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Neurology Medical Billing

Services

Neurology Billing Services Designed for Precision and Faster Reimbursements
Neurology claims require exceptional accuracy due to high complexity procedures,
diagnostic rules, and documentation intensity. Our team ensures that every
neurology encounter is billed the first time correctly, reducing denials and improving
cash flow across outpatient, inpatient, and diagnostic services. As a specialized
neurology billing company, we provide end-to-end neurology medical billing
and neurology revenue cycle management services for USA-based neurology practices

Get a Free Neurology Billing Audit

    Why Neurology Billing Requires
    Advanced Specialty Handling

    Neurology involves complex diagnostics, time-based visits, EMG coding, EEG interpretation,
    infusion services, and intricate documentation dependencies. Errors directly impact
    reimbursement speed and compliance. Neurology billing is governed by strict payer
    rules set by Centers for Medicare & Medicaid Services, including Medicare and Medicaid.
    Our workflows align with Current Procedural Terminology, ICD-10, and Healthcare Common
    Procedure Coding System, ensuring full HIPAA compliance.

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      Incorrect coding for EMG and nerve conduction tests

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      Wrong MDM level for time-intensive neurology consults

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      Bundling conflicts under NCCI for neuroimaging and monitoring

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      Missing documentation for the EEG technical and professional components

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      Conflict between prolonged services and standard E M visits

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      Medical necessity denials for migraine therapy and sleep studies

    We eliminate these issues using neurology-specific coders, payer rule engines, and intelligent billing workflows built exclusively for complex neuro encounters.

    Complete Neurology RCM and Billing Support

    Our neurology revenue cycle management services span the entire billing lifecycle from insurance verification and coding to denial resolution and reimbursement optimization.

    Neurology Medical Billing
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      Clean claims for diagnostic services

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      Professional vs technical mapping

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      Modifier accuracy

    Neurology Coding Expertise
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      EEG, EMG, NCS precision

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      Time-based E/M validation

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      CMS neurology compliance

    Diagnostic & Monitoring Workflows
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      EEG and ambulatory study pathways

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      Sleep study and imaging accuracy

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      Documentation alignment

    A/R & Denial Resolution
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      Structured 30/60/90+ follow-up

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      Neurology-specific denial fixes

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      Appeals with clinical records

    Credentialing & Enrollment
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      Medicare and Medicaid enrollment

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      Hospital privileges coordination

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      CAQH revalidation

    Compliance & Oversight
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      Documentation integrity audits

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      CMS and OIG alignment

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      Prolonged service validation

    Revenue & Analytics
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      Neuro procedure profitability

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      Time-based E/M distribution

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      Denial trend dashboards

    Neurology Services and
    Procedures We Bill

    Neurology Office Visits and Evaluations

    New and established patient visits

    Time-based neurology consults

    Prolonged care services

    Follow-up visits for chronic neurological conditions

    Neurology Office Visits and Evaluations

    New and established patient visits

    Time-based neurology consults

    Prolonged care services

    Follow-up visits for chronic neurological conditions

    Electrophysiology and Nerve Testing

    EMG studies

    Nerve conduction studies

    Repetitive nerve stimulation tests

    Single fiber EMG

    Interpretation and reporting services

    Neurology Infusion and Injection Services

    Botox for migraine therapy

    Infusions for MS and autoimmune conditions

    Trigger point injections

    Occipital nerve blocks

    Neurology Imaging and Monitoring

    Neuroimaging interpretation support

    Intraoperative neuro monitoring

    Real-time monitoring documentation

    Chronic Care and Neurology Services

    Management of epilepsy

    Parkinson’s disease tracking

    Multiple sclerosis monitoring

    Chronic migraine care

    Dementia and cognitive decline management

    How We Process
    Neurology Services

    Every neurology claim goes through a structured proces

    Documentation quality review

    Accurate ICD and CPT mapping

    NCCI edit check for neuro procedures

    MUE and frequency-limit validation

    Modifier accuracy review

    Prior authorization confirmation

    Payer guideline alignment

    Compliance validation

    Key Neurology Billing
    Challenges We Solve

    EMG and NCS Coding Errors

    Fix: Automated global-period tracking + coder review.

    Medical Necessity Denials for Neuro Diagnostics

    Every claim is coded, checked, and validated with precision.

    Bundling Issues for EEG and Neuro Imaging

    Every claim is coded, checked, and validated with precision.

    Incorrect E M Level Selection

    Every claim is coded, checked, and validated with precision.

    Denials for Prolonged Services

    Every claim is coded, checked, and validated with precision.

    Common Neurology Claim
    Denials and Solutions

    Denial Code

    CO-50

    CO-16

    CO-151

    CO-97

    PR-1

    CO-109

    Issue

    Not medically necessary

    Missing info

    Frequency limit

    Bundled services

    Deductible

    Not covered

    Neurology Reason

    EEG, EMG lacking supporting dx

    Sleep study or consult missing documentation

    Repeated neuro diagnostics

    EEG with repeated procedures

    Medicare neuro visits

    Certain neuro testing

    Fix

    Correct ICD + notes

    Add clinical notes

    Verify eligibility

    Apply correct modifiers

    Collect upfront

    Verify benefits

    EMR and Billing Platforms
    We Support

    Neurology Subspecialties
    We Support

    General Neurology

    Epilepsy Neurology

    Neuromuscular Medicine

    Headache and Migraine Clinics

    Stroke and Vascular Neurology

    Multiple Sclerosis Clinics

    Movement Disorder Clinics

    Sleep Medicine Neurology

    Why Pain Management
    Practices Choose Us

    98% Clean
    Claim Rate

    Thirty to fifty percent fewer denials

    Neurology-trained
    coders

    Deep chronic care and
    diagnostic expertise

    HIPAA and CMS
    compliant workflows

    Specialty-dedicated
    neurology billing team

    States We Serve

    New York

    North Carolina

    Florida

    South Carolina

    Massachusetts

    Alabama

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    Strengthen Billing Accuracy Across
    Complex Neurology Services

    Connect with neurology billing specialists who handle EEG, EMG,
    prolonged services, and time-based E/M coding.

    MAKE A CALL

    Frequently Asked Questions

    Q1: What is neurology medical billing

    It includes coding, billing, and managing claims for EEG, EMG, nerve studies, time-based visits, chronic neurological conditions, and neurodiagnostics.

    Q2: Why is neurology billing more complex

    Neurology billing involves time-based E/M coding, complex diagnostics like EEG and EMG, strict medical necessity rules, and frequent prior authorization requirements, increasing denial risk without specialty expertise

    Q3: Which neurology services do you support

    We support EEG, EMG, nerve conduction studies, neuroimaging, sleep studies, infusion therapies, chronic neurological care, and prolonged services

    Q4: Do you offer neurology-specific coders

    Yes, our certified neurology coders specialize in CPT, ICD-10, and HCPCS coding for neurological procedures and conditions.

    Q5: Can you reduce neurology claim denials

    Yes, our neurology-specific denial management process reduces denials through documentation validation, payer rule checks, and structured appeals