Pain Management Billing & Collection Services
Pain management billing is highly scrutinized and documentation-heavy. QMB helps
interventional pain clinics, anesthesiology pain groups, and spine practices capture full
reimbursement for injections, nerve blocks, RF ablations, stimulators, and more—without
getting buried in denials.
Key Challenges We Solve
- Complex CPT & ICD-10 coding for interventional procedures.
- High denial rates tied to medical necessity and documentation gaps.
- Time-consuming prior authorizations and eligibility checks.
- Frequent payer policy changes and audit risk.
How QMB Supports Pain Management
- Precise coding with correct modifiers and compliant documentation.
- End-to-end claim submission, tracking, and denial management.
- Prior authorization and insurance verification for all procedures.
- A/R cleanup and revenue recovery for underpaid or aged claims.
Orthopedic Billing & Collection Services
Orthopedic billing demands precision across fracture care, arthroscopy, joint replacement,
sports medicine, imaging, and more. QMB ensures every encounter is coded correctly,
authorized properly, and reimbursed on time—so your surgeons can stay focused on patients.
Key Challenges We Solve
- Complex CPT coding and modifier usage (RT/LT, 59, XS, XU, 25).
- Prior authorizations for imaging, injections, and surgical procedures.
- Bundling issues, underpayments, and high denial rates.
- Multi-location groups needing unified reporting and workflows.
How QMB Supports Orthopedics
- Specialized orthopedic coders reviewing op notes and imaging reports.
- Eligibility checks and pre-auth management before surgery scheduling.
- Proactive denial analysis, appeals, and A/R follow-up.
- Detailed monthly reports on collections, denials, and payer performance.
Anesthesia Billing & Collection Services
Anesthesia billing is time-based, modifier-heavy, and tied to complex surgical workflows.
QMB manages anesthesia claims with precise coding, compliant time documentation, and tight
follow-up so your group is paid accurately for every minute of care.
Key Challenges We Solve
- Time-unit calculations and anesthesia modifier rules.
- Incomplete documentation from OR schedules and anesthesia records.
- Pre-authorization requirements for high-risk or long procedures.
- Subspecialty complexity (pediatric, cardiac, obstetric, ICU).
How QMB Supports Anesthesia Groups
- ICD-10, CPT, HCPCS, and modifier accuracy for all case types.
- Integration with practice management / EHR systems where possible.
- Daily claim submission with strict denial prevention checks.
- Credentialing, CAQH management, and payer enrollment support.
General Surgery Billing & Collection Services
General surgery billing covers high-value claims with zero room for error. QMB manages
everything from pre-authorization to A/R cleanup, ensuring your surgical practice is
reimbursed fully and quickly for every procedure performed.
Key Challenges We Solve
- Detailed coding for complex and multi-step surgeries.
- Payer scrutiny of high-cost inpatient and outpatient claims.
- Credentialing and enrollment delays slowing cash flow.
- Large volumes of aging A/R from older or denied claims.
How QMB Supports Surgeons
- Certified coders focused on surgical CPT & ICD-10 accuracy.
- Daily submission, tracking, and follow-up on all claims.
- Full denial management and targeted appeals for underpayments.
- Provider enrollment with Medicare, Medicaid, and commercial plans.
Ophthalmology Billing & Collection Services
Ophthalmology billing spans cataract surgery, LASIK, retina, glaucoma, pediatrics, and
oculoplastics—each with unique coding rules. QMB helps eye-care practices capture full
reimbursement while staying compliant with payer and regulatory standards.
Key Challenges We Solve
- Rapidly changing CPT & ICD-10 codes for eye procedures.
- Bundling rules across diagnostics, surgery, and follow-ups.
- Coverage limitations on advanced or elective services.
- Administrative overload for growing ophthalmology centers.
How QMB Supports Ophthalmology
- Subspecialty-aware coding for cataract, retina, glaucoma, and pediatrics.
- Insurance verification and pre-authorizations for surgeries and injections.
