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Medical Billing for Neurology Practices

Neurology Billing That Pays What You Earn

Neurology billing spans high-complexity E&M visits, electrodiagnostic studies, infusion therapy, sleep medicine, and inpatient neurology consultations — each with its own coding rules and payer requirements. EEG, EMG, nerve conduction studies, and epilepsy monitoring are frequently miscoded or denied for missing technical documentation. 360Solutions provides neurology-specialised billers who capture the full revenue of diagnostic studies, infusion codes, and inpatient consultations while managing prior auth for high-cost neurologic therapies.

31%
avg neurology claims denied on first submission
$890
avg revenue per infusion visit recovered with correct coding
95%
first-pass rate for neurodiagnostic claims
Neurology Billing Challenges
Where practices lose the most revenue:
✓
Electrodiagnostic Study Coding
✓
Infusion Therapy Billing
✓
Prior Auth for High-Cost Drugs
✓
Sleep Study & EEG Billing
Neurology Billing Challenges

Where Neurology Practices Lose Revenue

These are the coding and billing pitfalls that cost neurology practices the most — and where our specialised billers add the most value.

Electrodiagnostic Study Coding

EMG and nerve conduction studies (95907–95913, 95860–95872) require precise documentation of the number of nerves and muscles studied. Under-reporting limb counts results in underpayment; over-reporting triggers audit. Our coders verify study reports before coding.

Infusion Therapy Billing

IV infusion codes (96365–96368) for MS, migraine, and epilepsy therapies are time-based and require start/stop documentation. Missing infusion time, incorrect drug units, or wrong add-on codes cost practices thousands per month.

Prior Auth for High-Cost Drugs

Biologics for MS (Tysabri, Ocrevus), CGRP inhibitors for migraine, and anti-seizure medications requiring specialty dispensing all need payer prior auth. We manage the auth workflow from request through drug administration.

Sleep Study & EEG Billing

Polysomnography (95808–95811), MSLT, and ambulatory EEG billing require specific physician interpretation documentation. Missing the interpretation report or using the wrong code for attended vs. unattended studies results in immediate denial.

Coding Intelligence

High-Risk CPT Groups

Code ranges payers audit most aggressively in Neurology.

95907–95913
Nerve conduction studies — by number of nerve segments studied
95860–95872
Needle EMG — by number of extremities and paraspinal muscles
96365–96368
IV infusion therapy — initial, sequential, concurrent — time-based
95808–95811
Polysomnography — attended sleep study, by age and channels
92270 / 95720
Electro-oculography / EEG — ambulatory vs. attended monitoring
Denial Intelligence

Common Denial Patterns

Knowing these before submission is the difference between a 60% and a 96% first-pass rate.

EMG/NCS nerve count in claim does not match documented study report

Infusion claim missing start/stop time documentation

Prior auth expired before drug administration date

EEG interpretation report not signed by qualified physician

Inpatient neurology consultation billed without documented request from attending

Free Denial Audit

Send us your last 90 days of remittance data — we'll identify your top 3 fixable denial sources at no cost.

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Our Process

How 360Solutions Works for Neurology Practices

01

Free 2-Week Billing Audit

We review your last 90 days: denial breakdown by category, AR aging by payer, charge lag, collection rate, and any recurring coding issues specific to your specialty. No commitment required.

02

Specialty Coder Assignment

You are paired with a coder trained specifically in neurology coding. They learn your providers, your documentation patterns, and your payer mix before touching a claim.

03

Parallel Billing Transition

We run alongside your current billing for 10–14 days with zero cash flow disruption. Claims keep moving during the transition. Your account manager provides daily status updates.

04

Live KPI Dashboard

Real-time visibility into billed, paid, denied, AR aging, and collection rate — segmented by provider and payer. No black box, no month-end surprises.

05

Weekly Account Manager Call

Every week your dedicated account manager walks through last week's KPIs, denial trends, and any action items. Critical issues are escalated the same day — not at the next scheduled call.

Neurology Billing FAQ

Questions From Neurology Practices

Yes. We split claims correctly between the professional interpretation and technical performance components, apply modifiers -26 and -TC where applicable, and coordinate with hospital-based technical billing.
We track each infusion visit, verify drug units against pharmacy records, calculate infusion time from nursing notes, and apply the correct sequential add-on codes. We also manage payer-specific drug coverage and step therapy requirements.
Yes. We manage initial inpatient consultation codes, subsequent hospital visit codes, and critical care billing for ICU-based neurology. We track documentation requirements for hospital-based E&M to prevent level-of-service denials.
Yes. Teleneurology has specific payer coverage rules — including stroke teleconsultation codes (G0406–G0408) for hub-and-spoke facilities. We manage POS codes, telehealth modifiers, and state-specific coverage requirements.
Ready to Fix Your Neurology Billing?

Start With a Free,
No-Obligation Audit

Two weeks, no contract. A certified neurology billing specialist reviews your claims, denial patterns, and AR — and shows you exactly what is recoverable.

Start Free Audit → Call +1 (209) 889-4056