Neurology Practices
Clean Claim Rate
Revenue Recovered
Claim Turnaround
Neurology billing requires a command of diagnostic testing codes that most general billing teams simply do not possess. EEG interpretations, EMG/NCV studies, sleep studies, and advanced imaging follow coding rules that diverge significantly from standard E/M billing. The technical and professional component splits add another layer of complexity.
We provide neurology practices with billing expertise that matches the sophistication of the specialty. From prolonged service documentation to neurodiagnostic procedure coding, our team ensures accurate reimbursement for every service your practice delivers.
Every Neurology billing team deals with payer delays, coding nuance, and collection leakage. We tighten those weak points before they turn into write-offs.
Routine EEG (95816-95819), ambulatory EEG (95711-95720), and video EEG monitoring (95711-95720) follow distinct coding hierarchies based on recording duration, monitoring type, and interpretation level. Incorrect code selection is a primary denial driver.
Nerve conduction studies (95907-95913) and needle EMG (95860-95872) are billed by the number of nerves and muscles tested. Undercounting studies performed leaves revenue uncollected. Overcounting triggers audit flags.
Neurologists frequently spend extended time on complex cases. Prolonged service codes (99354-99357) require precise time documentation and are among the most audited codes in the specialty.
Long-term management of MS, epilepsy, and Parkinson's involves infusion drugs, ongoing monitoring, and frequent E/M visits. Coordinating these billing streams without duplication requires systematic tracking.
Support spans the full revenue cycle, from front-end verification to denial recovery and reporting.
EEG, EMG/NCV, and neurodiagnostic procedure coding
Prolonged service documentation review and billing
Infusion drug billing for neurological conditions (MS, migraine)
Sleep study billing coordination (technical and professional)
Botox injection coding for chronic migraine and movement disorders
Prior authorization for advanced imaging and specialty drugs
We support independent practices, multisite groups, and growing provider organizations with flexible workflows.
Independent physician groups
Multi-location practices
Private equity backed platforms
Hospital-owned outpatient groups
Neurology billing requires a command of diagnostic testing codes that most general billing teams simply do not possess. EEG interpretations, EMG/NCV studies, sleep studies, and advanced imaging follow coding rules that diverge significantly from standard E/M billing. The technical and professional component splits add another layer of complexity.
We provide neurology practices with billing expertise that matches the sophistication of the specialty. From prolonged service documentation to neurodiagnostic procedure coding, our team ensures accurate reimbursement for every service your practice delivers.
Answers to the questions practice owners and managers ask most often before switching billing partners.
EEG billing depends on the type and duration of the study. Routine EEGs (95816-95819) cover standard recordings, while ambulatory and video EEG monitoring use time-based codes (95711-95720). We select the correct code based on the recording parameters documented in the technologist's report and the physician's interpretation.
Nerve conduction studies are billed by the number of nerves tested (95907 for 1-2 nerves, scaling to 95913 for 13+ nerves). Needle EMG is billed per muscle (95860-95872 based on the limb and number of muscles). We count each nerve and muscle from the study report to ensure accurate billing.
Yes. Drugs like natalizumab (Tysabri), ocrelizumab (Ocrevus), and erenumab (Aimovig) require HCPCS J-code billing, infusion administration coding, and prior authorization management. We handle drug acquisition tracking and infusion billing for the full treatment cycle.
MRIs of the brain and spine are the most common neurology imaging studies requiring prior authorization. We submit clinical documentation including neurological exam findings, symptom duration, and prior treatment history to obtain authorization before the imaging appointment.
Botox for chronic migraine (CPT 64615) reimburses $100 to $200 for the injection procedure, plus the drug cost (J0585) which varies based on units administered. For 155 units (standard chronic migraine protocol), drug reimbursement ranges from $1,500 to $2,200 depending on the payer.
Yes. We bill both in-lab polysomnography (95810-95811) and home sleep testing (95800-95801), including the technical and professional component splits. MSLT and MWT studies following overnight PSG are billed as add-on procedures.
The difference is operational discipline. We focus on clean submissions, fast follow-up, and transparency.
Get a revenue review and a clear action plan tailored to your practice, payers, and claim mix.