Undercounted EMG & nerve studies
Billing one "EMG/NCS" line instead of the full stack leaves 30–55% of that revenue uncollected
In a single neurology encounter, you might document a high-complexity visit, run an EEG, test a dozen nerves, needle several muscles, and administer a Botox injection — each with its own code, its own component split, its own modifier, and its own documentation rule. Get any piece wrong and the claim denies, gets underpaid, or triggers an audit. Studies show the average neurology practice without specialty billing collects just 62% to 70% of the revenue it legitimately earned.
Our neurology billing services are built specifically for that complexity. We capture every billable unit on your EMG and nerve conduction studies, keep every Botox and infusion authorization active, apply the exact component and modifier logic each procedure demands, and fight every denial — so the revenue you earn actually reaches your account.
Get a free neurology billing audit. We'll review your recent claims and show you, in writing, where revenue is leaking — undercounted nerve studies, expired authorizations, missed device programming, undercoded visits — and exactly how much we can help you recover. No cost, no obligation, findings yours to keep.
Billing one "EMG/NCS" line instead of the full stack leaves 30–55% of that revenue uncollected
Denials averaging $3,000–$5,000 per case on high-volume migraine and spasticity injections
Medicare Advantage plans quietly repricing EEG/EMG technical claims below your contracted rate
DBS and spinal-cord-stimulator sessions worth $400–$800 each, never billed
High-cost imaging, infusions, and injectables denied at billing for auths that expired unappealed
Refractory epilepsy and neurodegenerative visits billed lower than the note supports
Outdated or unspecified diagnosis codes triggering mass denials on MS, migraine, and Parkinson's claims
A general billing company can process an office visit. Neurology overwhelms them, because your practice operates across three demanding billing systems at the same time — and they interact.
EEG, EMG, and nerve conduction studies each have their own code families, their own Local Coverage Determination rules defining medical necessity and how many studies are covered, and their own technical-versus-professional component splits. Miscount the nerves or muscles and you either underbill or trigger an audit. Neurology also carries the highest exposure to bundling denials of any specialty, because so many services happen in a single session.
Component modifiers, distinct-service modifiers, same-day E/M modifiers, telehealth modifiers, bilateral modifiers — neurology uses the most technically demanding modifier logic in the entire coding system. One wrong application flips a paid claim into a bundling denial or an audit flag.
Your patients have epilepsy, MS, Parkinson's, migraine, dementia, neuropathy — conditions that mean high-complexity cognitive visits, standing medication and infusion plans, heavy prior authorization, and constant ICD-10 specificity requirements that change year to year. When the MS diagnosis code set was overhauled, practices still using the old code faced instant mass denials.
The hardest losses in neurology aren't the denials you can see. They're the money that quietly never gets billed, or gets paid at the wrong rate. Here's where it hides — and it adds up fast.
A complete bilateral upper-and-lower EMG with nerve conduction studies should generate multiple distinct codes worth several hundred dollars — but practices that collapse it into a single line lose a third to half of that on every study. Across a busy month, that's a five-figure recurring loss.
Some Medicare Advantage plans reprice the technical component of your EEG and EMG claims below your contracted rate. These aren't rejections — they're accepted underpayments that never get flagged unless someone compares every payment against your actual contract, claim by claim.
DBS and spinal-cord-stimulator programming sessions are separately payable and are not part of the surgical global period — yet they're routinely omitted, leaving hundreds of dollars per session on the table.
With prior authorization required by virtually every payer, a lapsed auth on a chronic migraine or spasticity patient means a denied claim worth thousands, on a service you already delivered.
We don't offer a generic package with a neurology label. Every service below is built around how neurology practices actually earn — and lose — revenue.
Our certified coders count every motor, sensory, F-wave, and reflex study individually, select the correct tiered code, apply the right component and distinct-service modifiers, and scrub every claim against the governing LCD before submission. We capture the full multi-code stack each study generates — the single biggest source of recoverable revenue in most neurology practices.
Routine EEG, ambulatory EEG, and long-term video EEG and epilepsy-monitoring-unit studies — each coded correctly with the professional-technical split applied for your place of service and equipment ownership, including the 2026 updates to the EEG code set and the rules for remote tele-EEG interpretation.
We bill onabotulinumtoxinA by units administered, not by vial, pair the drug supply code with the correct injection code for migraine, cervical dystonia, or spasticity, and make sure the required medical-necessity documentation — failed preventive history, headache diary, disability — is in place so these high-dollar claims pay the first time.
For IVIG, MS disease-modifying therapies, and migraine infusions, we handle the time-based infusion coding with exact start-and-stop documentation, the drug J-codes and units, and the same-day E/M billing — so your infusion suite collects fully instead of losing add-on hours and drug units.
We capture DBS and spinal-cord-stimulator programming sessions as the separately payable, non-global services they are — recovering revenue most practices don't even realize they're leaving behind.
Neurology carries one of the heaviest authorization burdens in medicine — MRI and advanced imaging, EEG monitoring, EMG/NCS, Botox, CGRP therapies, MS infusions, genetic testing, and neurostimulation. Our dedicated auth team secures approvals up front and keeps them active, so care isn't delayed and claims don't die at billing for a lapsed authorization.
Refractory epilepsy, advanced movement disorders, and neurodegenerative disease are genuinely high-complexity visits — and we code them to the level your documentation supports, including time-based selection and prolonged-services add-ons, so the cognitive work you do is actually paid for instead of defaulted down.
Your epilepsy, Parkinson's, MS, and dementia patients qualify for care-management revenue that most neurology practices never capture. We set up and bill it, turning the coordination you already provide into steady monthly income.
