Neurology Medical Billing Services

Neurology billing covers the financial side of treating conditions involving the brain, spine, and nervous system. These services are among the most complex in medical billing because neurologists often handle lengthy consultations, recurring visits, and high-value diagnostic procedures such as EEGs, EMGs, nerve conduction studies, and epilepsy monitoring. Each of these requires correct CPT, ICD-10, and HCPCS coding, along with proper use of modifiers to separate professional and technical components.

Mistakes in coding or documentation frequently lead to claim denials, payment delays, and compliance reviews from insurers. Neurology practices also face challenges with prior authorizations for expensive procedures and bundled service rules that affect reimbursements.

MZ Medical Billing provides neurology billing support for individual physicians, group practices, and hospitals. Our team manages coding accuracy, denial resolution, payer policy requirements, and medical necessity documentation specific to neurological care. By handling these revenue cycle challenges, we help practices stabilize cash flow, reduce administrative pressure, and maintain compliance with CMS and HIPAA guidelines.

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Comprehensive Neurology Medical Billing and Verification Services

MZ Medical Billing provides complete neurology billing and verification services for physicians, clinics, and hospitals. Neurology billing involves complex codes, lengthy consultations, and high-value diagnostic procedures, which makes accuracy critical for both compliance and revenue. Our team manages every step of the billing process, from insurance checks to payment posting, so practices can reduce denials and maintain steady cash flow.

Insurance Verification

Neurology patients often require repeat visits and costly procedures such as MRIs, EEGs, or Botox injections for migraines. We verify coverage and benefits in advance to avoid denials related to treatment limits or lack of authorization.

Medical Coding

Neurology care requires accurate CPT and ICD-10 coding for services like nerve conduction studies, lumbar punctures, epilepsy monitoring, EMGs, and sleep studies. We apply the correct modifiers (26, TC, 59) to separate professional and technical components, a common issue in diagnostic neurology billing.

Medical Billing

Neurology claims are carefully prepared with full documentation, especially for high-level E/M visits (99214, 99215, 99205) that payers often review for medical necessity. Our billing process reduces delays for both consultations and procedures.

Provider Credentialing

Neurologists must be credentialed with commercial and government payers to bill for services such as stroke management, epilepsy care, and MS treatments. We manage enrollment and re-credentialing to keep reimbursements flowing.

Practice Audits

Neurology practices face high denial rates on bundled procedures and technical tests. We audit claims and workflows to detect recurring errors, compliance risks, and revenue leakage specific to neurological services.

Revenue Cycle Management (RCM)

From charge entry for long consultations to collections on high-cost diagnostic testing, we manage the entire neurology billing cycle to maintain steady cash flow.

Prior Authorization

Neurological procedures such as Botox for migraines, VNS therapy, and advanced imaging often require prior approval. We handle authorization requests and documentation so treatments aren’t delayed.

Denial Management

Common neurology denials include insufficient documentation for seizure care, improper modifier use on EEGs, or missing prior authorizations for high-value tests. We identify the cause and recover payments efficiently.

Payment Posting

We track payments from both payers and patients, including adjustments for bundled neurology services and patient responsibility amounts, so financial records stay accurate.

AR Recovery

Unpaid neurology claims are followed up promptly, with a focus on high-value procedures that can significantly impact practice revenue.

Telehealth Billing

Many neurologists now provide virtual care for conditions like migraines, epilepsy follow-ups, and Parkinson’s management. We bill telehealth visits under the correct codes so practices are reimbursed properly.

Patient Billing Services

Neurology patients often receive multiple diagnostic tests and treatments, which can result in complex bills. We provide clear statements that explain charges, reducing patient disputes and delayed payments.

MZ Billing’s Neurology Revenue Cycle Management Steps

Managing money for neurology practices can be hard. There are many steps like using the correct codes, checking everything is correct, and following up for payments. This takes a lot of time. Good revenue cycle management is very important. It helps your practice run smoothly and allows you to focus on caring for patients. MZ Medical Billing helps by making the process easy and improving your financial results.

Pre-Authorization and Insurance Checks

Before treatment, we check your patients’ insurance details. We make sure the procedures are approved and see what costs the patient may have to pay. This avoids problems later. By doing this, we reduce rejected claims and make payments quicker.

Recording Services and Costs

We help record all the services your practice provides, like tests, procedures, or time spent with patients. We use special neurology codes to ensure details are clear and correct. This makes billing and insurance claims more accurate.

Submitting Claims

Our team sends claims to insurance companies with the right codes for neurology. We manage the whole process, making sure claims are sent smoothly. With 30 years of experience, we work to get your claims approved the first time and avoid delays.

