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Pain Management billing & denial recovery for Independent Practices

Independent pain management practices lose real revenue to injection and nerve-block medical-necessity denials and prior-authorization hurdles — claims that are denied, underpaid, and too often written off. Apex Flow recovers them.

The denials pain management practices see most

• Medical-necessity denials on injections, nerve blocks, and ablations (CARC 50, 167)
• Prior-authorization and precertification denials (CARC 197, 198)
• Frequency / units limits on repeat procedures (CARC 151)
• Bundling edits between imaging guidance and the procedure (CARC 97, 234)

How Apex Flow helps pain management practices

We run a free, full-population forensic audit of your denied and aging claims, tie each denial to the specific payer policy or coding edit behind it, and pursue what's recoverable on contingency — you pay only on what we collect. $0 setup, no contract to start. Most reviews sample a handful of claims; we examine your entire claim population.

Common pain management denial codes — explained

New to the codes on your ERAs? Start with our plain-English denial code library.