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For Pain Management Physicians, APPs & PI-Adjacent Clinics

Stop writing medical-necessity letters at 9pm.

RadiusDocs turns your chart, outside records, and handwritten notes into payer-ready medical-necessity letters, denial appeals, IME drafts, and PI narratives — each one citation-backed to the exact page and line. Built for the clinics already doing prior-auth, work-comp, IME, and personal-injury work.

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40
prior auths per physician, per week (AMA 2025)
13h
weekly clinic time spent completing PAs
94%
of physicians say PA increases burnout

Medical Necessity Letter — Spinal Cord Stimulator

Conservative care history, failed therapies, objective findings — all cited.

📑
Page-cited
⚖️
Payer-ready
🔒
HIPAA secure

Here's what RadiusDocs isn't.

We've watched too many clinics evaluate us as the wrong kind of software. Let's get that out of the way.

Not an EMR replacement.

Keep your charting workflow exactly as it is. RadiusDocs sits downstream of the record — we don't capture encounter notes.

Not an ambient scribe.

We don't listen to your visits. We work on the records after they exist: outside provider files, imaging, your notes, handwritten pages.

Not a billing engine.

We don't submit claims or chase payments. We assemble the medical narrative that supports your auth, appeal, or PI report.

Four jobs RadiusDocs does for pain clinics, every week.

Each one is sourced from public clinician threads, payer policies, and AMA / AHRQ data. We didn't invent these.

Prior auth & medical necessity

Medical-necessity letters that survive the third denial.

Assembling conservative-care history, prior failed treatments, supporting diagnoses, and objective findings from scattered records — for every PA, every appeal, every payer rule change.

AMA 2025: 40 PAs per physician per week, 13 hours spent completing them, 94% say PA increases burnout.
RadiusDocs pulls the chronology, prior failed therapies, and objective findings into a citation-backed letter matched to your clinic's house format.
PI narratives & depositions

Narrative reports drafted before Friday, not on Sunday.

Chiropractors and pain specialists doing PI work describe writing reports on weekends, prepping for depositions cold, and re-reading the same chart story across multiple systems to coordinate with attorneys.

AHRQ: documentation burden is consistently associated with burnout, EHR dissatisfaction, and workload stress.
One record stack in, one reviewable draft out — narrative reports, IME drafts, and chronologies generated from your existing SOAP notes and outside records.
Billing denials & appeals

Appeal denials with page-and-line proof already attached.

Denials for ESIs, MBBs, facet injections, and bundled chiropractic claims hinge on specific clinical support: VAS scores, conservative-care timelines, response to prior treatment. Most clinics rebuild that from memory under deadline.

Pain billing forums repeatedly cite denials for "no medical necessity" and "experimental" labeling — appeals require diagnosis, procedure, and timeline support tied to source pages.
RadiusDocs assembles the appeal packet's clinical foundation with line-level citations — you stay in control of the legal/billing argument.
Missing records & chronology gaps

Find the missing outside record before it costs you a case.

Pain and PI workflows depend on outside records — imaging, ER visits, prior treaters, work-comp notes. They arrive late, incomplete, duplicated, or scanned sideways. Manually catching what's missing is brutal.

Medical-board guidance (Alabama, NY): records should include outside provider records when they informed treatment decisions. In practice, this is rarely audited until denial or deposition.
RadiusDocs flags treatment gaps and missing-record patterns as it builds the chronology, surfacing the holes before they become problems.

The complaints we hear, in clinicians' own words.

Public quotes from pain physicians, chiropractors, and APPs working in PI-adjacent settings.

I'm tired of doing reports on the weekend and having my associate docs overwhelmed with documentation.
— Ctchiro, r/Chiropractic
Our prior authorization department is sending cases back to us … because we don't have a before-and-after VAS score.
— NJPAIN, Student Doctor Network
We've already seen lawyers get reprimanded for passing off bogus citations hallucinated by AI.
— Therapist4Chnge, Student Doctor Network

Works With Your Existing Stack

Questions you’re probably asking

Is this an EMR or an ambient scribe I have to adopt?

Neither. CaseOS sits downstream of the record — it doesn't capture encounter notes or listen to visits. Keep your EMR and charting workflow exactly as they are.

Will it actually help with prior-auth and medical-necessity denials?

Yes. It assembles conservative-care history, prior failed therapies, objective findings, and before/after VAS scores — each mapped to the payer criterion and cited to the chart.

Is it a billing engine?

No. CaseOS doesn't submit claims or chase payments. It builds the cited clinical support behind your auth or appeal — you keep the argument.

Can it read handwriting and messy outside records?

Yes — PDFs, scans, images, and handwritten notes, including the multi-provider record sets that arrive out of order.

Get your nights and weekends back.

One 15-minute demo with a real human. We'll look at a recent record you actually struggled with and show you exactly what RadiusDocs would produce.

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