Neurology Medical Billing Services

By the number of nerves actually studied, taken from the technical report rather than the order. Payment tiers rise with the count, so a study reported generically collapses several billable units into one. Ask your technologist to list every nerve and muscle tested. We build these claims from that list, which is usually the largest single recovery in a neurology practice.

Very likely. Single-use vials often contain more than one patient needs, and the discarded portion is recoverable when documented. Practices that record only the administered dose give the rest away. Record both the dose given and the amount discarded at the time of administration. We verify these figures on every claim, and the recovered value adds up quickly.

Showing the treatment history. Most high-cost neurology drugs require evidence that a preferred alternative was tried and did not work well enough. Requests carrying only a diagnosis get pended for records. Submit the prior therapies, how long each was used, and the documented response. We assemble that history up front, which shortens approval time considerably.

Yes, when total time on the date of service is recorded. Neurology visits regularly run well beyond a standard slot, and prolonged service billing exists for exactly that. The requirement is a number in the note, not a description of how long it felt. Adding total time to your template keeps the higher-paying path available on every complex visit.

Because it was billed globally while the facility supplied the equipment and technical staff. In that arrangement you bill only the interpretation, and the facility bills the technical portion. Billing the whole study collides with theirs. We set this rule per location during onboarding so the split is applied automatically rather than judged case by case.

Put the clinical question on the order. Electrodiagnostic and imaging studies denied for necessity almost always came from orders showing a diagnosis but no symptom or finding. State what prompted the test and what you are trying to rule out. That single line usually converts the denial into a payment, and it strengthens any appeal you still need.

As a procedure plus the drug, with units driving most of the value. The injection code depends on the muscles treated, and the drug is billed separately by units used, with wastage recorded where applicable. Many plans also require a documented trial of preventive medication first. We track authorisation and verify units on every treatment cycle.

Re-verify the authorisation before they arrive. Approvals carry expiry dates, and infusion appointments move frequently for clinical and personal reasons. A therapy given a week past the approved window is usually unrecoverable, and in neurology that means absorbing a very large drug cost. We re-check every rescheduled treatment as standard practice.

Yes. The key variables are where the study was performed and whether your practice supplied the equipment or only the interpretation. Home and in-laboratory studies bill differently, and some plans require a home study first. We configure the component rule per site and check the plan's site-of-service requirement before the study is scheduled.

Rebuilding how electrodiagnostic studies are counted. Most practices report them at a level below what was actually performed, and the gap repeats every testing day. Comparing one month of technical reports against billed units almost always reveals it. The correction is a coding process change, not a clinical one, so the improvement appears in the next cycle.