Neurology Revenue Experts

Specialized Neurology Billing Services

We understand the unique complexities of neurology billing — from EEG/EMG coding and nerve conduction studies to headache management, movement disorder treatment, and infusion therapy — and apply rigorous processes to maximize your reimbursements.

Schedule Free Assessment Our Services
Coding Specialty-matched coders
Denials Root-cause follow-up and appeals
A/R Aged-claim follow-up by payer
Reporting Monthly performance report
EEG Electroencephalogram Coding
NCS Nerve Conduction Study Billing
Infusion Neuro Infusion Management
Headache Migraine & Botox Coding
The Challenge

Why Neurology Billing Is Complex

Neurology practices face unique billing challenges across diagnostic testing, infusion therapies, and chronic condition management that require specialized expertise.

01

EEG & EMG/NCS Testing Coding

Electroencephalography (95700-95726) and electromyography/nerve conduction studies (95860-95913) require precise coding based on duration, complexity, and number of studies performed. Proper distinction between routine, prolonged, and video EEG monitoring, along with correct EMG/NCS code selection per nerve studied, demands meticulous documentation review.

02

Headache & Migraine Management Billing

Migraine and headache disorder billing is complex with the rise of CGRP inhibitors, Botox for chronic migraine (64615-64616), and neuromodulation devices. Each treatment requires specific prior authorization, medical necessity documentation, and payer-specific step therapy and coverage policies that vary significantly between plans.

03

MS & Neuroimmunology Infusion Coding

Multiple sclerosis and neuroimmunology treatments involve complex infusion regimens including monoclonal antibodies, IVIG, and immunosuppressants. Proper coding for infusion administration (96360-96379), observation services, and drug J-codes requires careful tracking of infusion time, number of drugs administered, and payer-specific coverage policies for each biologic agent.

04

Movement Disorder & Botox Coding

Botox injections for movement disorders (64612-64616), spasticity, and dystonia require precise coding based on muscles injected, units administered, and image guidance used. Documentation must support medical necessity for each injection site, and payer policies vary widely for FDA-approved vs. off-label indications.

Our Process

Our Approach

A structured methodology designed for neurology billing complexity

1

Practice Assessment

We analyze your current billing operations, diagnostic testing mix, infusion therapy volume, payer contracts, and compliance protocols to identify specific improvement opportunities for your neurology practice.

2

Implementation

Tailored implementation with minimal disruption, including staff training on neurology-specific coding, EHR integration for diagnostic test documentation, and parallel processing to ensure accuracy from day one.

3

Specialized Coding

Certified neurology coders accurately code all services using latest CPT and ICD-10 guidelines with expertise in EEG/EMG, nerve conduction studies, infusion therapy, headache management, and movement disorder treatment.

4

Claim Management

Claims submitted within 24 hours with continuous monitoring, proactive follow-up, and aggressive denial prevention strategies specific to neurology — including test medical necessity appeals and drug prior authorization support.

5

Analytics & Optimization

Detailed financial reports and actionable insights for ongoing optimization, including diagnostic testing profitability, infusion drug margin analysis, and denial pattern tracking by service type and payer.

What We Do

Our Services

Comprehensive revenue cycle management for neurology practices

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EEG & Neurodiagnostic Coding

Expert coding for routine and prolonged EEG (95700-95726), video EEG monitoring, sleep-deprived EEG, and ambulatory EEG. Proper distinction between standard and prolonged studies with accurate time documentation and correct code selection based on recording duration and complexity.

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EMG & Nerve Conduction Studies

Accurate coding for electromyography (95860-95872) and nerve conduction studies (95907-95913) with proper code selection based on number of nerves studied, extremity vs. paraspinal muscles, and F-wave/H-reflex testing. Expertise in NCCI edits and proper modifier usage for multiple studies.

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Headache & Migraine Billing

Specialized billing for headache management including CGRP inhibitors (J-code injectables and infusions), Botox for chronic migraine (64615-64616) with proper unit documentation, and neuromodulation devices. Prior authorization management and step therapy documentation support.

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MS & Neuroimmunology Coding

Expert management of multiple sclerosis and neuroimmunology treatment billing including infusion administration (96360-96379), drug J-codes for monoclonal antibodies and IVIG, observation services, and proper coding for concurrent and sequential infusions.

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Movement Disorder & Botox Coding

Comprehensive coding for Botox and other neurotoxin injections for movement disorders, spasticity, cervical dystonia, and blepharospasm. Expertise in CPT codes 64612-64616 with proper muscle identification, unit tracking, and image guidance documentation.

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Denial Management & Appeals

Proactive denial prevention and recovery with specialized expertise in neurology-specific denials including diagnostic test medical necessity, infusion coverage disputes, headache treatment step therapy requirements, and prior authorization management.

Protection

Security & Compliance

We prioritize data protection and regulatory compliance

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HIPAA Compliant

Billing processes designed around HIPAA-compliant data handling.

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Data Protection

Encryption, secure transmission protocols, and access controls protect patient data.

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Compliance Programs

Coding and billing work is reviewed against current payer and CMS rules.

FAQ

Frequently Asked Questions

Common questions about our neurology billing services

We meticulously code EEG studies based on duration and complexity. Routine EEG (95700-95706) is coded by standard recording time, while prolonged EEG (95707-95726) requires precise time documentation for continuous monitoring. For video EEG, we ensure correct coding of technical and professional components. Our coders track recording start/stop times precisely and understand the nuances of intermittent vs. continuous monitoring codes.

Botox coding requires attention to indication, muscles injected, and total units administered. For chronic migraine (64615), we ensure documentation supports the required injection sites and total dose (155 units per the PREEMPT protocol). For movement disorders like cervical dystonia (64612) and spasticity (64614), we verify muscle-specific documentation and proper unit tracking. We also manage the step therapy and prior authorization requirements specific to each indication.

Our infusion specialists manage the full complexity of MS treatment billing. We accurately code infusion administration (96360-96379) based on drug, infusion time, and number of sequential/concurrent infusions. We handle J-code billing for all MS biologics including ocrelizumab, natalizumab, alemtuzumab, and rituximab with proper units calculation. We also manage the unique payer policies for site-of-care redirection and in-office versus hospital-based infusion billing.

Nerve conduction studies (95907-95913) are coded based on the number of nerves studied. Our coders carefully count each motor and sensory nerve tested, apply correct code selection (from 1-2 nerves up to 13+ nerves), and ensure documentation supports each nerve studied. We properly handle F-wave studies, H-reflex studies, and repetitive nerve stimulation studies with correct modifier usage.

Yes. Cognitive assessment and dementia evaluation billing requires proper understanding of Medicare's Annual Wellness Visit with cognitive assessment, neuropsychological testing codes (96110-96146), and E/M coding for dementia evaluation. We ensure correct coding of cognitive screening tools, caregiver training services, and the complexities of billing for patients with both cognitive impairment and comorbid conditions.

Ready to Optimize Your Neurology Revenue Cycle?

Schedule a complimentary assessment with our neurology billing team. We'll analyze your current billing workflow and provide personalized recommendations.

  • Personalized workflow analysis
  • Custom recommendations
  • Competitive pricing quote
  • No-obligation assessment

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