Complete neurology billing and coding for Nevada neurologists — EEG, EMG/NCS, Botox, infusion and complex E/M claims built to get paid.
Nevada Medical Billing Services provides complete neurology billing and coding services for Nevada neurologists, from prior authorization and E/M coding to EEG, EMG, infusion claims and denial recovery. Our certified coders build every claim around the documentation payers scrutinize most, targeting a 95%+ clean claim rate and under 35 days in A/R. You protect patients' brains and nerves; we protect the revenue that keeps your practice standing.
HIPAA compliant · Signed BAA · No obligation
95%+
clean claim rate target
<35
days in A/R
HIPAA
compliant with signed BAA
Flexible
no long-term contract
Neurology billing services are specialized revenue cycle management services for neurologists and neurodiagnostic practices. They cover eligibility verification, prior authorization, CPT and ICD-10-CM coding, charge entry, claim submission, payment posting, denial management and A/R follow-up for services such as EEG, EMG and nerve conduction studies, complex E/M visits, Botox injections and neurologic infusions.
Nevada Medical Billing Services delivers that full cycle for Nevada neurology practices, so the expertise you put into every diagnosis is matched by the precision of every claim.
Neurology is one of medicine's most denial-prone specialties. The failures are rarely random; they cluster in the same five places, month after month.
Read an EEG you did not record, and the claim needs modifier 26. Own the equipment but send the read out, and it needs TC. Do both, and it bills globally. One missing modifier turns a valid study into a denial or an overpayment.
Nerve conduction studies are billed by the number of studies performed, and needle EMG uses different codes when it is performed with NCS. Miscount one nerve, or pair the wrong EMG code, and the payer reduces or rejects the whole encounter.
Neurology visits often justify level 4 and 5 E/M codes, but only when medical decision-making or total time is clearly documented. Under-code and you leave money behind; over-code and you invite an audit. The G2211 add-on for ongoing complex care is missed by most billing teams altogether.
Botox for chronic migraine, MS disease-modifying infusions, IVIG and anti-amyloid therapy all need approval before treatment. When the authorization lapses mid-series, every subsequent claim is at risk.
Epilepsy, migraine and MS codes demand precise specificity, and MS moved to phenotype-specific G35 subcodes on October 1, 2025. Claims still carrying retired codes are denied as invalid for the date of service.
One accountable team manages your neurology revenue cycle end to end, so nothing falls between handoffs.
We verify coverage and benefits 48-72 hours before every visit, study and infusion, then secure and track authorizations, including payer decisions due within 72 hours (urgent) or 7 days (standard) under the CMS 2026 rule for Medicare Advantage and Medicaid plans.
AAPC and AHIMA-certified coders assign CPT, ICD-10-CM and HCPCS codes with correct modifiers, study tiers and diagnosis specificity on every claim.
We reconcile scheduled studies against signed reports daily, enter charges within 24-48 hours and scrub every claim against NCCI, MUE, LCD and payer-specific edits.
We code drugs by billing unit, report NDCs, apply JW or JZ wastage modifiers and monitor buy-and-bill margins so infusions do not quietly lose money.
ERAs and EOBs are posted daily and compared against contracted rates. Underpaid studies and infusions are appealed, not accepted.
Every denial is worked within 48 hours, root-caused and corrected at the source so it does not repeat.
We manage CAQH, PECOS, Noridian, Nevada Medicaid and commercial enrollment, report your KPIs monthly and support MIPS data submission.
