Neurology Billing Services Built for Diagnostic Complexity
Time-based E/M coding, neurodiagnostic study billing, and infusion therapy claims all require specialty expertise. CureMed ensures every neurology claim is coded accurately, submitted clean, and paid faster.
Neurology Billing by the Numbers
Measurable outcomes from neurology practices using CureMed for their billing and coding.
First-Pass Acceptance Rate
Denial Rate Reduction
Revenue Increase
Average Days in A/R
Why Neurology Billing Is So Complex
Neurology involves time-based coding, diagnostic cascades, and documentation-heavy studies that most billing companies are not equipped to handle accurately.
of neurology claims are denied on first submission due to time-based coding errors, missing documentation, or diagnostic test bundling mistakes.
AAPCin average annual revenue lost per neurologist from missing service add-ons, undercoded E/M encounters, and incorrect neurodiagnostic billing.
of neurology denials are caused by incomplete or missing documentation for advanced imaging and electrodiagnostic studies.
AMANeurology billing requires coders who understand time-based E/M rules, neurodiagnostic test interpretation billing, and the documentation standards that trigger denials. General billing teams consistently underbill neurology encounters.
What's Included in CureMed Neurology Billing
End-to-end billing tailored to your neurology practice's diagnostic mix and payer requirements.
EEG & Video EEG Billing
Accurate coding for routine EEG, prolonged EEG monitoring, and video EEG with correct technical and professional component billing.
EMG & Nerve Conduction Studies
Specialized billing for electromyography and nerve conduction studies with proper per-extremity coding and medical necessity documentation.
Neuropsychological Testing
Complex time-based coding for cognitive assessments, neuropsych evaluations, and testing interpretation with correct CPT time thresholds.
Sleep Study Billing
Polysomnography and MSLT coding with proper technical/professional splits and payer-specific authorization requirements.
Infusion Therapy Coding
Accurate billing for neurology infusions (immunoglobulin, natalizumab, botulinum toxin) with correct drug coding and administration time tracking.
Prior Authorization Management
Proactive authorization tracking for advanced imaging (MRI, CT), neurodiagnostic studies, and specialty medications.
How CureMed Neurology Billing Works
A five-step process from practice audit to ongoing optimization, built specifically for neurology.
Neurology Practice Audit
We analyze your current claim patterns, denial rates by study type, and E/M coding accuracy to build a custom billing strategy.
EHR Integration & Setup
Seamless connection with your neurology EHR. We support all major systems and configure workflows for your diagnostic and clinical procedures.
Specialty Coding & Submission
Neurology-trained coders review every encounter, apply correct CPT/ICD codes with time-based documentation, and submit within 24 hours.
Payment Posting & Denial Management
Every payment posted, every underpayment flagged, every denial appealed with neurology-specific clinical documentation.
Ongoing Optimization
Monthly reviews covering diagnostic study analytics, E/M coding accuracy, payer trends, and revenue optimization strategies.
Why Choose CureMed for Neurology Billing
Our neurology billing team understands diagnostic cascades, time-based coding, and the documentation standards that separate paid claims from denied ones.
Neurodiagnostic Coding Expertise
Our certified coders specialize in EEG, EMG, nerve conduction studies, and sleep studies, capturing every billable component with correct modifiers and splits.
Time-Based E/M Precision
We capture every minute of prolonged services, critical care, and complex decision-making that general billing teams routinely underbill.
Diagnostic Cascade Documentation
We ensure the clinical connection between symptoms, diagnoses, and ordered tests is clearly documented so diagnostic studies are approved and reimbursed correctly.
Ongoing Compliance Audits
Regular coding audits verify that your practice stays aligned with the latest neurology billing requirements, CMS updates, and payer-specific policies.
Neurology CPT codes we handle every day
EEG interpretation, EMG time components, and infusion billing rules that most general billers get wrong. Our neurology coders do not.
Polysomnography
Full attended sleep study, six years and older. Often needs prior auth. Watch the add-on codes for oxygen and CPAP titration.
Routine EEG
Awake and drowsy. Modifier 26 for professional only, TC for facility billing.
EMG, two extremities
Needle EMG with proper unit reporting. Combine with NCS codes carefully, NCCI bundles them.
Nerve conduction, 9 to 10 studies
Requires documentation of which nerves were tested. Unit counting decides the reimbursement.
Botox for chronic migraine
Chemodenervation, 31 or more injections. Prior auth mandatory, and J0585 billed separately.
