Neurology Billing Services
Neurology is one of the most documentation-driven specialties in billing. Revenue lives in diagnostic testing, nerve conduction studies, EEG, infusions, and injections, and every one of those services has its own bundling rules, component splits, and modifier logic. A claim that describes the clinical work correctly but codes it slightly wrong will deny, and a claim coded aggressively without matching documentation will not survive an audit.
MedPlus RCM provides medical billing, coding, credentialing, and denial management for neurology practices, built around the coding rules that actually decide whether neurology claims pay.
Neurology billing challenges
Nerve conduction studies and needle EMG are neurology’s highest-volume diagnostic family and its densest bundling risk. Nerve conduction studies are billed by the number of studies performed, using codes 95907 through 95913, while needle EMG performed at the same session is reported with add-on codes 95885 through 95887, not with the standalone EMG codes. Billing standalone EMG codes alongside nerve conduction studies for the same limb is one of the most common neurology bundling errors, and the note must show how many nerves and muscles were studied to support the code chosen.
The professional and technical split is a second trap. When one practice records an EEG and another physician interprets it, each bills only its own component, using modifier 26 for the interpretation and modifier TC for the technical recording. When the same practice does both, the global code is billed without a modifier. Billing the global code when only one component was performed creates a denial or an overpayment that auditors catch.
Same-day evaluation and procedure combinations complete the picture. An evaluation visit billed on the same day as an EMG, EEG, or injection needs modifier 25, and the note must show decision-making genuinely separate from ordering and reviewing the test itself. A note that only says the patient came in for testing does not support a separate visit. Infusion claims add their own layer, pairing administration codes with drug codes, where a small diagnosis or authorization mismatch on a high-cost claim costs real money.
What MedPlus RCM handles for neurology practices
- End-to-end medical billing. Charge entry, claim scrubbing, submission, payment posting, and patient billing, the full cycle.
- Medical coding. Certified coders assign current ICD-10, CPT, and HCPCS codes matched to your documentation and specialty.
- Provider credentialing and enrollment. End-to-end enrollment with commercial payers and Medicare, plus re-credentialing maintenance.
- Denial management and recovery. Every denial investigated to root cause, corrected, and appealed with documentation.
- A/R recovery. Aged and outstanding balances audited and pursued, including balances already written off where the appeal window is still open.
- Financial reporting. Clean claim rates, collections, denial patterns, and A/R aging visible by payer and provider.
We serve neurology practices of every size, including general neurology, epilepsy, movement disorders, neuromuscular, multiple sclerosis, headache, and stroke practices, across office, hospital, and telehealth settings.
Results neurology practices can check
MedPlus RCM maintains a 99% clean claim rate and keeps client accounts receivable under 30 days. Pricing is a performance-based percentage of successfully collected revenue: if you don’t get paid, we don’t get paid. We are 100% HIPAA compliant, and onboarding takes 2 to 4 weeks depending on practice size, with no disruption to your daily cash flow.
Frequently asked questions
Can we bill an office visit on the same day as an EMG or EEG?
Yes, when the visit is significant and separately identifiable from the testing itself. The note must document decision-making beyond ordering and reviewing the test, and modifier 25 goes on the evaluation code.
How are nerve conduction studies and needle EMG billed together?
Nerve conduction studies are billed by study count, and needle EMG at the same session is reported with add-on codes. Standalone EMG codes are used only when no nerve conduction study was performed the same day.
What if another practice records the EEG and we only interpret it?
Bill the professional component with modifier 26. Billing the global code when you performed only the interpretation is an overpayment risk.
Do you handle infusion billing for neurology practices?
Yes. We bill infusion administration together with the drug code, and verify authorization and diagnosis support before submission, since these are high-cost claims.
How long does it take to switch our billing to MedPlus RCM?
Onboarding takes between 2 and 4 weeks depending on practice size, including data migration and payer clearinghouse setup.
What does MedPlus RCM charge?
A performance-based percentage of successfully collected revenue. If you don’t get paid, we don’t get paid.
Get a free financial audit
Find out where your neurology practice is losing revenue. Request a free financial audit and our specialists will review your claims, denials, and A/R.
