Neurology
Neurology
We specialize in delivering precise and efficient neurology medical billing services tailored to the complex needs of neurology practices. Our team ensures compliance with payer guidelines, accurate coding, and timely reimbursements, enabling your practice to focus on providing exceptional neurological care.
Neurology is the branch of medicine dealing with the diagnosis and treatment of disorders affecting the nervous system, including the brain, spinal cord, and peripheral nerves. Neurologists treat a wide range of conditions, from migraines and epilepsy to multiple sclerosis and neurodegenerative disorders such as Parkinson’s disease and Alzheimer’s disease. Neurological care often involves complex diagnostic and therapeutic procedures, making specialized billing essential.
Types of Neurological Treatments and Procedures
- Diagnostic Testing:
- Electroencephalogram (EEG) and video EEG monitoring
- Electromyography (EMG) and nerve conduction studies (NCS)
- Neuroimaging studies, including CT, MRI, and PET scans
- Neurological Therapies:
- Intravenous immunoglobulin (IVIG) therapy
- Botulinum toxin injections for migraines or spasticity
- Deep brain stimulation (DBS) programming
- Chronic Condition Management:
- Management of epilepsy, multiple sclerosis, and movement disorders
- Treatment plans for chronic migraines and neuropathic pain
- Neurodegenerative Disorders:
- Care for Alzheimer’s disease, Parkinson’s disease, and amyotrophic lateral sclerosis (ALS)
- Cognitive and functional assessments
- Stroke and Vascular Neurology:
- Thrombolysis for acute ischemic stroke
- Post-stroke rehabilitation management
- Sleep Studies:
- Polysomnography for diagnosing sleep disorders such as sleep apnea and narcolepsy
Common Diagnosis Codes, Procedure Codes, HCPCS Codes, and Modifiers in Neurology Billing
- G40.909: Epilepsy, unspecified, not intractable, without status epilepticus
- G35: Multiple sclerosis
- G43.909: Migraine, not intractable, without status migrainosus
- G20: Parkinson’s disease
- I63.9: Cerebral infarction, unspecified
- 95816: EEG, including recording awake and drowsy states
- 95886: Needle electromyography, each extremity
- 95941: Continuous EEG monitoring; physician or other qualified health professional review
- 96132: Neuropsychological testing evaluation services
- 64615: Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal, and accessory nerves
- J0585: Injection, onabotulinumtoxinA (Botox), 1 unit
- J2357: Injection, omalizumab, 5 mg
- J1830: Injection, interferon beta-1b, 0.25 mg
- A4556: Electrodes (e.g., conductive gel or paste) for EEG or EMG
- 26: Professional component
- TC: Technical component
- 59: Distinct procedural service
- 25: Significant, separately identifiable E/M service
- GA: Waiver of liability statement issued as required by payer policy
Challenges in Neurology Billing
Neurology billing involves numerous challenges due to the complexity of neurological services, evolving payer policies, and the need for precise documentation. Common challenges include:
- Complex Procedure Coding: Coding for EEG, EMG, and other neurological tests requires a detailed understanding of the procedures and payer-specific rules.
- Prior Authorizations: High-cost treatments such as IVIG therapy and Botox injections often require extensive prior authorization.
- Medical Necessity Denials: Claims for certain tests or treatments may be denied if medical necessity is not properly documented.
- Bundling Issues: Some services may be bundled together, and unbundling them incorrectly can result in claim denials.
- Frequent Policy Updates: Neurology practices must stay updated on changes to payer policies and coding guidelines to avoid compliance issues.
Why Choose Internal Neurology Billing?
- Specialized Expertise in Neurology Billing Our team has in-depth knowledge of neurology billing and coding requirements, ensuring accurate claim submissions and compliance.
- Comprehensive Revenue Cycle Management From insurance verification to denial resolution, we manage every aspect of your revenue cycle to optimize reimbursements.
- Customized Billing Solutions We tailor our services to meet the unique needs of your neurology practice, whether you specialize in general neurology, stroke care, or neurodegenerative disorders.
- Proactive Denial Management Our experts analyze denial trends and implement strategies to minimize future rejections.
- Transparent Reporting Gain insights into your practice’s financial performance with detailed reports and analytics.
- Leverage Technology Using advanced tools such as Artificial Intelligence (AI) and Robotic Process Automation (RPA), we automate tasks like eligibility checks, claims tracking, and coding to improve efficiency and reduce errors.
The Importance of Professional Neurology Billing
Given the complexity of neurological services, accurate billing is crucial for maintaining the financial health of your practice. Partnering with a specialized billing provider ensures compliance, reduces administrative burdens, and maximizes reimbursements.
Key Benefits of Outsourcing Neurology Billing:
- Improved Cash Flow: Accurate and timely claim submissions lead to faster reimbursements.
- Reduced Denials: Proactive denial management minimizes revenue loss.
- Cost Efficiency: Outsourcing reduces overhead costs and administrative burdens.
- Compliance Assurance: Stay updated with payer policies and coding changes.
- Enhanced Patient Experience: Efficient billing processes allow your team to focus on delivering quality care.