- Continuous denial monitoring, appeals, and payer feedback loops.
- Transparent reporting on reimbursements, adjustments, and A/R.
Dermatology Billing & Collection Services
Dermatology billing must balance medical, surgical, and cosmetic services—each with
different coverage and coding rules. QMB keeps your claims accurate and compliant so your
practice can grow without revenue leakage.
Key Challenges We Solve
- Diverse procedures—from biopsies to Mohs to aesthetic treatments.
- Strict payer rules for what is “medically necessary.”
- Heavy pre-authorization workload for certain procedures.
- Managing patient responsibility for non-covered or cosmetic services.
How QMB Supports Dermatology
- Accurate coding for medical, surgical, and cosmetic dermatology.
- Eligibility checks and pre-authorization management.
- Daily claims, denial follow-up, and A/R recovery.
- Credentialing and payer enrollment for new dermatologists.
Pediatrics Billing & Collection Services
Pediatric billing includes well visits, vaccines, sick visits, chronic care, and
subspecialty procedures—often with Medicaid or CHIP coverage. QMB helps pediatricians
handle complex rules while keeping cash flow predictable.
Key Challenges We Solve
- Vaccine, immunization, and wellness visit coding accuracy.
- Medicaid / CHIP documentation and payer-specific rules.
- Multiple visits and recurring chronic care encounters.
- Pediatric subspecialty complexity (cardiology, neurology, oncology, etc.).
How QMB Supports Pediatric Practices
- Clean coding for preventive, urgent, and chronic care visits.
- Eligibility and coverage verification before appointments.
- Real-time tracking of claims and aggressive A/R follow-up.
- Credentialing support to expand payer and patient networks.
Mental Health Billing & Collection Services
Behavioral health billing is documentation-driven and heavily regulated. QMB supports
psychologists, psychiatrists, counselors, and behavioral health centers with compliant,
streamlined billing workflows tailored to therapy and psychiatric services.
Key Challenges We Solve
- ICD-10/CPT coding for therapy, evaluations, and psychiatry.
- Session limits, authorization rules, and medical necessity criteria.
- Frequent denials due to missing or incomplete documentation.
- HIPAA, CMS, and payer compliance requirements.
How QMB Supports Mental Health
- Clean claims for individual, group, and telehealth sessions.
- Pre-authorization and eligibility verification for ongoing care.
- Denial management, appeals, and recovery of unpaid claims.
- Startup-friendly packages for new solo and group practices.
Physical Therapy Billing & Collection Services
Physical therapy billing relies on precise time-based coding, visit limits, and payer edits.
QMB helps PT clinics streamline billing so your team can focus on outcomes instead of
chasing claims.
Key Challenges We Solve
- Time-based vs service-based code selection and unit calculation.
- Visit caps, authorization rules, and KX modifier usage.
- Frequent edits from NCCI and payer-specific guidelines.
- Slow A/R and delayed payments impacting cash flow.
How QMB Supports PT Practices
- Accurate CPT/HCPCS/ICD-10 entry based on therapist documentation.
- Eligibility verification, benefits checks, and auth management.
- Dedicated denial management and appeals for underpaid visits.
- Clear patient statements and support for billing questions.
Chiropractic Billing & Collection Services
Chiropractic billing is tightly controlled by payer policies, visit limits, and medical
necessity requirements. QMB helps chiropractic practices reduce denials and maintain steady
reimbursement for adjustments, manual therapy, and therapeutic services.
Key Challenges We Solve
- Detailed documentation requirements for spinal and extremity adjustments.
- Coverage limits, frequency caps, and medical necessity reviews.
- High denial volume for documentation or coding errors.
- Administrative overload managing eligibility and authorizations.
How QMB Supports Chiropractic Clinics
- Accurate chiropractic CPT/ICD-10 coding and modifier usage.
- Eligibility checks and prior authorizations before treatment plans.
- Systematic denial resolution, appeals, and underpayment review.
- Full payment posting, reporting, and cash-flow monitoring.