Handling Payments and Fixing Denials

We manage payment collections for you. If claims are denied, we quickly take action to appeal or resubmit them. We focus on important claims to improve recovery rates. We also keep payments moving faster, so your practice gets money sooner.

Why Choose Us for Neurology Billing Services?

Neurology billing requires precision due to complex coding rules, frequent prior authorizations, and high-value diagnostic procedures. With over a decade of experience, MZ Medical Billing manages the entire revenue cycle for neurologists, from claim submission to AR recovery, while maintaining compliance with CMS and HIPAA guidelines.

Our certified coders and billing specialists are trained in neurology-specific codes and modifiers, including E/M visits (99214, 99215, 99205), EEGs, EMGs, and nerve conduction studies. We stay updated with annual CPT and ICD-10 changes, helping your practice avoid denials and compliance risks.

We also handle payer requirements for prior authorizations on services such as Botox injections for migraines, epilepsy monitoring, advanced imaging, and VNS therapy, reducing delays in patient care. Our denial management system focuses on common neurology issues like insufficient documentation, bundled service disputes, and incorrect modifier use.

What Sets Us Apart

Over 10 Years in Neurology Billing – Proven expertise across private practices, clinics, and hospitals.
HIPAA-Compliant Systems – Patient data is protected with strict privacy safeguards.
Neurology Coding Expertise – Frequent updates to reflect the latest neurology coding and payer rules.
Automated Claim Scrubbing Tools – Reduce errors and speed up claim submission.
Focused AR Recovery – Prioritization of high-value neurology claims to improve collections.
Detailed Reporting – Weekly and monthly reports with insights into E/M trends, denial rates, and AR status.
Transparent Pricing – No hidden charges or surprise fees.
Direct Practice Support – Dedicated account managers available for billing and compliance questions.
Flexible Agreements – Month-to-month service options without long-term contracts.
Proven Outcomes – High first-pass claim acceptance rates and reduced AR aging across neurology practices.

Comparison: MZ Medical Billing vs. In-House Billing

Aspect	In-House Neurology Billing	MZ Medical Billing
Coding Accuracy	Prone to errors in complex neurology codes (EEG, EMG, E/M)	Certified coders trained in neurology-specific CPT/ICD-10 updates
Prior Authorizations	Staff time consumed with approvals for Botox, VNS, MRI	Dedicated team handles approvals quickly, preventing treatment delays
Denial Rates	Higher due to missing modifiers (26, TC) or bundled services	Proactive denial management and appeals specific to neurology
AR Recovery	Often delayed; older claims remain unresolved	Aggressive follow-up and old AR cleanup for high-value neuro claims
Compliance	Risk of CMS/HIPAA violations without updated training	Fully HIPAA-compliant, with CMS and payer guideline updates
Reporting	Limited internal reports	Weekly/monthly reporting on E/M codes, denial trends, AR aging
Cost	Full salaries, benefits, software expenses	Transparent pricing, no hidden fees, flexible agreements

Neurology Billing & RCM Services for Providers Across All 50 States

MZ Medical Billing provides neurology billing and Revenue Cycle Management (RCM) services for providers across the United States. We work with neurology clinics, multispecialty groups, hospitals, and solo practitioners to improve reimbursements, lower denial rates, and accelerate payment cycles while keeping operational costs under control.

Our team manages the unique challenges of neurology billing, including accurate coding for long consultations, EEGs, EMGs, nerve conduction studies, epilepsy monitoring, and Botox injections for migraines. We handle insurance verification, prior authorizations, claim submissions, denial resolution, AR recovery, and payment posting. By managing these complex processes, we give neurologists more time to focus on patient care while maintaining compliance and a steady revenue flow.

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Medical Billing Services for Neurology and Other Specialties

Our neurology billing specialists provide accurate, compliant, and efficient billing solutions for neurologists as well as a wide range of other healthcare specialties. We handle specialty-specific coding, claim submission, and revenue cycle management for neurology, cardiology, dermatology, orthopedics, family medicine, behavioral health, speech therapy, occupational therapy, physical therapy, and many more.

Applied Behavior Analysis

Behavioural Health

Pediatric

Mental Health

Physical Therapy

Occupational Therapy

Speech Therapy

Anesthesiology

Neurology CPT and ICD-10 Codes Made Simple

Accurate coding is essential in neurology billing to capture the complexity of neurological care, secure proper reimbursement, and remain compliant with CMS and commercial payer guidelines. Errors in coding can result in denied claims, revenue loss, or compliance penalties, making neurology-specific expertise critical.

