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Multi-Location Pain Management Clinic

26% Increase in overall revenue

Situation

  • A multi-modality clinic with over a dozen clinicians faced ongoing revenue concerns.
  • E&M and extended-time visits were reimbursed below appropriate rates.
  • Major joint injections, ultrasound exams and neurological procedures were denied in bulk.
  • Key components were missed when billing Workers' Comp.

Solution

  • Documentation education: guidance on each E&M level and extended-time visits.
  • Ultrasound coding: correct use of 20610 and 20611 for major joint injections.
  • Injection capture: high-value injections coded per payer fee schedules.
  • Functional restoration program: built from the ground up, from authorizations to charges.
  • Electronic Workers' Comp: claims moved to electronic submission.
  • Custom reporting: monthly new patient reports and dashboards by modality.

Results

  • Overall revenue increased 26%.
  • High success rate on Level IV E&M reimbursement for returning patients.
  • Revenue loss on high-cost injections halted.
  • Ultrasound guidance reimbursement became consistent.
  • Electronic Workers' Comp submission significantly shortened reimbursement time.

Key Takeaway:

In a multi-modality practice, precise documentation and coding on every service line is where lost revenue is recovered.

Let's find the revenue you're missing.

Wherever your revenue cycle needs to go, we can help.

  1. STEP 1

    Connect

    Tell us about your organization, your specialty and where revenue is getting stuck.

  2. STEP 2

    Diagnose

    We run a No-Cost Financial MRI on your revenue cycle and show you exactly what it finds.

  3. STEP 3

    Recover

    Together we fix the causes, and the revenue you were missing starts arriving.

Get Your No-Cost Financial MRI

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