U.S.-based neurology billing experts ensuring accurate coding for EEG, EMG, NCS, evoked potentials, and infusion therapies—with 97% clean claims and 60% fewer denials.
Request a Free RCM AuditExpert application of neurodiagnostic codes—including EEG (95812–95957), EMG (95860–95905), NCS (95907–95913), and evoked potentials—with correct units, laterality, and bundled vs. separate service rules.
Accurate use of -26 (professional), -TC (technical), -RT/-LT (laterality), and -59 (distinct procedure) modifiers to prevent bundling denials from Medicare and commercial payers.
Pre-submission scrubbing catches missing modifiers, incorrect units, or NCCI edits—preventing 90% of avoidable denials for complex neuro studies.
Auto-capture study details from Nihon Kohden, Cadwell, EMG machines, or hospital EHRs—ensuring no missed charges for long-term EEG, quantitative analysis, or multi-day monitoring.
Denied claims are appealed within 72 hours with neurologist notes, tracings, and clinical justification—recovering 87% of lost neurology revenue.
Your U.S.-based expert tracks test-specific KPIs: reimbursement per CPT, denial trends, and payer contracts for EEG, EMG, and infusion therapies.
Neurology billing is highly technical—missing modifiers, incorrect units, or unbundling errors trigger automatic denials or severe underpayment.
Failure to apply -26/-TC for hospital-based EEG labs leads to claim denials. Missing -RT/-LT for unilateral NCS causes 50% payment loss.
Long-term EEG (95711–95957) requires precise time units—under-reporting hours results in significant underpayment.
Commercial payers bundle EMG with NCS or EEG with video monitoring—missing these edits causes irreversible denials.
Missing details like “quantitative analysis,” “video monitoring,” or “infusion duration” leads to downcoding or rejection.
Built for neurologists, neurodiagnostic labs, and headache clinics that demand precision in every claim.
Verify eligibility, benefits, and prior auth (for infusion therapies or advanced EEG) before the patient arrives.
Extract CPT, units, laterality, and time details directly from finalized EEG/EMG/NCS reports or device logs.
Apply -26, -TC, -RT/LT, -59, or global billing based on service location and payer policy.
Submit scrubbed claims daily with real-time NCCI and payer-specific neurology bundling checks.
Monthly dashboard: avg. reimbursement per EEG/EMG, top denials, and payer performance by CPT code.
Clean Claim Rate
Fewer Denials
Higher Net Collections
Based on 31 neurology clients served in 2024. Results may vary.
Explore our latest insights on medical billing, compliance, and specialty-specific strategies.
Read Our Billing InsightsThe average neurology practice loses $60K–$180K/year to missing modifiers, incorrect time units, and unbundled studies.