid fixed salaries, recruitment costs, and administrative overhead.
For a pain management practice generating $100,000 annually, partnering with Transcure would cost $5,000. This amount is significantly lower than $42,114 for an in-house billing staff, resulting in potential savings of approximately $37,114 per year.
In Which California Counties Does Transcure Provide Pain Management Billing Support?
Los Angeles County
San Diego County
Orange County
Riverside County
San Bernardino County
Santa Clara County
Which Pain Management Procedures Are Covered by Transcure’s California Billing Services?
Transcure offers pain management billing support tailored to the rules of California payers. Our team guarantees that pain management practices receive accurate and timely payments by managing the following procedures:
Epidural and Joint Injection Billing
Our California pain management billing experts code single and multiple epidural, facet, and joint injections with correct CPT, ICD-10, and modifier usage to prevent revenue loss.
Radio frequency Ablation (RFA) Billing
Transcure’s pain management billing team handles RFA procedures, including thermal, pulsed, and cooled ablations. Our coders use precise CPT, ICD-10, and HCPCS coding for maximum reimbursement.
Spinal Cord Stimulator (SCS) Billing
We manage billing for SCS trials, implants, and pulse generator procedures. Proper modifier application and global period tracking help pain management practices optimize collections.
Trigger Point Injection Billing
Our billing services cover single and multiple trigger point injections with ultrasound guidance when needed. We ensure accurate documentation and compliance with California payer rules.
Infusion Therapy Billing
Transcure supports billing for intravenous pain medications and infusions, including nerve blocks and adjunct therapies. We document dosage, timing, and medical necessity for complete reimbursement.
Kyphoplasty/Vertebroplasty Billing
We handle coding and billing for kyphoplasty and vertebroplasty procedures, including anesthesia and imaging components, while adhering to California payer guidelines.
Why Practices Should Outsource California Pain Management Billing Services to Transcure?
With numerous billing partners available, Transcure offers pain management-focused expertise that your pain care center can trust and depend on:
Supports Major Pain Management EHR Systems
Transcure works with 40+ California pain management EHRs, including Athenahealth, EPIC, and AdvancedMD.
AI-Powered Pain Management Billing Services
We use advanced AI agents to automate billing processes, resulting in a 30% reduction in AR and 99.99% clean claim accuracy.
Implant-Heavy Billing Experience
Transcure accurately bills plates, screws, biologics, and joint prosthetics by payer guidelines. This prevents underbilling and captures full reimbursement for hardware-intensive surgeries.
Transparent Pricing Structure
Transcure offers a percentage-based billing model with no hidden fees, ensuring stable financial outcomes for pain care centers.
Case Study Highlight: Pain Management Practice Success Story
Dr. Daniel Burkhead, CEO of Innovative Pain Care Center (IPCC), faced a financial crisis when accounts receivable surged to over $23 million due to billing inefficiencies. The in-house billing team struggled to keep up, which resulted in significant revenue losses. Therefore, Dr. Daniel decided to partner with Transcure for comprehensive revenue cycle management services.
Within just two months, IPCC recovered over $3 million in aged receivables, increased monthly revenue from $500,000 to $600,000, and reduced days in AR from 95 to under 35. By providing customized reporting, advanced billing technology, and dedicated specialists, Transcure restored cash flow stability and enabled IPCC to fully focus on patient care.
Which Pain Management EHR Platforms Does Transcure Work With?
Our team is trained in all major pain management platforms, so you never have to switch systems or disrupt your workflow. Here are the pain management EHR systems we support:
How Transucre Supports California Pain Management Practices With Medical Billing Services?
Read our partners’ success stories to see how Transcure’s pain management medical billing services drive financial growth and efficiency.
Jackie Judd
Practice Manager
Wilson Creek Internal Medicine
As a practice manager, I was looking to streamline the medical billing process. I tried other companies, but they were all complicated and took too much of my time. Fortunately, I found Transcure. They excel in tailoring solutions to fit my requirements.
Amber Vaughan
Office Manager
Idaho Kidney & Hypertension Institute
We are a large practice with 15 providers. Transcure has been working with us for the last 5 years. This billing company has been a great asset to us. I work with Transcure and they provide everything I ask for. The team is friendly and very pleasant to work with.
Ashlee Rose
Practice Manager
Harding Memorial Healthcare
We’ve been working with Transcure for 8 years now and I just wanted to say how happy we are with their services. They always get back to us quickly and are very easy to work with. They get my bills paid in record time and help us to generate millions in revenue.
Frequently Asked Questions (FAQs)
How does the Pain Patient’s Bill of Rights affect billing for opiate prescriptions in California?
The Pain Patient’s Bill of Rights allows patients to request opiates without invasive procedures. Billing must document medical necessity, comply with Section 2241.5, and use correct CPT/ICD-10 codes.
What kinds of insurance do you deal with?
We handle billing for all major California insurers, including Anthem Blue Cross California, Medi-Cal, Health Net, and Sutter Health.
What is the typical cost of pain management billing services in California?
Pain management billing services generally charge between 6% and 10% of monthly collections. However, Transcure provides pain management billing in California at a competitive 5%, giving practices an affordable option without sacrificing accuracy.
Can you handle complex procedures?
Yes, we support billing for injections, nerve blocks, radiofrequency ablation, spinal cord stimulation, kyphoplasty, and other pain management procedures.