| Service line | Services we bill | Common CPT / HCPCS families | Main billing risk we manage |
|---|---|---|---|
| Office and hospital E/M | New and established visits, consults, prolonged services | 99202-99215, G2211, 99417 / G2212 | MDM or time support, G2211 eligibility |
| Electroencephalography (EEG) | Routine, sleep-deprived, ambulatory and long-term video EEG | 95812-95822, 95700-95726 | 26 / TC split, LTM duration and monitoring tier |
| Electrodiagnostics | Nerve conduction studies, needle EMG | 95907-95913, 95885-95887, 95860-95872 | Study count, NCS + EMG pairing, MUE |
| Evoked potentials and autonomic testing | VEP, SSEP, BAEP, autonomic function tests | 95925-95939, 95921-95924 | Medical necessity, component billing |
| Chemodenervation | Botox for migraine, spasticity, dystonia | 64612-64647, J0585 | Prior auth, site-specific codes, JW / JZ |
| Neurologic infusions | MS disease-modifying therapy, IVIG, CGRP infusions, anti-amyloid therapy | 96365-96417 + drug J-codes | Units, NDC, auth renewals, CMS registry for anti-amyloid drugs |
| Neuromodulation | TMS, DBS and VNS programming | 90867-90869, 95970-95984 | Session counts, prior auth, programming complexity |
| Sleep neurology | In-lab polysomnography, home sleep testing | 95808-95811, 95800-95806 | Setting, payer HST-first policies |
Code families are representative; every claim is coded to current-year CPT and CMS rules.
| Denial code | What it means | Typical neurology trigger | How we prevent it |
|---|---|---|---|
| CO-50 | Not medically necessary | EEG or EMG ordered without an LCD-covered diagnosis | Diagnosis checked against Noridian LCDs before submission |
| CO-4 | Modifier missing or invalid | Modifier 26 omitted on an interpretation-only EEG | Component validated against who owns the equipment |
| CO-151 / CO-119 | Units or frequency exceed limits | NCS units above MUE or a repeat study inside the payer window | Unit counts and frequency checked per patient |
| CO-197 | Prior authorization missing | Botox, IVIG or MS infusion given without a current approval | Authorizations tracked by date, units and expiry |
| CO-146 | Diagnosis invalid for date of service | Retired G35 MS code used after Oct 1, 2025 | Annual ICD-10 updates loaded and audited |
| CO-97 | Bundled service | EMG guidance billed with chemodenervation where not allowed | NCCI scrub with neurology-specific rules |
| CO-16 | Missing information | Missing NDC, referring NPI or interpretation report | Pre-submission documentation checklist |
No migration and no new software. Our team works directly in your EHR and practice management system under a signed BAA, including Epic, eClinicalWorks, athenahealth, NextGen, AdvancedMD, ModMed and Tebra, and with EEG and EMG reporting systems such as Natus and Cadwell. We reconcile every scheduled study with a signed report and a billed claim, so no test goes unbilled.
Free neurology billing audit: We review 90 days of claims, denials, testing volume and A/R to find revenue leakage.
Onboarding in 2-3 weeks: EHR access, payer setup, fee schedule review and a dedicated account manager.
Front-end protection: Eligibility, benefits and prior authorization before every study and infusion.
Precision coding: Certified coders code from signed notes and interpretation reports within 24-48 hours.
Clean submission: NCCI, MUE, LCD and payer edits, then electronic submission.
Posting and follow-up: Daily posting, underpayment checks and A/R follow-up by aging bucket.
Denials, appeals and reporting: Root-cause fixes and a monthly KPI review with your team.
National vendors treat Nevada as a dropdown. We work Nevada payer rules every day.
We code to Noridian's LCDs for nerve conduction, EMG, EEG and chemodenervation, and manage Medicare Advantage plans with their own authorization rules.
We handle Nevada Medicaid fee-for-service and managed care claims, eligibility changes and plan-specific authorization for infusions and testing.
EMG and nerve conduction studies are common in Nevada injury cases. We bill workers' compensation insurers and TPAs under the Nevada Medical Fee Schedule and manage attorney-liened personal injury claims.
Anthem Blue Cross Blue Shield Nevada, Health Plan of Nevada and UnitedHealthcare, Prominence Health Plan, Hometown Health, Aetna, Cigna and TRICARE.
Las Vegas, Henderson, Summerlin, North Las Vegas, Reno, Sparks and Carson City, supported on Pacific Time during your clinic hours.
| Factor | In-house billing team | Nevada Medical Billing Services |
|---|---|---|
| Cost | Salaries, benefits, training, software, turnover | One percentage of collections; we earn only when you are paid |
| Neurology coding expertise | Often one generalist biller | Certified coders who bill EEG, EMG and infusions daily |
| Regulatory updates (ICD-10, CPT, LCDs) | Learned through denials | Loaded and audited before they take effect |
| Coverage during PTO or turnover | Billing stalls | Continuous, with backup billers |
| Denial follow-up | When time allows | Within 48 hours, root-caused |
| Reporting | Manual and inconsistent | Monthly KPI dashboard and review call |
Stop spending evenings on claims. We become your full billing department for less than the cost of one in-house biller.
