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Why do pain management claims get more scrutiny than most other specialties? In part, this is because treatment frequently involves controlled substances and regular treatments such as injections or nerve blocks, and payers monitor the frequency carefully to prevent overutilization. Claims that do not include an updated treatment plan are quickly flagged. Pain management billing services must do more than just list the treatment plan, documenting it visit after visit; they must create that justification into every claim. The continuous story is what helps to maintain the consistency of reimbursement without a need for repeated payer reviews.

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