Neurology Billing Services
Neurology billing services are specialty billing and revenue cycle services built specifically for neurology practices where one missing modifier on a same-day EMG and nerve conduction study, or the wrong professional-versus-technical component on a long-term video EEG read, is the difference between full payment and a denied claim.
EverCure Billing handles the complete revenue cycle for neurology providers across the United States: eligibility checks, prior authorizations, diagnostic and procedure coding, claim submission, denial appeals, and aged A/R recovery. Your team runs the studies and treats the patients. We make sure the work you already did actually gets paid.
What Are Neurology Billing Services?
Neurology billing services cover every financial step between a patient booking an EEG, an EMG, an infusion, or an office visit and that money landing in your practice account.
For a neurology practice specifically, that includes verifying benefits before a study or infusion, obtaining prior authorization for Botox, MS therapies, IVIG, and other high-cost drugs, coding diagnostics with the correct CPT, ICD-10, HCPCS, and modifier combination including the professional and technical component split submitting a clean claim, posting the payment, appealing the denial when the payer pushes back, and chasing the balance until it clears.
General medical billing stops at "submit the claim." Neurology billing has to go further, because neurology mixes time-based diagnostics, component splitting, drug administration, and heavy prior-auth requirements in a way few other specialties do.
Why Do Neurology Practices Lose More Revenue Than They Should?
Because neurology billing has more moving parts than almost any other specialty diagnostics, infusions, and E/M all in one practice and each part has its own way of failing. These are the specific leaks we see when we run audits on neurology practices:
EMG and nerve conduction study bundling
Payer edits bundle same-day needle EMG and nerve conduction studies together. Without the correct distinct-service modifier applied the way that payer expects, the pairing denies and it's one of the most common neurology denials there is.
Professional versus technical component errors
EEG, EMG, nerve conduction studies, and sleep studies are split into a professional (interpretation) component and a technical (equipment and staff) component. Billing the global service when the facility owns the equipment, or billing the wrong component, hands money back to the payer or triggers a takeback later.
Prior authorization and step therapy failures
Botox for chronic migraine, MS disease-modifying therapies, IVIG, and newer infused treatments almost always require authorization and often step therapy before the date of service. No auth, no payment, and it usually can't be fixed after the fact.
Time-based and add-on coding gaps
Long-term EEG monitoring is billed by time and by day. Needle EMG has muscle-count and limb rules. Miss an add-on unit or a monitoring day and the revenue is simply gone the study was done, but it was never fully billed.
Medical necessity and coverage policy gaps
Medicare LCDs and commercial policies define exactly what has to be documented before an EEG, sleep study, Botox injection, or infusion is covered. If the note doesn't prove it, the code doesn't hold up.
Modifier 25 on same-day E/M plus a procedure
A significant, separate office visit billed on the same day as an EMG or a Botox injection needs a properly documented modifier 25. It's overused industry-wide, which is exactly why payers scrutinize it and why it has to be documented right.
We build the workflow around these six failure points, because they are where neurology practice revenue actually disappears.
What Neurology Billing Services Does
EverCure Billing Provide?
Insurance eligibility and benefits verification
We verify active coverage, plan type, deductible status, coinsurance, visit and study limits, and drug-specific benefits before the patient arrives including coverage for MS therapies, Botox, and infusions, so nobody starts a high-cost treatment under a plan that won't pay for it.
Prior authorization support
We prepare and submit authorization requests for Botox, MS disease-modifying therapies, IVIG, long-term EEG monitoring, and other high-cost services, attach the required clinical documentation, handle step-therapy requirements, follow up with the payer until a decision is issued, and track expiry dates so approvals don't lapse before the service date.
Neurology medical coding
Our coders work from your study reports, interpretation notes, and treatment plans to assign the correct CPT, ICD-10-CM, and HCPCS codes with the right professional or technical component, time units, muscle and limb counts, drug units, and modifier set. Every code is tied back to what the documentation actually supports.
Charge entry and claim scrubbing
Every claim runs through a pre-submission check for payer-specific edits, NCCI bundling conflicts on EMG and nerve conduction studies, component-split logic, diagnosis-to-procedure linkage, and drug-unit accuracy before it leaves our office.
Claim submission and clearinghouse management
Electronic submission, rejection handling at the clearinghouse level, and same-day correction and resubmission on front-end rejects.
Payment posting and reconciliation
ERA and manual EOB posting, contractual adjustment verification, and underpayment identification because payers do pay below contracted rates, and most practices never catch it.
Denial management and appeals
Every denial is categorized by root cause, corrected, and appealed with the supporting documentation the payer is actually asking for. We also feed denial patterns back into coding so the same denial stops repeating.
Accounts receivable follow-up and recovery
Structured follow-up on aged claims by bucket (30 / 60 / 90 / 120+ days), with priority given to high-dollar infusion and study claims and anything approaching a timely filing deadline.
