Documentation is the defensible part
Injections, radiofrequency procedures, and implantable devices all need a clear record of indication, response, and medical necessity. When a payer requests records, the note either supports the claim or it does not.
We review claims against that standard before submission and report on the documentation gaps that produce denials, so the correction happens in the note rather than the appeal.
- Procedure authorization and medical-necessity documentation
- Drug testing medical-necessity criteria and frequency limits
- Implantable device and refill billing requirements
- Modifier use for bilateral and multiple-level procedures
Handling audits without panic
Audits are a normal part of this specialty. The practices that handle them well keep complete, consistent records and respond within the stated window.
We help organize the response, track deadlines, and document the outcome so the same finding does not reappear in the next review.