EEG duration accuracy, EMG frequency compliance, and a dedicated OON negotiation layer built for neurology — so every claim reflects the care you delivered.
Neurology billing requires precise documentation of EEG duration to justify time-based codes, adherence to EMG frequency limits that vary by payer, and careful E/M level selection for complex neurological evaluations. Time-based documentation errors are the primary cause of neurology claim denials, and payer edits on prolonged service codes frequently reduce reimbursement without clinical justification.
Neurologists in hospital settings frequently treat OON patients, especially for inpatient consultations and emergency evaluations. REL1EF maximizes reimbursement on these high-complexity encounters — the same encounters that payer vendors routinely reprice to a fraction of billed charges.
Diagnostic testing drives neurology revenue, and each study splits into professional and technical components with modifier 26/TC when performed on facility equipment. EEG (95812–95822, plus long-term video monitoring), nerve conduction studies (95907–95913, billed by the number of studies), and the EMG add-on codes (95885–95887, which must pair correctly with the NCS) are dense with edits — billing an NCS unit count that doesn't match documentation is a top denial driver.
Chemodenervation for migraine and dystonia (64612, 64615, 64616) is billed alongside the drug — onabotulinumtoxinA J0585 by units, with precise wastage documentation using modifier JW — and almost always requires prior authorization tied to a documented diagnosis and prior-therapy failure. Prolonged-service and complex E/M coding for cognitive, epilepsy, and movement-disorder management is frequently under-captured.
REL1EF codes EMG/NCS to the documented study count, applies modifier 26/TC correctly, and manages Botox prior authorization, units, and wastage so the J-code is fully reimbursed. Denial work focuses on the neurology patterns that age A/R: NCS unit edits, Botox medical-necessity and PA denials, and EEG component splits — with out-of-network benchmarking and negotiation on hospital-based neurology claims.
Start with the free A/R recovery trial to see our work firsthand — or contact us directly about neurology billing services.
Common questions about neurology billing, EEG coding, and EMG frequency limits.
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