Neurology Medical Billing Services
EEG/EMG, neuro-imaging, injections, infusions, sleep and complex consults — documented cleanly, coded precisely, and reimbursed faster.
98%+ Clean Claims
Eligibility + edits at source
30–45% Faster AR
Prioritized worklists & SLAs
24–48h Posting
ERA/EOB reconciliation
HIPAA + BAA
Secure workflows & audits
Billing & Coding Built for Neurology
We translate complex neuro documentation into accurate CPT/ICD-10 across clinic, hospital and diagnostic settings.
- EEG (routine, prolonged, video), EMG/NCS units & supervision rules
- Neuro-imaging: TC/PC splits, modifiers, auth and medical necessity
- Botulinum toxin & chemodenervation: J-codes, wastage, units & notes
End-to-End Neurology RCM
Clinic & hospital workflows, diagnostics, infusions and sleep.
Eligibility & Authorizations
Plan checks, prior auths, medical necessity capture.
Coding & Charge Entry
EEG/EMG, injections, imaging, sleep — precise CPT/ICD-10.
Claims & Edits
NCCI/MUE, global periods, TC/PC, bundling & modifiers.
Payments & AR
24–48h posting, underpayment hunt, prioritized AR.
Denials & Appeals
Root cause, corrective coding, templated appeals.
Analytics & Compliance
Dashboards, KPIs, audit trails, HIPAA controls, BAAs.
Common Neurology Encounters We Bill
- Seizure & epilepsy management (VEEG, ambulatory EEG)
- Headache & migraine (chemodenervation, nerve blocks)
- Stroke/TIA consults, thrombolysis decision support (documentation)
- Movement disorders (botulinum, deep brain stim follow-ups)
- Neuropathy & radiculopathy (EMG/NCS protocols)
- Sleep medicine (PSG, MSLT/MWT) with rules on interpretation
Payer Nuances We Handle
- Auth & medical necessity for neuro-imaging and sleep testing
- TC/PC splits with 26/TC modifiers and place-of-service impacts
- Global periods & bundling for injections and procedures
- EMG/NCS units and supervision/documentation requirements
- Prolonged/split-shared rules for inpatient & observation care
Denial Prevention & Appeals
- Front-end edits to catch NCCI/MUE conflicts before submission
- Automated eligibility & auth checks with proof on file
- Appeal playbooks by payer, timely filing tracking & escalations
- Underpayment analysis vs fee schedules & contracts
- Feedback loops to providers for documentation gaps
Neurology RCM — FAQs
Do you handle both clinic and hospital billing?
Yes — professional claims for clinic, observation and inpatient consults, with split/shared, prolonged and discharge rules handled correctly.
How do you minimize neurology denials?
Up-front edits (NCCI/MUE), auth verification, TC/PC & bundling checks, and targeted appeal templates for EEG/EMG and imaging.
How quickly are payments posted?
Within 24–48 hours with ERA/EOB reconciliation, underpayment detection and payer variance reporting.