Patient billing and support
Clear patient statements, balance explanations, and a support line so your front desk isn't spending its day explaining coinsurance.
Provider credentialing and payer enrollment
New provider enrollment, re-credentialing, CAQH maintenance, and Medicare enrollment through PECOS so a new neurologist in your group isn't sitting idle waiting on a payer panel.
Billing audits and compliance review
Periodic internal review of coding accuracy, component-split usage, modifier logic, documentation strength, and utilization patterns to reduce audit exposure before a payer finds it first.
Financial reporting
Monthly reporting on collections, clean claim rate, denial rate by reason, days in A/R, and payer performance in plain language, not a data dump.
Which Neurology Procedures and Services
Do You Bill?
Electroencephalography (EEG) routine, ambulatory, and long-term video EEG monitoring, coded by time, monitoring day, and the professional or technical component actually performed.
Electromyography and nerve conduction studies needle EMG with correct muscle and limb counting, nerve conduction study unit rules, and proper EMG–NCS pairing under payer bundling edits.
Epilepsy monitoring and VNS epilepsy monitoring unit (EMU) daily billing, long-term monitoring, and vagus nerve stimulator analysis and programming.
Botox and chemodenervation chronic migraine, dystonia, and limb spasticity, billed with accurate unit tracking and the drug supply coding that goes with it.
Multiple sclerosis and infusion therapy disease-modifying therapies, IVIG, and other infusions, with administration time, drug units, and prior authorization handled together.
Stroke and vascular neurology inpatient neurology E/M, acute stroke care, thrombolytic administration, and telestroke services with the required documentation.
Movement disorders deep brain stimulator programming and analysis, plus the E/M and medication management around Parkinson's disease, essential tremor, and dystonia.
Sleep medicine attended polysomnography and related sleep studies, billed to match the documentation and coverage policy.
Intraoperative neurophysiologic monitoring (IONM) monitoring time and professional component coding for surgical cases.
Evaluation and management visits new and established patient visits, medication management, and same-day E/M with a procedure handled through correct modifier 25 support.
Non-covered and investigational services ABN workflow and patient responsibility handling so your practice isn't absorbing the cost of services the payer was never going to cover.
Which Neurology CPT and ICD-10 Codes
Do You Work With?
| Code Range | What It Covers |
|---|---|
| 99202–99215 | New and established patient E/M visits |
| 95812–95830 | Routine EEG extended, awake and asleep, with recording |
| 95700–95726 | Long-term, ambulatory, and video EEG monitoring |
| 95860–95872, 95885–95887 | Needle electromyography (EMG) |
| 95905–95913 | Nerve conduction studies |
| 95940–95941 | Intraoperative neurophysiologic monitoring (IONM) |
| 95810–95811 | Attended polysomnography (sleep studies) |
| 95970–95984 | Neurostimulator, VNS, and DBS analysis and programming |
| 64612, 64615, 64642–64647 | Botox and chemodenervation migraine, dystonia, spasticity |
| 63650, 63685, 63688 | Neurostimulator electrode, generator, and revision codes |
| 96365–96371, 96413–96417 | Infusion and injection administration (IVIG, MS therapies) |
| J-codes / HCPCS | Drug supply for Botox, IVIG, and infused disease-modifying therapies |
| G40 | Epilepsy and recurrent seizures |
| G35 | Multiple sclerosis |
| G43 | Migraine |
| G20, G25.0 | Parkinson's disease, essential tremor |
| G24 | Dystonia |
| G47 | Sleep disorders |
| G56, G57 | Mononeuropathies of upper and lower limb |
| G60, G61, G62 | Polyneuropathy and inflammatory polyneuropathy |
| G70.0 | Myasthenia gravis |
| G30 | Alzheimer's disease |
| I63 | Cerebral infarction (ischemic stroke) |
Code sets update annually and payer rules update more often than that. Keeping current on both is part of the service, not an extra.
Which Modifiers Actually Decide Whether
a Neurology Claim Gets Paid?
Professional versus technical component. This is the modifier neurology lives and dies on. Bill the global service when the facility owns the equipment, or split it wrong, and you either lose money or invite a takeback.
Distinct procedural service, used to correctly unbundle same-day EMG and nerve conduction studies when they're legitimately separate.
Significant, separately identifiable E/M on the same day as a Botox injection, EMG, or other procedure. Overused industry-wide, which is exactly why it needs to be documented properly.
Repeat study or procedure by the same or a different physician.
Telehealth services, including telestroke and follow-up visits, billed with the correct place of service.
Advance beneficiary notice and non-covered service indicators.
Confirmation that coverage requirements in the payer's policy have been met.
How Does Compliance Work in Neurology Billing?
Medical necessity and coverage policy
Medicare LCDs and commercial medical policies define exactly what has to be documented before an EEG, sleep study, Botox injection, or infusion is covered. We review documentation against the applicable policy before the claim goes out, not after it denies.
