Interventional Procedure Coding
Epidural, facet, sacroiliac, trigger point, nerve block, RFA, SCS implants and trials. Precise CPT selection with correct modifiers for laterality and imaging guidance.
About Cosentus
Cosentus is a healthcare revenue cycle management company combining specialty-trained experts with AI-native technology. With 25+ years of experience, we manage the full revenue cycle for pain management practices in San Diego and across California. From coding to collections, every step is connected through Zeus AI, which runs 23 modules, and managed by people who stay in pain management.
98%
Net Collection Rate
48hrs
Charge Lag
99%
Clean Claim Rate
<15%
AR Over 90 Days
Local Expertise
San Diego’s active population and large military presence create strong demand for pain management services. Scripps Health, Sharp HealthCare, and UC San Diego Health serve a market where interventional procedures, spine care, and chronic pain treatment are in high demand. The region’s significant TRICARE volume adds complexity that pain management billing teams must handle alongside commercial, Medicare, Medi-Cal, and workers compensation claims.
Cosentus provides full-cycle pain management billing and revenue cycle management tailored to the San Diego market. Our team manages TRICARE, commercial, Medicare, Medi-Cal, and workers comp billing with procedure-specific precision. Every injection, stimulator, ablation, and nerve block is coded by specialists who understand the documentation and authorization requirements for each payer in the region.
What We Manage for Pain Management Practices in San Diego
- Pain management coding: injections, SCS, ablations, nerve blocks, medication management
- Prior authorization tracking and clearance before procedures
- Eligibility verification across commercial, Medicare, Medi-Cal, and workers comp
- Claim scrubbing and same-day submission to 1,400+ payers
- Denial management with root cause review
- Appeals with clinical evidence and payer escalation
- AR follow-up and aging management
- Live analytics by provider, procedure, payer, and denial category
Complete Pain Management Revenue Cycle
Medical Necessity & Documentation
We document what each payer requires before the claim goes out to reduce denials and defend pre-payment reviews.
Pre-Payment Review Defense
When payers trigger reviews, we prepare and defend your documentation with clinical evidence.
Prior Authorization
Authorizations tracked and cleared for injections, SCS trials, ablations, and imaging-guided procedures. Payers scrutinize pain more than most. We make sure nothing stalls.
Medication Management & Drug Screening
Proper coding for medication management visits, drug screening, and related services.
Denial Management & Appeals
Methodical appeals with clinical evidence. Every denial gets a root cause review to fix the pattern, not just the claim.
Patient Billing & Support
Cindy handles patient balances and billing questions in over 50 languages. Clear statements for every visit.
Ai AGENT: CINDYAnalytics & Visibility
Dashboards showing collections by procedure, provider, payer, and denial category. See where your revenue is going.
Why Local Knowledge Matters
We Know California Payers
San Diego pain management practices work with TRICARE, commercial carriers, Medicare, Medi-Cal, and workers compensation. Each has different prior authorization protocols and documentation standards for interventional procedures. Our team knows these requirements for every major payer in the San Diego market, including TRICARE’s specific pain management billing rules.
Dedicated to Pain Management
Every injection, implant, ablation, and nerve block is coded correctly by a team that works exclusively in pain management. Our coders understand the specific CPT codes, modifier requirements, and documentation standards that apply to interventional pain procedures, so claims reflect the full value of the work performed.
National Reach. Local Focus.
We manage pain management revenue cycles across the country, but your team knows San Diego. They understand the military healthcare network, the active-lifestyle demographics, and the payer dynamics that shape this market.
Frequently Asked Questions
Know Exactly Where Your Revenue Is Going.
Wherever your revenue cycle needs to go, we can help.
- STEP 1
Connect
Tell us about your organization, your specialty and where revenue is getting stuck.
- STEP 2
Diagnose
We run a No-Cost Financial MRI on your revenue cycle and show you exactly what it finds.
- STEP 3
Recover
Together we fix the causes, and the revenue you were missing starts arriving.