Specialty RCM

Pain Management

Procedure authorization, laterality/modifier hygiene and coverage policy research before the scheduled intervention.

Pain programs are denied when frequency, laterality or site-of-service rules are missed in the administrative packet. ROOT scopes the checklist and the follow-up owner. We do not publish utilization targets or imply clinical appropriateness. Code-level detail is reviewed with your billing lead.

  • Payer policy before the calendar

  • Modifier and laterality checks

  • Named denial follow-up

Code-level guidance is reviewed with your billing lead during onboarding, because code sets change every year.