AI Pain Management Compliance Software: Audit 100% of Your Charts
Brellium audits every pain management chart for required fields, progress-note quality, and medical decision making (MDM) level before claims go out.
100% of charts. Compliance backed by our clawback protection guarantee.
Surviving a Payor Audit on Your Pain Management Charts
Payors and OIG audit procedure and urine drug testing (UDT) medical necessity, while DEA and state rules govern controlled substances.
Manual chart review can't cover every required field. Brellium audits 100% of charts pre-submission.
How Brellium Audits 100% of Your Pain Management Charts
Brellium connects to your EMR and audits every chart automatically, no manual uploads or sampling, the same standard at 50 providers or 500.
Progress-Note QA
Check every progress note for completeness and continuity.
Required-Field Checks
Confirm the objective fields your payors and policies require are present on every chart.
MDM Level Validation
Validate pain management coding at the low and moderate MDM levels, new (99203/99204) and established (99213/99214).
Clawback Protection
Backed by Confidence Coverage: if a documentation gap slips through and triggers a clawback, Brellium covers the cost 100%.
Standard Deployment
- Progress-note QA
- Required-field checks
- MDM validation (99203/99204, 99213/99214)
- Payor carve-out rules, including Blue Cross exemptions
- Document-based chart review
- Confidence Coverage clawback guarantee for notes and documentation
Enterprise Customization
- Peri-procedural documentation (pre/post pain scores, antibiotic status, allergies, medications reviewed)
- LCD criteria packs
- UDT medical necessity
- Opioid documentation (PDMP check, treatment agreement, MME thresholds, periodic reassessment)
- Procedure charge capture, including facet joint (64490-64495), epidural (62323, 64483/64484), nerve block, and joint (20610/20611) injections
- Modifiers 50/59/XS
Common Pain Management Compliance Risks Brellium Catches
Missing Vitals or Intake
Flags charts missing vitals, intake, or front-desk checklist items.
Undocumented Radiation Dose
Catches charts where the radiation dose isn't recorded.
Unaddressed New Complaints
Flags new complaints the progress note doesn't document.
No Next-Visit Plan
Catches progress notes without next-visit scheduling.
Unrecorded Risk Changes
Flags risk changes from the prior visit the note doesn't reflect.
Unsupported Moderate MDM
Catches 99204 and 99214 visits where the note doesn't support moderate MDM.
Impact for pain management organizations
The outcomes pain management organizations see when every chart is audited before claims go out.
Built for Pain Management Compliance & Coding Accuracy
Workers' Comp and PI Follow Their Own Rules
Workers' comp, personal injury, and commercial charts carry different documentation rules and MDM caps. Brellium routes each chart to the right rule set automatically.
More Coverage for Your Auditors
Brellium expands your compliance team's reach to every chart, so auditors focus on flagged charts.
100% Chart Coverage. Zero Clawbacks.
Sampling misses what an audit is built to find. Brellium checks every chart, compliance backed by Confidence Coverage.
FAQs About Pain Management Compliance
How do pain management practices prepare for an audit?
Pain management audit readiness starts before a payor or OIG asks: audit every chart when it's written, not after it's flagged. Brellium reviews 100% of charts pre-submission, so gaps are fixed before a claim goes out.
How does Brellium's chart audit work for pain management?
Brellium audits each pain management chart pre-submission, pulling it from your EMR and flagging gaps for your compliance team before the claim goes out.
Which required fields does Brellium check on pain management charts?
Brellium's standard required-field checks cover vitals, intake, front-desk checklist items and radiation dose. Yes or no fields are checked with exact matches, so a missing entry is flagged consistently rather than left to reviewer judgment.
How does Brellium handle workers' comp and personal injury charts?
Brellium's standard deployment routes workers' comp and personal injury charts to their own rule sets. It also applies payor-specific exemptions, such as Blue Cross carve-outs and MDM caps, so each chart is audited against the rules of the payor it's billed to.
Does Brellium audit injection procedure coding like facet joint injections, nerve blocks, and 20610?
Injection procedure coding is available as Enterprise Customization. Common pain management injection codes include:
- 64490-64495: facet joint injections with imaging guidance
- 62323: lumbar or sacral interlaminar epidural steroid injection with imaging guidance
- 64483 and 64484: lumbar or sacral transforaminal epidural injection with imaging guidance, single level and each additional level
- 64450: nerve block, other peripheral nerve or branch
- 20600-20611: joint injection or aspiration by joint size, with 20610 and 20611 covering major joints without and with ultrasound guidance
Does Brellium audit controlled substance compliance, including opioid, PDMP, and urine drug testing documentation?
Controlled substance compliance, including opioid, PDMP and urine drug testing (UDT) documentation, is available as Enterprise Customization. UDT checks cover presumptive vs. definitive testing and risk stratification.
We use Scribe to create our notes. Do we still need Brellium?
Yes. Scribe helps clinicians write notes faster, but it doesn't check whether each chart carries the required fields and progress-note elements payors audit. Brellium audits the notes your Scribe produces.