> Anesthesiology and Pain Management Revenue Cycle Solutions

Anesthesiology and Pain Management Revenue Cycle Solutions

Specialized billing, coding, documentation improvement and denial resolution for anesthesiology groups and pain clinics. We help ensure accurate procedure capture, compliant documentation, and optimal reimbursement.
Anesthesia & Pain Billing

Accurate coding and clean claims for anesthesiology and pain management

We manage perioperative and procedural coding, time-based anesthesia units, regional block documentation, pain procedure capture, modifier application and payer rule alignment to protect revenue and reduce denials.

Core services for anesthesiology and pain practices

Our services address the clinical and administrative nuances of anesthesia and interventional pain, so billing is accurate, documentation is defensible, and revenue is maximized.

Anesthesia Time & Units

Precise capture of anesthesia start/stop times, base and time units, qualifying circumstances, and parallel anesthesia rules.

Procedure & Block Coding

Accurate CPT and HCPCS coding for nerve blocks, regional anesthesia, injections, and interventional pain procedures.

Modifier Management

Correct use of modifiers for multiple procedures, distinct procedural services, and payment edits to avoid denials.

Medical Necessity & Documentation Review

Chart audits to ensure medical necessity, pre-procedure assessments, consent, and monitoring documentation meet payer requirements.

Claims Submission & Follow-up

Claim preparation, EDI submission, claim tracking, ERA reconciliation, and payer follow-up until payment resolution.

Denial Management & Appeals

Targeted denial analysis, corrective action, documentation supplementation, and appeals to recover denied claims.

Let's Start Today.

Our Workflow

How our workflow protects your revenue

We combine clinical review, certified coders, and payer-specific rules to create a defensible billing process, reduce rework, and accelerate payment.

Intake

Capture case details, operative notes, anesthesia record, and pre-op evaluation.

Valdiation

Verify patient eligibility, benefits, authorizations, and medical necessity.

Coding

Assign CPT, HCPCS, ICD-10 and anesthesia units with correct modifiers.

Q&A

Secondary review by certified coder and clinical auditor for compliance.

Submission

File claims, monitor EOB/ERA, and reconcile payments.

Appeal

Drive appeals for denials with supporting clinical evidence and documentation.

Contact Us

Speak With an Expert

Improve Your Operational Outcomes.  Connect with us today for a no-charge in-depth Consultation before we begin optimizing your operations.

Schedule a Free Consultation

By submitting this form you agree to our Privacy Policy. Optimum may contact you via email or phone for scheduling or marketing purposes.