Infusion therapy
IV infusion, initial hour, with add-on codes for additional hours. Watch the drug HCPCS and wastage.
Where neurology billing usually breaks
Three patterns account for most denials here. Our coders catch them before submission rather than after.
Medical necessity
EEG, EMG and sleep studies denied for a missing documented indication. Common when the order does not match the final diagnosis.
Prior authorisation
Botox for migraine and MS infusions denied for missing or expired prior auth. Requirements vary by payer and by drug.
Prolonged service coding
99417 add-ons rejected for missing time documentation, and level 4 and 5 visits downgraded when time is not recorded.
Neurology-specific rules we track for you
Coverage policy moves constantly, and one missed update can deny a month of claims. We watch it so you do not have to.
Sleep study and EEG coverage monitored per MAC
Each Medicare MAC has different rules for polysomnography, home sleep testing and long-term EEG monitoring. We track the LCDs from each of them.
Drug pricing and wastage rules current
MS therapies, IVIG and infliximab pricing changes quarterly, and wastage billing under JW needs strict documentation. We stay current on every drug you infuse.
99417 and 99418 applied correctly
Prolonged E/M add-ons have strict time requirements. Miss the fifteen minute threshold documentation and the whole add-on is lost.
99490 and 99491 for chronic neuro conditions
CCM is massively under-billed by practices managing MS, epilepsy and neurodegenerative patients. We identify who is eligible and bill it.
Full-service neurology billing
Everything the practice needs, from scheduling through final payment posting.
Diagnostic study coding
EEG, EMG, NCS and sleep studies coded with the right modifiers and unit counting.
Infusion suite billing
MS therapies, IVIG, Botox. Drug HCPCS, wastage and administration coded correctly.
Prior auth management
Every study, infusion and Botox visit pre-authorised before scheduling.
Prolonged service capture
99417 and 99418 billed correctly with the time documentation they need.
Chronic care management
CCM captured for eligible MS, epilepsy and neurodegenerative patients.
Dedicated manager
The same person answers when you have a modifier question or need an appeal filed.
How a neurology encounter becomes clean revenue
Five steps every neurology claim goes through. Not template billing, but a workflow built around what this specialty has to document.
- 1
Pre-visit
Prior auth verification for scheduled studies, infusions and Botox. Eligibility checked overnight.
2 days out - 2
Encounter capture
The note is reviewed for time capture, diagnosis alignment, and the study interpretation elements.
Same day - 3
AI and coder review
AI suggests codes and modifiers; a certified neurology coder signs off on every claim before it goes.
Within 24 hours - 4
Scrub and submit
NCCI edits, LCD checks and payer rules applied, then a clean claim submitted electronically.
Day 2 - 5
Payment posted
ERA received, matched and posted. Variances or denials flagged the same day for a specialist to work.
28 day average
Every step is timed and tracked. If a claim sits at any stage for more than 48 hours it is flagged for your dedicated manager to escalate. No claim goes silent.
“We are a three-neurologist practice, heavy on MS patients. Our previous billing team missed the infusion wastage and the prolonged service billing entirely. CureMed found forty-two thousand a month we were leaving behind, in the first audit.”
Frequently Asked Questions
Yes, virtual neurology visits are billed per telehealth guidelines.
Often yes, especially for diagnostic tests and specialized treatments. CureMed manages these efficiently.
Through thorough documentation review, upfront insurance verification, and prompt claim submission.
Tools like EHR-integrated billing systems, auto-code capture, eligibility checks, and digital claim submissions help reduce errors, speed up reimbursement, and ease administrative burdens.
Outsourcing to experts helps practices gain coding accuracy, minimize denials, stay regulation-compliant, and free up internal resources for patient care.
Services That Complement Neurology Billing
Medical Billing
Specialty-specific edit sets, built on real claims history — not pulled off a shelf.
Learn More
Credentialing & Enrollment
Provider enrollment without the hundred-and-twenty-day idle.
Learn More
Revenue Cycle Management
End-to-end RCM ownership, from eligibility through last-dollar collected.
Learn MoreCurious what your revenue cycle is actually leaving on the table?
Spend 30 minutes with our revenue cycle team and we'll walk through your current setup, surface where money is leaking from denials, slow payer follow up, undercoded encounters, and quantify what cleaning it up is worth in your first 90 days. No prep, no slide deck, just a working conversation with people who do this every day.