Common CPT Codes for Neurology Procedures

Electromyography (EMG):

95886 – Needle EMG of one limb
95887 – Needle EMG of three limbs

Electroencephalography (EEG):

95819 – Routine EEG, awake and drowsy
95957 – Digital analysis of EEG data

Nerve Conduction Studies:

95913 – Motor and sensory conduction studies, 13+ nerves

Other Key Neurology Procedures:

62270 – Diagnostic lumbar puncture
64612 – Chemodenervation of muscles (e.g., botulinum toxin for movement disorders)
96132 – Neuropsychological testing, first hour
95925 – Short-latency somatosensory evoked potentials

Office Visits (E/M):

99204 – New patient, comprehensive exam, moderate decision-making
99214 – Established patient, detailed exam, moderate decision-making

Common ICD-10 Codes for Neurological Conditions

Neurodegenerative Diseases:

G20 – Parkinson’s disease
G30.0 – Alzheimer’s disease, early onset
G35 – Multiple sclerosis

Seizure & Sleep Disorders:

G40.909 – Epilepsy, unspecified
G47.30 – Sleep apnea, unspecified
G47.33 – Obstructive sleep apnea

Cerebrovascular Disorders:

I63.9 – Cerebral infarction (Stroke, unspecified)
G45.9 – Transient ischemic attack (TIA)
I67.1 – Non-ruptured cerebral aneurysm

Other Common Neurological Diagnoses:

G62.9 – Polyneuropathy, unspecified
G43.909 – Migraine, unspecified
R51.9 – Headache, unspecified
R41.82 – Altered mental status, unspecified

MZ Medical Billing Can Work with Any Neurology Software

You Focus on Brains, We’ll Be the Brain Behind Your Billing

As a neurology expert, you’re dedicated to understanding the complexities of the brain – let us handle the complexities of your billing. Our specialized team is here to manage the intricate details of neurology billing, ensuring accuracy, efficiency, and maximum reimbursement. With our expertise, you can rest easy knowing that your billing is in trusted hands while you continue to provide exceptional care. Let us be the brain behind your practice’s financial success!

FAQS

Frequently Asked Questions

Why is neurology billing more complex than other specialties?

Neurology billing involves highly specific CPT and ICD-10 codes for tests like EEGs, EMGs, evoked potentials, and neuropsychological assessments. Each procedure often requires modifiers, detailed documentation, and medical necessity support. This makes coding and billing more complex compared to general medical billing.

What are the most common causes of denied neurology claims?

Denied neurology claims often result from coding errors, missing prior authorizations for procedures, insufficient medical documentation, or incorrect use of modifiers. Issues with medical necessity documentation are also common in EEG and EMG claims.

What are the most common procedures billed in neurology?

Commonly billed neurology services include EEGs, EMGs, nerve conduction studies, lumbar punctures, botulinum toxin injections for movement disorders, neuropsychological testing, and follow-up visits for chronic conditions such as epilepsy, Parkinson’s disease, and multiple sclerosis.

Do neurologists need prior authorizations for certain procedures?

Yes. Many neurology procedures—such as MRI scans, botulinum toxin injections, and long-term EEG monitoring—often require prior authorization from insurance providers. Failing to obtain pre-approval can result in claim denials.

Can you help with telehealth neurology billing?

Yes. Neurology practices increasingly offer telehealth for consultations, follow-ups, and chronic disease management. We apply correct telehealth modifiers and codes to ensure these services are reimbursed properly by payers.

What documentation is required for neurology billing?

Detailed clinical documentation is needed to support procedures like EEGs, EMGs, lumbar punctures, and Botox injections. Insurance carriers often request test results, medical necessity notes, and prior authorization records to approve payments.

Do neurology billing companies also handle credentialing?

Yes. Credentialing services are often included, helping neurologists enroll with insurance networks, Medicare, and Medicaid to begin receiving reimbursements for services provided.

How are patient statements managed in neurology billing?

Patient billing services generate clear, understandable statements for neurological care, including copays, deductibles, and balances after insurance payments. This reduces confusion and improves collection rates.

How does outsourcing neurology billing benefit a practice?

Outsourcing allows neurologists to focus on patient care while specialists manage coding, claims submission, prior authorizations, denials, and collections. This improves revenue cycle efficiency, reduces administrative workload, and minimizes payment delays.

Do you handle old AR recovery for neurology practices?

Yes. Our team works existing accounts receivable, identifies unresolved claims, and follows up with payers to recover unpaid revenue, even from older neurology claims.

We Serve All 50 States