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STOP LEAVING POTENTIAL REIMBURSEMENT REVENUE ON THE TABLE

Build a clearer, more compliant insurance workflow for eligible shockwave therapy services.

Coastal Health Partners helps US doctors, chiropractors, and shockwave clinic owners evaluate reimbursement opportunities, improve clinical documentation, and implement a repeatable process for benefits verification, claims, and follow-up.

For licensed healthcare practices in the United States. Coverage and payment are not guaranteed. Illustrative dashboard example.

Reimbursement Infrastructure Built for Real Clinical Practices

PRACTICES SUPPORTED

CLAIMS REVIEWED

STATES REPRESENTED

DOCUMENTED RESULTS

ESWT INSURANCE SUPPORT AVAILABLE IN ⤦

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SHOCKWAVE BILLING INVOLVES MORE THAN CHOOSING A CODE

Your practice may deliver excellent care and still struggle to determine when a shockwave-related service is eligible for insurance reimbursement. The process may involve:

  • Patient eligibility & benefits

  • Payer coverage & exclusions

  • Medical-necessity requirements

  • Accurate diagnosis & procedure-codes

  • Prior authorization (when required)

  • Treatments & outcome documentation

  • Patient financial-responsibility notices

  • Claim submission, follow-up, and appeals

IMPORTANT ANSWERS BEFORE YOU MOVE FORWARD

IS REIMBURSMENT GUARANTEED?

No, consultants can't control a payer’s coverage or payment decision. We help your practice evaluate possible reimbursement options and begin integrating insurance billing processes.

WHAT IF A SERVICE IS NONCOVERED?

Your practice must follow the patient’s plan requirements and applicable payer policies. Coastal Health Partners does not recommend changing, disguising, or misrepresenting a service to obtain payment.

THE SHOCKWAVE REIMBURSEMENT PROGRAM

Practical support, education, and tools to help you build a compliant reimbursement process for shockwave therapy.

DOCUMENTATION FRAMEWORK

Create a more consistent system for recording:

- The condition evaluated

- Relevant examination findings

- Medical necessity and treatment rationale

- The service performed

- Patient response and functional progress

- The ongoing plan of care

Clear documentation is the foundation of a defensible reimbursement workflow.

ELIGIBILITY & COVERAGE WORKFLOW

Establish a repeatable process for:

- Verifying patient benefits

- Reviewing payer policies

- Identifying exclusions and limitations

- Checking prior-authorization requirements

- Documenting verification results

- Explaining financial responsibility to patients

Your team learns what to check before treatment and how to communicate what was found.

REIMBURSEMENT READY ASSESSMENT

Review your services, provider credentials, payer mix, documentation, and existing billing process.

CODING & COVERAGE EDUCATION

Understand relevant coding categories, coverage considerations, payer policies, and common compliance risks.

CLAIM-SUBMISSION PROCESS

Organize the information your billing team needs to prepare, submit, and track claims accurately.

Denial and Appeals Guidance

Develop a consistent process for identifying errors, responding to denials, and navigate appeals.

LOCAL TEAM TRAINING

Give clinicians, billers, and front-office staff clearly defined responsibilities within the reimbursement workflow.

FROM UNCERTAINTY TO A REPEATABLE PROCESS

A clear, step-by-step approach to help your practice implement reimbursement with confidence.

  1. Assess

    Review your current setup and identify opportunities.

  2. Build

    Create a customized plan for documentation, coding, and workflow.

  3. Train

    Educate your team and provide the tools you need.

  4. Implement

    Put the plan into action with ongoing support.

GUIDANCE THAT STARTS WITH YOUR JURISDICTION

Medicare guidance can differ by contractor and service. Coastal Health Partners helps your clinical and billing teams identify the applicable MAC, review current LCDs and billing articles, and assess documentation and benefits before deciding how to handle a potential claim. Coverage and payment depend on the specific service, payer, patient, and policy.

DO YOU CHECK ALL THE BOXES?

Coastal Health Partners works with physicians, chiropractors, podiatrists, rehabilitation providers, sports medicine clinics, multidisciplinary practices, and qualified shockwave clinic owners. This Program May Be a Fit If You:

  • Are a licensed US healthcare provider

  • Currently provide shockwave therapy

  • Want to evaluate insurance reimbursement opportunities

  • Need stronger documentation or billing procedures

  • Have internal or outsourced billing support

  • Want a structured process rather than a list of billing codes

NOT CURRENTLY OFFERING SHOCKWAVE THERAPY

We also help practices explore shockwave implementation, equipment, and clinical integration.

NOT INTENDED FOR

Consumers, unlicensed providers, guaranteed payment seekers, or practices seeking to bypass payor rules.

FAQS

Is shockwave therapy covered by insurance?

Coverage varies by payer, plan, condition, provider type, service performed, and applicable medical policy. Certain payers may exclude some shockwave services or classify them as investigational. Eligibility and coverage should be evaluated for each patient and service.

Will they tell us which codes to use?

Coastal Health Partners provides coding education and helps establish a process for evaluating potentially applicable codes. The final codes reported must accurately represent the services performed. Practices should involve qualified coding, billing, compliance, or legal professionals when appropriate.

Can chiropractors participate?

Yes. The program is available to chiropractors and other licensed US healthcare providers. Coverage rules, credentialing requirements, and scope-of-practice laws vary by payer, provider type, and jurisdiction.

Can we participate if shockwave is currently cash-pay?

Yes. we can help your practice evaluate whether potential reimbursement pathways warrant further review while preserving appropriate cash-pay options for noncovered services.

Does the program replace our medical billing?

No. It is designed to help your existing team or billing partner implement a more organized shockwave-specific reimbursement workflow.

How long does onboarding take?

The timeline depends on your practice size, existing documentation, payer mix, billing resources, and selected level of support. Coastal Health Partners will recommend an implementation plan after the initial assessment.

BOOK A REIMBURSEMENT STRATEGY CALL

We will discuss your current shockwave services, billing model, documentation, payer environment, and operational challenges. If the program is a fit, Coastal Health Partners will explain the recommended next steps.

ABOUT US

Coastal Health Partners is a subscription platform for licensed US healthcare practices offering extracorporeal shockwave therapy. It helps clinical and billing teams evaluate reimbursement opportunities and manage eligible claims using structured workflows informed by current, jurisdiction-specific MAC policies, LCDs, billing articles, and published Medicare guidance.

WHY PRACTICES CHOOSE US

Not Just a List of Codes

Coastal Health Partners approaches reimbursement as an operating system connecting clinical care, documentation, administration, billing, and patient communication.

Shockwave-Focused Experience

The program addresses reimbursement questions and operational challenges specific to shockwave therapy practices by a growing number of providers.

Compliance-Conscious Guidance

Coastal Health Partners emphasizes accurate reporting, appropriate documentation, payer-policy review, and transparent communication with patients.

IMPORTANT REIMBURSEMENT AND COMPLIANCE NOTICE

Coastal Health Partners provides reimbursement education, workflow resources, administrative support, and practice-development guidance. It is not CMS, a Medicare Administrative Contractor, an insurer, or a representative of any payer. Coastal Health Partners does not control coverage determinations or claim decisions and does not guarantee eligibility, coverage, payment, revenue, or financial results.

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