Neurology Billing Services | Reduce Your Neurology Claim Denials to 1%
Transcure delivers HIPAA-compliant neurology billing services that produce 99% clean claim rates and 21-day reimbursement cycles for neurology practices and hospital neurology departments. We offer:
- Full compliance with CMS LCDs, Medicare prior auth rules, Medicaid, and commercial payer neurology guidelines
- Claim denial prevention via precise CPT coding for EEG (95812–95830), EMG/NCS (95860–95913), and ICD-10 accuracy for G40, G35, and G43
- Specialized billing for epilepsy monitoring, ischemic stroke (I63), movement disorder, MS infusions, and deep brain stimulation
- Modifier 25, 59, and XU accuracy on same-day E/M plus EMG/NCS to prevent NCCI bundling denials
- Epilepsy and epileptology billing for routine EEG, LTM (95711–95726), VNS analysis and programming (95976–95977), and refractory epilepsy (G40.3) management
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Our Success in Numbers
Trusted by
500+ Physicians
Catering to
40+ Specialties
1100+ Certified
Medical Billers & Coders
End-to-End
RPA Billing Solutions
Up to 98% First Pass
Clean Claim Rate
How Our Neurology Billing Services Improve Revenue for Practices
Neurology medical billing demands precision across complex diagnostics (EEG, EMG, NCS), evolving CPT/ICD-10 codes, and payer medical necessity rules. Neurology claim denial rates are higher than the industry average of 19%. We optimize Medicare neurology reimbursement by applying accurate CPT and ICD-10 coding aligned with CMS Local Coverage Determinations (LCDs) and neurology billing guidelines.
Our neurology billing services help medical practices navigate these challenges, resulting in reduced administrative burden and maximum revenue. Within the first month of outsourcing neurology billing to Transcure, neurology practices see:
- 30% reduction in A/R
- 99% First Pass Claim Rates
- 20% Increase in Revenue
- Faster Turn Around Time of 48 Hours
Neurology Practices That Trust Our Neurology Billing Services
Many neurology practices trust Transcure for neurology billing service support and revenue cycle management. Our experience covers MS care, epilepsy, sleep studies, stroke care, and movement disorder billing. We work with independent neurologists as well as large multi-location neurology groups, including
How Do Transcure Neurology Billing Services Improve Reimbursement and Billing Accuracy?
Transcure uses a six-agent AI workflow designed for medical billing services for neurology, supported by neurology-certified coders. Here are details of our neurology billing services to improve billing accuracy and collections:
Neurology Eligibility & Benefits Verification
ELIXA verifies coverage for MS DMTs, Botox migraine prior auth, and long-term EEG monitoring before the visit to reduce common neurology denial triggers.
Neurology Prior Auth & Step Therapy
PRIA manages prior authorization before scheduling for MS disease-modifying therapies, Botox for chronic migraine with CGRP step therapy requirements, and Leqembi CED registry intake to prevent authorization denials.
Charge Capture for Neurology Services
Automated charge capture supports long-term EEG monitoring, Botox unit tracking, and EMU daily billing, ensuring fewer missed add-on services and split-component billing errors.
Neurology CPT & ICD-10 Coding
CODIN automatically assigns chart-supported codes for neurology workflows, including EMG/NCS combinations to improve coding consistency and reduce manual review time.
Claim Submission & Scrubbing
CLAIR scrubs claims against NCCI EMG/NCS bundling edits (modifier 59/XU) and MAC-specific LCDs for EEG and EMG before clearinghouse submission to reduce avoidable denials.
Payment Posting & Reconciliation
REMITA reconciles drug margins for Ocrevus and Tysabri, adjusts wastage billing (JW/JZ), flags Botox underpayments, and balances telestroke billing across payers in real time.
A/R Follow-Up & Denial Resolution
ARIS prioritizes high-value neurology denials, such as MS DMT prior auth and EEG/sleep study LCD denials, and auto-generates appeals with supporting clinical evidence.
