Our Services
Neurology Billing Services
Neurology practices face some of the most complex medical billing challenges due to the wide range of diagnostic tests, procedures, and long-term treatment plans. At Practice Claim, we specialize in Neurology Billing Services designed to simplify your revenue cycle while ensuring maximum reimbursements. From EEG interpretations and EMG procedures to advanced treatments for epilepsy, dementia, and movement disorders, our certified billing experts handle it all with precision and compliance
Neurology Billing
Billing for neurology services involves highly specific coding, frequent use of modifiers, and payer-specific documentation requirements. Errors in coding or claim submission can result in denials, audits, or revenue loss. At Practice Claim, we provide end-to-end revenue cycle management tailored for neurologists, ensuring accuracy in CPT and ICD-10 coding, efficient claims processing, and proactive denial management.
We understand that neurology practices often balance high patient volumes, long consults, and complex diagnostics. That is why we offer seamless billing solutions to reduce administrative burden and optimize financial outcomes.
Components of Neurology Billing
1. Eligibility and Pre-Authorization
- Verification of insurance coverage, benefits, and prior authorization requirements for diagnostic tests like EEG, EMG, or sleep studies.
2. Accurate Coding and Modifier Usage
Neurology services require precise coding for consultations, diagnostics, and treatments. Our coders apply the correct CPT, ICD-10, and modifiers for accurate claim submission.
3. Claims Submission and Tracking
Electronic claim submission with real-time monitoring ensures faster processing and fewer rejections.
4. Payment Posting and Statements
Accurate payment posting with easy-to-understand patient statements improves transparency and collections.
5. Denial Management and Appeals
Denied neurology claims are carefully reviewed, corrected, and appealed with proper documentation to recover lost revenue.
Challenges in Neurology Billing
Broad Scope of Services
Neurology practices cover preventive care, chronic disease management, minor procedures, and urgent visits. Managing diverse codes is complex.
Preventive vs. Problem-Oriented Visits
Billing preventive visits alongside problem-oriented services requires careful modifier use (e.g., 25 modifier). Errors can lead to denials.
Frequent Insurance Rule Variations
Because neurology practices deal with a wide mix of payers, staying compliant with each carrier’s rules is a constant challenge.
Advantages of Outsourcing Neurology Billing
Outsourcing your Neurology Practice billing to our specialized service can provide numerous benefits, including:
Expert Handling of Complex Procedures
Our coders are very well versed with detailed procedures as well as the codes to be billed and hence any billing errors are almost eliminated.
Faster Reimbursement
Our claim submission is integrated and we also effectively handle denials, thus enhancing timely cash receipts.
Reduced Administrative Burden
Our extensive billing services save your in-house team time to attend to the patients only by providing minimal interference work and pressures.
Cost Efficiency
The decision to outsource can be beneficial because outsourcing is cheaper than having an independent billing department for small practices.
Data Analytics and Reporting
We offer comprehensive billing reports and analysis that can show you your business revenue status and areas of compliance concern.
Our Neurology Billing Services
At Practice Claim, our Neurology Practice Billing Services cover every aspect of your revenue cycle:
Pre-Authorization & Eligibility
Insurance verification, prior authorizations for diagnostics
Diagnostic Procedure Coding
EEG, EMG, nerve conduction studies, sleep studies
Consultation & Follow-Up Billing
Proper coding for E/M visits and long consults
Claims Management
Submission, tracking, and payer-specific compliance
Appeals & Denial Management
Review, resubmission, and documentation-based appeals
Patient Billing Support
Payment posting, patient statements, collections
Benefits of Outsourcing Neurology Billing to Practice Claim
Certified Coders
Our certified team is always updated on the latest in neurology coding.
Compliance Assurance
We strictly follow the best practices in the industry and ensure our processes are in compliance with the most recent standards.
Advanced Revenue Cycle Management
We take full charge of billing from submission of claims, through Claims Management to posting of payments to enhance revenue.
Customized Solutions
Our services suit the needs of the individual practice, a group practice or a multispecialty center.
Proven Track Record
Neurology billing services have been successfully provided by us to practices all over the country, backed by similar improvements in collections and denials.
Frequently Asked Questions (FAQs) on Neurology Billing Services
Neurology billing requires accurate coding for diagnostics, long consults, and treatments that often involve prior authorizations and detailed documentation.
Routine foot care is not typically covered unless the patient has qualifying conditions like diabetes or peripheral neuropathy. Our team ensures documentation meets medical necessity requirements before submitting claims.
Common codes include 11042–11047 for wound care, 11719–11721 for nail trimming, 11730–11750 for nail avulsions, and G0245–G0247 for diabetic foot care.
Outsourcing reduces administrative workload, improves claim accuracy, ensures faster reimbursements, and allows neurologists to focus on patient care.
Yes. We manage DME and orthotics billing, including Medicare requirements for orthopedic shoes and inserts.
We analyze the cause of denials, correct errors, and resubmit claims. Our appeals process helps recover lost revenue and prevents future denials.
Yes. We provide customized billing solutions for solo podiatrists, group practices, and multi-specialty clinics.
Yes. We follow HIPAA compliance protocols and secure systems to protect patient health information and practice financial data.