We keep your diagnosis coding current and specific — MS subtypes, migraine sub-classifications, Parkinson's staging, Alzheimer's specificity — so you don't get caught in the mass-denial waves that hit practices still using outdated or unspecified codes.
Our denial management team works every denied neurology claim to its root cause and appeals what's owed — and, just as important, we compare every payment against your contracted rates to catch the technical-component underpayments that never show up as denials.
We handle credentialing and enrollment for your neurologists and advanced-practice providers across every payer, and start new-provider enrollment at hire — so no one is performing studies or procedures they can't yet bill for. Reliable neurology credentialing keeps revenue flowing from a provider's first day.
Clear monthly reporting on clean-claim rate, denial rate by category, EMG/NCS capture, authorization turnaround, days in A/R, and revenue by procedure and provider — so you always know exactly how your practice is performing.
Full electrodiagnostic code stacks, infusion add-on hours, device programming, and drug units — the revenue generalist billers miss, we bring in.
Neurodiagnostics are a top audit target. Complete, LCD-compliant documentation and correct modifier logic keep your denial rate low and your practice off the recoupment list.
A dedicated auth team keeps Botox, infusion, and imaging approvals active, so care moves forward and claims don't die at billing.
We catch the technical-component repricing that quietly drains neurology revenue and pursue it before the filing window closes.
We take coding, claims, prior auth, appeals, and patient billing off your staff, so they stop chasing authorizations after hours and get back to patient care.
Whether you're a solo neurologist who needs the billing off your desk or a large group running diagnostics, injections, and infusions across multiple sites, we build around how your practice actually operates — and scale with you.
Electrodiagnostic component coding, Botox unit billing, infusion J-codes, device programming, the prior-auth gauntlet — this is what we do every day, and it shows up directly in your collections.
Commercial and Medicare Advantage variance is where neurology practices lose the most, especially on technical components. We maintain payer-specific rule libraries and check every payment against your contract.
The free audit shows you, in writing, the revenue we can recover — often $15,000 or more in missed reimbursements — so you decide with real numbers, not promises.
Transparent pricing, honest reporting, and no long-term contract locking you in. If we're not improving your collections within 90 days, you're free to leave.
Our incentives are tied to your revenue, so we're driven to capture every unit and every dollar you've earned.
Tell us about your practice — your diagnostic volume, whether you run infusions or Botox clinics, your payer mix. A five-minute form, confirmed within one business day.
Within about a week, you'll get a clear picture of where you're losing revenue — undercounted studies, expired auths, component underpayments, missed programming — and how much we can recover. Yours to keep.
We work inside your existing system, so nothing changes about your schedule, your EEG lab, or your infusion suite. Most practices are fully live in two to three weeks, with no gap in claims.
Every month, you see higher collections, fewer denials, active authorizations, and a lighter load on your team.
EMG and nerve conduction studies are separately billable when both are medically necessary and documented — and each individual nerve tested (motor, sensory, F-wave, reflex) counts as one study, driving which tiered code applies. A complete bilateral upper-and-lower study can correctly generate multiple codes worth several hundred dollars, but practices that bill a single "EMG/NCS" line lose 30% to 55% of that revenue. We count every study, apply the correct component and distinct-service modifiers, and meet the LCD documentation rules so the full amount pays.
The drug is billed per unit — a standard chronic migraine protocol runs 155 units across 31 injection sites — paired with the correct chemodenervation injection code, and it requires prior authorization from virtually every payer. Medical necessity documentation must include failed preventive medication history, a headache frequency diary, and disability documentation. Miss any element or let the authorization lapse and you face a denial averaging $3,000 to $5,000. We handle the units, the coding, the documentation, and the authorization so these claims pay.
Neurology denial rates run 14% to 18%, driven mainly by electrodiagnostic LCD non-compliance, medical-necessity documentation gaps, and prior-authorization failures on high-cost imaging and injectables. Medical necessity alone accounts for over half of all neurology denials. Most are preventable with specialty-specific documentation and front-end authorization — exactly what our denial management and prior authorization services focus on.
Many neurology diagnostics — EEG, EMG, nerve conduction studies — split into a technical component (the equipment and staff) and a professional component (the neurologist's interpretation). When you own the equipment and interpret in your office, you bill globally; when the setting differs, the components split with specific modifiers. Getting this wrong causes denials or underpayments, and Medicare Advantage plans often reprice the technical component below contract. We apply the right component logic and catch the underpayments.
Yes. We bill IVIG, MS, and migraine infusions with correct time-based coding and drug units, and we capture DBS and spinal-cord-stimulator programming sessions as the separately payable services they are — revenue many practices omit entirely.
No. We work inside your existing EHR and practice-management system, so nothing changes about your clinical day, your EEG lab, or your infusion schedule. Most practices transition in two to three weeks with no interruption to claims, and start seeing results within the first billing cycle.
Our pricing is transparent and performance-based — we do well when you get paid. The free audit shows you what we can recover, so you can weigh the cost against the revenue before you commit. For most practices, the additional revenue we capture more than covers the service.
Your neurologists do some of the most cognitively demanding work in medicine — reading the studies, managing complex chronic disease, delivering the injections and infusions that keep patients functioning. You shouldn't lose a third of that hard-earned revenue to an undercounted nerve study, an expired authorization, or a component paid below contract. Our neurology billing services make sure every study, every unit, and every visit is billed fully, paid correctly, and protected from the denials and audits that cost neurology practices the most.
Start with the free audit. See the number. Then decide.Start with the free audit. See the number. Then decide.