Neurology Billing & Neurodiagnostic Coding Solutions
Neurology billing deals with detailed diagnostic testing billing (EEGs, EMGs, NCVs), complex therapeutic infusions, and long-term disease management coding. Compliance with local coverage determinations (LCD) is crucial.
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Technical vs. Professional Splits
Separating billing into clinic equipment (TC) and neurologist reading (26) components.
Drug Waste / JW Modifier Check
Documenting drug wastage for high-cost neurologic infusions (e.g. Ocrevus).
Frequent EMG limits Scrubbing
Verifying annual diagnostic session limits to avoid frequency caps.
Pre-Service Authorization
Verify clinical guidelines for expensive infusion drugs.
Diagnostic Report Auditing
Confirm nerve conduction counts match clinical documentation reports.
Component Coding split
Apply Modifier 26 or TC depending on clinic ownership of hardware.
Aged AR Reclamation
Resubmit unpaid neurology claims with medical documentation logs.
Denial Recovery Performance
We solve neurology EOB denials for 'experimental use' or 'frequency limits' using published clinical criteria sheets and patient diaries.
Optimize Your Neurology Billing Today
Get a free audit on your last 90 days of claims. No setup fees, no strings attached.
Schedule Free Audit“Success Seekers RCM has completely transformed our Neurology billing. Our collections are up 28% and billing stress is gone.”
— U.S. Clinical Director, Neurology Specialist Group