In neurology, time and units decide the payment.
EMG, EEG and long counselling visits are all billed on measurements a general biller does not check. Undercount the units and you have written off part of the visit before it was ever billed.
- 97%Coding accuracy on audit
- 50+Specialties covered
- 4.9/5Average client rating
Three ways Neurology claims quietly lose value
Review these issues against the documentation, remittance and policy that applied on the date of service. They can appear as denials or underpayments.
- Time based visits undercoded
Prolonged and counselling dominated visits pay on documented time. If the note does not state it, the level drops and nobody notices.
- Testing units miscounted
EMG and nerve conduction pay per study and per site. Counting them loosely is the single most common neurology underpayment.
- Interpretation billed without the split
Reading a study performed elsewhere is a professional component only. Billing it globally invites a takeback later.
What we bill for Neurology practices
If something you do is not on this list, ask. We will tell you honestly whether we have the depth for it.
How Neurology accounts are actually run
The worklist connects each claim to its documentation, payer requirements and next follow-up date.
- A neurology coder, not a general one
The coder assigned to your account works neurology every day. They already know which of your payers do what, and they are watching time based E/M, testing units and interpretation splits.
- Charges checked against the note
Before anything goes out, the charge is read against the documentation. A code the note does not support is a recoupment waiting to happen, and in neurology it is usually the highest value code on the claim.
- Eligibility and authorization ahead of the visit
Coverage is confirmed and any approval is in place before the service, not discovered afterwards when the work has already been done.
- Denials worked to cause, not just refiled
Every denial is tagged by payer and reason code. When a pattern shows up in your neurology claims we change the upstream step so it stops recurring.
- Reporting you can act on
Monthly numbers by procedure family and payer, with the one decision they imply, rather than an export nobody opens.
Included for Neurology practices
- Coders who work neurology daily
- Charge review against documentation
- Eligibility and benefit verification
- Prior authorization management
- Denial management by payer and reason code
- Aged A/R worked oldest first
- Patient statements and balance follow up
- Monthly reporting by procedure family
These describe how we run the service. They are commitments about our process, not a guaranteed outcome on any individual claim.
We work inside the system you already use
We agree user permissions, claim queues, reporting access and escalation contacts in your current system before work begins.
Neurology billing across the country
These state guides explain local Medicaid programs and payer administration. They cover general billing requirements, rather than a separate Neurology service in each state.
Arizona payer guideAHCCCS and 7+ plans
Washington payer guideApple Health and 7+ plans
Texas payer guideTexas Medicaid and 8+ plans
New York payer guideNY Medicaid and 8+ plans
California payer guideMedi-Cal and 8+ plans
Ohio payer guideOhio Medicaid and 8+ plans
Florida payer guideFlorida Medicaid and 8+ plansWhat Neurology practices ask
Do you count testing units from the report?
Yes. Units are taken from the study report rather than assumed from the order.
Can you handle infusion billing?
Yes, including the drug, the administration hierarchy and the units, which are three separate ways to lose money.
We read studies for other sites. Can you split that?
Yes. Professional only interpretation is billed as such, with the place of service set correctly.
How do you support time based coding?
We tell you what the note needs to carry. We will not upcode a visit the documentation does not support.
Have a neurology coder read your last ninety days
Tell us your specialty and the billing issue you want reviewed. We will agree the scope and arrange a secure way to share any records needed.