Provider-level reporting, consistent E/M coding across physicians and one point of contact across locations.
Component billing, study tiers and high-volume testing claims managed with daily reconciliation.
Authorization renewals, drug units, NDC accuracy and buy-and-bill margin monitoring for long-term therapies.
Every coder on your account holds AAPC or AHIMA credentials and codes neurology every day.
We run your account to a 95%+ clean claim rate, 96-99% net collection rate, denial rate under 5% and fewer than 35 days in A/R. Neurology practices moving from generalist billing to specialists commonly see collections rise 10-15% within six months.
We flag documentation gaps on E/M levels, EEG reports and EMG studies before claims go out, protecting you from payer audits and recoupments.
One named contact, a direct line and a monthly review call. No ticket queues.
Month-to-month with 30 days' notice. We keep your business by performing, not by locking you in.
Our pricing is a percentage of collections, typically 4-7% for neurology practices, based on claim volume, payer mix, infusion volume and the services you need. No setup fees, no hidden charges, and you pay only on money we collect. We confirm your exact rate after a free audit.
HIPAA compliant · Signed BAA · No obligation
In a free 30-minute audit, we review your denials, testing volume, E/M distribution and A/R aging, then show you exactly where revenue is leaking and what it is worth to recover.
Free 30-minute review · No obligation · HIPAA compliant with signed BAA
Internal medicine billing servicesPrimary care billing servicesCardiology billing servicesGastroenterology billing servicesNeurology billing services include eligibility checks, prior authorization, CPT and ICD-10 coding, charge entry, claim submission, payment posting, denial management, A/R follow-up and reporting. Nevada Medical Billing Services also handles drug and infusion reimbursement, credentialing and MIPS support.
Neurology billing is complex because one practice bills E/M visits, tiered nerve conduction studies, EEGs with split components, Botox and high-cost infusions, each with its own codes, authorization rules and documentation standards. ICD-10 specificity changes add further risk every October.
Use modifier 26 when the neurologist only interprets the EEG and does not own the equipment or employ the technologist. Use TC when the practice performs the recording but someone else reads it, and bill globally with no modifier when the practice does both.
Nerve conduction studies are billed with 95907-95913 based on the number of studies performed. When needle EMG is done in the same session, it is reported with add-on codes 95885-95887 instead of the standalone EMG codes.
Yes. G2211 is a Medicare add-on to office and outpatient E/M visits for ongoing care of a serious or complex condition, such as epilepsy, MS or Parkinson's. It generally cannot be added when the visit carries modifier 25 for a same-day procedure, apart from narrow CMS exceptions.
The most common neurology denials are CO-50 (medical necessity), CO-4 (missing modifier 26 or TC), CO-151 (units above limits), CO-197 (missing prior authorization) and CO-146 (outdated diagnosis codes). Most are preventable with pre-submission checks.
Yes. We bill chemodenervation for migraine, spasticity and dystonia, plus MS, IVIG, CGRP and anti-amyloid infusions, with prior authorization, drug units, NDCs and JW / JZ modifiers handled correctly.
Outsourcing usually costs less than an in-house team once salaries, benefits, software and turnover are counted, and it gives you certified coders who bill neurology daily. In-house can work for large groups with dedicated neurology coders and stable staff.
Most neurology billing companies charge a percentage of collections, commonly 4-7%, depending on volume, payer mix and services. Nevada Medical Billing Services confirms a flat percentage after a free audit, with no setup fees.
Yes. We bill Nevada workers' compensation insurers and TPAs under the Nevada Medical Fee Schedule, and we manage personal injury claims with attorney liens.
Yes. We bill Medicare through Noridian (Jurisdiction F), Medicare Advantage plans, Nevada Medicaid and its managed care plans, and Nevada commercial payers such as Anthem BCBS Nevada and Health Plan of Nevada.
Onboarding typically takes 2-3 weeks, including EHR access, payer setup and fee schedule review. We also work your existing A/R during the transition so no revenue is lost in the handover.