Professional and technical component integrity
We make sure the component you bill matches the component you actually performed a common audit trigger when a practice reads studies performed on facility-owned equipment.
NCCI bundling on diagnostics
Same-day EMG and nerve conduction study edits are applied correctly, so distinct services are unbundled properly and nothing is billed that shouldn't be.
Prior authorization and step therapy
High-cost drugs and studies are authorized before the date of service, with step-therapy and coverage criteria met and documented up front.
HIPAA and data security
Every EverCure Billing team member works under signed HIPAA agreements with role-based access to PHI, secure data transfer, and no PHI on personal devices or unsecured channels.
How Does
Onboarding Work?
Free billing audit
We review a sample of recent claims, denials, and your aged A/R to identify where revenue is being lost and how much of it is recoverable.
Findings and scope
You get a written summary of what we found and a clear proposal services, pricing, and timeline. No obligation to continue.
System access and setup
We work inside your existing EHR and practice management system. No migration, no software purchase, no disruption to your clinical team.
Workflow mapping
We document your study mix, infusion and drug volume, top payers, current denial patterns, and internal handoffs, then build the billing workflow around how your practice actually runs.
Go live
Claims start flowing through our process. In parallel, we begin working your existing aged A/R old money is usually the fastest win.
Ongoing reporting and review
Monthly financial reporting, a dedicated account manager, and a scheduled review call to go through what's working and what needs to change.
Typical onboarding runs about two to four weeks depending on system access and practice size.
Which EHR and Practice Management Systems
Do You Work In?
We work directly in your current system rather than asking you to change platforms. Our team has worked across eClinicalWorks, AdvancedMD, NextGen, athenahealth, Kareo/Tebra, DrChrono, Practice Fusion, CareCloud, Epic, and Cerner, along with other specialty platforms.
If your system isn't listed, tell us which one you use in most cases we can be trained and productive in it within days.
Who Do We Work With?
We serve practices nationwide, with a growing footprint in Indiana and New Jersey.
What Does Neurology Billing Cost?
Our neurology billing services are priced as a percentage of monthly collections so our revenue only grows when yours does. Your exact rate depends on study and infusion mix, monthly claim volume, payer mix, and which parts of the cycle you want us to handle.
There are no setup fees and no long-term lock-in contracts. If you want a specific number, the free audit is the fastest way to get one that's accurate rather than generic.
Why Choose EverCure Billing for Neurology Billing?
We work the complex claims, not just the easy ones.
Component splitting, EMG–NCS bundling, and high-cost infusion denials take documentation review, payer policy reading, and appeal writing. That's the work we don't write it off and move on.
You get a named account manager, not a ticket queue.
One person who knows your practice, your payers, and your study and drug mix, reachable directly.
Direct access to leadership.
We're built to stay close to our clients. When something goes wrong, you're not escalating through four layers to get an answer.
Denial data goes back into coding.
Every denial reason is tracked and fed back upstream so the same error stops repeating. Most billing companies just resubmit.
Transparent reporting.
You see clean claim rate, denial rate by reason, days in A/R, and collections every month, explained clearly.
No long-term contracts.
We keep your business by performing, not by locking you in.
Is Your Neurology Practice Leaving Money on the Table?
Most neurology practices don't know their real denial rate, how much of their aged A/R is still collectible, or how much they're being underpaid against contracted rates until someone actually looks.
That's what the free audit is for. We review your recent claims, denials, and A/R and give you a written breakdown of what's recoverable and what's causing the leak. No cost, no obligation.
Frequently Asked Questions
About Neurology Billing
Yes. Our team works with the detail neurology billing requires professional and technical component splitting, EMG muscle and limb counts, nerve conduction study bundling rules, long-term EEG time and day coding, and Botox and infusion drug units. General billing knowledge alone doesn't cover any of that.
Yes. We log into your current system and work inside it. There is no software to buy and no migration required.
Both. Aged A/R is usually where the fastest recovery is available, so we start working it in parallel with new claim submission.
Our standard is submission within one business day of receiving complete documentation. Delays only happen when documentation is missing, and we tell you the same day when that's the case.
Yes. We prepare and submit the request, handle step-therapy requirements, attach the clinical documentation, follow up until a decision is issued, and track approval expiry dates.
Yes. New provider enrollment, re-credentialing, CAQH maintenance, and Medicare enrollment are all available, either bundled with billing or as a standalone service.
All work is performed under signed HIPAA agreements with role-based PHI access, secure transfer methods, and no PHI stored on personal devices.
A monthly report covering collections, clean claim rate, denial rate by reason, days in A/R, and payer-level performance plus a review call to walk through it.
Start with the free billing audit. You'll get a written picture of where your revenue is leaking before you commit to anything.
Ready to Fix Your Neurology Revenue Cycle?
Every unworked denial and every aged claim is money your practice already earned. Let's go get it.
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