Compliance Monitoring & Audit Defense
Transcure tracks LCD compliance for high-audit neurology codes such as EMG and Botox chronic migraine, and prepares audit defense documentation packages
How Does Transcure Handle Different Laws and Challenges Affecting Neurology Billing?
Transcure assigns neurology-trained billing specialists who track CMS rule changes, apply correct CPT and ICD-10 codes, and prevent compliance violations. Our neurology medical billing services cover:
Medicare Physician Fee Schedule Efficiency Adjustment
CMS-1832-F introduces a -2.5% work RVU efficiency adjustment under the CY 2026 Physician Fee Schedule, reducing reimbursement for EEG, EMG, NCS, and polysomnography. Transcure’s CODIN applies updated 2026 conversion factors before charge entry.
NCCI Bundling on EMG and Nerve Conduction Studies
CMS NCCI edits bundle same-day EMG (95860–95887) and nerve conduction studies (95900–95913), causing denials without modifier 59 or XU. Transcure’s claim scrubbing applies the correct unbundling modifier before submission.
FAST Act for Telestroke Billing
FAST Act (Section 50325, BBA 2018) removed Medicare geographic and originating-site limits for acute stroke telehealth. Transcure bills G0421 and Q3014 with POS 02/10, modifier 95, and required NIHSS, last-known-well, and tPA documentation.
21st Century Cures Act and Information Blocking
21st Century Cures Act (PL 114-255; 45 CFR Part 171) links Information Blocking compliance to MIPS Promoting Interoperability scoring. Transcure manages PI attestation and USCDI-mapped EHI export for neurology data including video EEG, polysomnography, and EMG/NCS.
How Transcure Helped Neurology Care Clinic Transform Neurology Billing with SOP-Driven RCM?
Neurology Care Clinic lacked a structured billing system, resulting in inconsistent claims, high denial rates, and revenue leakage. Transcure implemented a full SOP-driven framework covering billing criteria, posting rules, and claims management (CM) flow. The entire process was standardized and vetted before billing began.
After implementation, collections increased from $300K–$350K to ~$650K, driven by a shift toward higher-paying insurance for the same services. Denials dropped from 34–50 per day to just 3–4 per day after tightening front-end documentation and making every visit billing-ready from the start. Your neurology practice can see similar improvements with the same structured billing approach.
Dr. Shahram Khalid, MD
Neurology Care Clinic
Working with Transcure has been a very positive experience for our neurology practice. They built a structured SOP-based billing system that improved our entire revenue cycle. Denials dropped significantly, and reimbursements became more consistent. The process is now much more controlled and predictable. Their communication and support throughout the engagement have been strong and reliable.
How Transcure Handles Neurology Billing and Coding For Different Neurology Procedures
Transcure’s neurology billing services are designed to manage neurology procedures that need advanced coding accuracy and strict payer compliance. Our neurology medical billing expertise covers the following complex procedures:
Epilepsy Billing for EEG and Long-Term Monitoring
Our team manages end-to-end billing for epilepsy procedures, including EEG and long-term video monitoring coding, time-based interpretation reporting, VNS programming claims, and prior authorizations supported by medical-necessity documentation.
Movement Disorders Billing
Our billing specialists are experienced in movement disorder procedures, including deep-brain stimulation (DBS) programming. We manage prior authorizations, medical-necessity documentation, and payer-specific rules for conditions such as Parkinson’s disease, essential tremor, and dystonia.
Stroke & Vascular Neurology Billing
We handle stroke and vascular neurology billing, including imaging interpretation, tPA administration, mechanical thrombectomy, and inpatient neurology E/M services. Our team ensures correct coding for acute and follow-up care while maintaining compliance with payer guidelines.
EEG Billing
Our EEG billing services cover routine, ambulatory, and long-term video EEG monitoring. We apply accurate CPT coding for extended monitoring, digital analysis, and physician interpretation while managing modifiers, documentation requirements, and denials
EMG Billing
We provide neurology billing for electromyography and nerve conduction studies, including correct muscle selection coding, limb-based reporting rules, and EMG-NCS pairing. Our team ensures proper documentation and prior authorizations for timely and accurate reimbursement.
