Pain Medicine Prior Authorization
and RCM Solutions
Enhance your pain medicine payment lifecycle with solutions that improve patient access, medical coding, billing, and accounts receivables.
The Challenge
Pain Medicine groups understand the challenges of the payment lifecycle. Many pain procedures, modalities, and medications require prior authorization. The volume of payer provisions strains resources and directly affects patient outcomes.
According to the AMA’s recent survey, 92% of physicians say that prior authorization demands reduce patient satisfaction industry-wide. The complex third-party payer process leads to denials and lost reimbursement that inevitably affects revenue down the line.
To simplify the process, pain medicine groups require advanced automation and knowledgeable experts adept at absorbing fluctuating guidelines and quick deadlines. Pain medicine practices need a complete payment lifecycle solution that includes a robust prior authorization solution supported by certified experts who can properly code and bill the first time and manage denials promptly.
Infinx is the healthcare company that improves your revenue through the entire payment lifecycle through advanced automation and highly trained experts that are certified and scalable.
Pain Medicine Payment Lifecycle Solutions Include:
Patient Access
The healthcare payment lifecycle for pain medicine practices begins with accurate information. Groups need robust data that informs patient workflow, including insurance verification and patient payment data, as well as prior authorization status.
With an intelligent platform, driven by AI-enhanced software and certified specialists to manage exceptions, Infinx helps you automate the entire patient access workflow, including patient eligibility and verification, patient pay estimation, and prior authorization.
Coding
The second step in the pain medicine payment lifecycle is accurate coding. You excel with a team that can consistently and accurately code while staying up to date on the latest coding changes with laser focus.
Infinx offers coding services to ensure your claims are handled on time with industry-leading accuracy. Our certified and trained coders and innovative technology enable a workflow that reduces errors by 50%, accelerates the billing process, and helps you capture more revenue. Our customers consistently experience less than a 1% denial rate.
Billing
The third step in the pain medicine payment lifecycle is accurate and timely billing. Your billing needs to be precise and error-free to meet payer expectations.
Infinx offers services for charge entry, payment posting, credit balance resolution, and contract management. Overall, Infinx provides a complete solution that exceeds your expectations. We understand the billing nuances between medical specialties and can bring an exceptional experience to your bottom line.
Accounts Receivables
The final step in the pain medicine payment lifecycle is capturing all available reimbursement. With over 65% of denials left unresolved industry-wide, significant revenue is being left on the table because of overburdened administrative resources.
Infinx brings intelligent automation to the accounts receivables and denials management process. We use machine learning to analyze your existing accounts and forecast how much you can actually capture, what should be captured, and what should be written off. Then we put human intelligence to work to follow up and secure your revenue.
1
Intelligent Automation
With a seamless and scalable platform, Infinx can intelligently automate many of your patient access and RCM processes.
2
A Complete Solution
We deliver a complete solution that includes both artificial intelligence and certified specialists across the payment lifecycle.
3
Certified and Trained
Our certified and trained coders and billers know how to deliver positive outcomes, allowing you to focus on what matters most: patient care.
4
Guaranteed
We stand by our work. We believe customer satisfaction is paramount to delivering business success.
Our Results
Processed Yearly
Customers:
Denials by:
Rate:
*during quality checks
