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Neurology Billing Services

Did you know that 20% of the revenue generated by the billing of neurology services is lost because the billed CPT or Dx are inappropriate?

Neurologists and other healthcare practitioners experience a substantial amount of paperwork when payment to them is delayed or denied. Therefore, they use companies such as iMagnum Healthcare Solutions Inc. to assist with their neurology medical billing. Our experienced team understands all aspects associated with medical billing and takes proactive measures to increase their revenue cycle management.

iMagnum’s neurology medical billing services cover the following sub classifications
  • Chemo Denervation
  • Neuro Immunology
  • Nerve Blocks
  • Neuro Rehabilitation
  • Vascular
  • Clinical Neurophysiology
  • Interventional
  • Pain Management
  • Behavioral
  • Neuromuscular
Precision Coding for Complex Neurological Procedures

Billing for neurology procedures requires higher accuracy than almost any other specialty. To bill correctly for complex procedures-such as EEGs, EMGs (nerve impulses), and sleep studies-one must navigate intricate CPT codes, strict documentation requirements, and the specific application of modifiers that directly impact your bottom line.

iMagnum Healthcare Solutions specializes in precision-level neurology billing services as part of its full-service non-nerve injury coding program. iMagnum offers precision-level billing; all billing accuracy is based on:

Procedure-specific CPT codes

  • The CPT code(s) specific to the procedure performed.
  • Rules related to the global period and required modifiers for each procedure.
  • The ability to bill for LCD/NCD compliance for all procedures; and
  • Rules/requirements from each payer regarding billing practices for neurology services.
EEG & EMG Billing Services

Electroencephalography (EEG) and electromyography (EMG) billing involve distinct procedural nuances. It is vital to separate routine EEGs from extended or video EEGs, as reimbursement is heavily dependent on the clarity of documentation.

  • Routine vs. Extended Coding: Ensuring the correct time-based codes are applied.
  • Separate Billing: Modifier 26 (Professional) and modifier TC (Technical) are applied appropriately to maximize the reimbursement from both segments of the service.
  • Continuous EEG (cEEG) Billing: Navigating the complexities of cEEG billing in an inpatient and outpatient setting
Sleep Studies Billing

Payers have strict guidelines for differential diagnostic sleep studies versus CPAP titration and diagnose CPAP titration. Our process ensures that attended and unattended studies are not misclassified.

  • Polysomnography (PSG) and Split-Night Studies: Comprehensive sleep analysis must be medically coded accurately.
  • Home Sleep Testing (HST): Billing specifics of remote diagnostics will be managed correctly during the billing process.
  • Verification of compliance: Ensure that POS codes and prior authorizations have been secured to avoid immediate denial of the claim. Modifier Expertise & Global Periods

Expertise in Modifier & Global Periods Misuse of modifiers contributes significantly to the denial of claims within neurology. Our certified team provides expertise and oversight for the following modifiers:

  • Modifier 59 - Distinct procedural services.
  • Modifier 25 – Significant, separately identifiable E/M service performed on the same day as a procedure.
  • Modifier 51 & 76/77 – Billing for multiple/repeated procedures.
  • Global periods analysis – Review 0-day, 10-day, and 90-day global periods to ensure all follow-up care is billed correctly within payer guidelines.
Why Choose iMagnum Healthcare Solutions?

iMagnum Healthcare Solutions Inc. is an ISO-certified coding and billing services provider. With rich experience in neurology medical billing, we have a team of certified medical billers and coders who have seen success with many hours' worth of projects. We customize services that are specifically tailored to your administrative requirements while also adhering to HIPAA laws as required.

Benefits of Leveraging Our Neurology Billing Services Include:

  • Superior Claim Resolution: We provide extremely effective procedures to settle any outstanding claims.
  • Transparent Reporting: You are provided with frequent reports that explain the productiveness of your company's work as well as claims that are pending.
  • Reduced A/R Days:Your organization sees an immediate decrease in the number of claims denied and the number of days it takes to process A/R.
  • Regulatory Peace of Mind:You'll no longer need to worry about the constantly changing regulations that guide medical billing.
  • Specialized Expertise:You will have access to qualified neurology billing professionals that are familiar with the business needs of a billing firm and know how to swiftly find solutions to problems.

The only way for a neurologist to avoid the above-mentioned medical billing landmines is to travel the neurology billing battlefield alongside a medical billing business like iMagnum Healthcare Solutions Inc. that has extensive and validated experience navigating the neurology billing hazards.

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