IVIG Infusion Therapy
Transcure manages end-to-end neurology billing for IVIG infusion therapy used in neurological conditions. We handle drug and administration coding, infusion time tracking, prior authorization, and medical necessity validation to ensure compliant billing.
Neurology Billing Services Serving Nationwide
As one of the leading neurology billing companies in the U.S, Transcure has a strong presence in all the major states and is growing. Our mission is to deliver specialty-driven neurology medical billing services that adapt to each state’s unique healthcare requirements.
Which Neurology CPT & ICD-10 Codes Can Our Billing Experts Handle
Transcure’s neurology billing team ensures accurate neurology billing and coding for neurologic diagnostics, treatments, and complex care, reducing denials and improving reimbursements. Our neurology billing expertise spans:
95810, 95811
- Polysomnography (attended sleep studies)
95717–95726
- Long-term EEG monitoring (video EEG, ambulatory)
95940, 95941
- Intraoperative neurophysiologic monitoring (IONM)
63650
- Percutaneous spinal neurostimulator electrode implant
64612, 64642–64647
- Chemodenervation (Botox) for dystonia and limb spasticity
G47
- Sleep disorders
G35
- Multiple sclerosis
G56
- Mononeuropathies of upper limb
G30
- Alzheimer's disease
Why Transcure Is a Better Neurology Billing Outsourcing Partner
Here’s a detailed comparison of what makes us a better neurology billing company than others
Feature
Specialty-Specific Neurology Billing
AI-Powered Revenue Cycle Management
Compliance-First Approach
Dedicated Account Manager
Pricing
Transcure
Neurology billing outsourcing with subspecialty expertise (EEG, EMG, NCS, Botox, E/M coding)
AI-assisted claim scrubbing, denial prediction, and workflow automation
Strong alignment with CMS, Medicare, Medicaid, and commercial payer rules
Dedicated neurology billing account manager for consistent support
Fixed 5% billing fee model
Other Neurology Billing Companies
General or multi-specialty billing focus
Manual or semi-automated processes
Limited neurology-specific compliance controls
Shared or non-specialized support teams
Typically 6%–10% depending on volume and services
Why You Should Outsource Neurology Billing Services to Transcure?
Outsourcing neurology billing lets your practice focus on complex patient care while specialists handle EEG, EMG, and multi-payer claims reducing administrative overhead. Here’s why you should outsource neurology billing to us:
Dedicated Neurology Manager
Transcure assigns a dedicated neurology manager to oversee neurology billing, payer follow-ups, and denials, reducing claim resolution time.
Neurology Credentialing Support
We manage Medicare Part B and commercial enrollment for neurologists, preventing credentialing gaps that delay EEG and EMG reimbursements.
Transparent Revenue Reporting
Weekly and monthly reports track neurology AR aging, claim status, and collections against specialty benchmarks.
Compliance Risk Reduction
Billing aligns with AAN guidelines, CMS LCD policies, and NCCI edits to reduce audit exposure on high-scrutiny neurology codes.
Scales With Practice Growth
Our neurology billing supports expansion into epilepsy, sleep, and movement disorder services without adding internal billing staff.
EHR Integration Support
Transcure works with Epic, eClinicalWorks, Athenahealth, and 40+ neurology EHR and practice management systems.
How We Protect Your Neurology Revenue From Denials, Audits, and Underpayments
Neurology billing requires accuracy, and any error in E/M leveling, EEG or EMG bundling, or modifier 25 usage can lead to denials. Industry data show that neurology practices face denial rates of 10–25% due to coding and documentation issues, higher than in many other specialties. Every denied or reworked claim carries an administrative cost of around 25$-50$ and delays cash flow.
Our neurology-specialized billing team helps practices reduce claim rejections, recover missed revenue, and maintain compliance across epilepsy, MS, Parkinson’s, migraine, and neuropathy services. We align documentation, coding, and payer-specific rules to protect revenue and stabilize cash flow.
Which EHR Systems Does Transcure Support for Neurology Billing?
Transcure supports seamless integration with major EHR and practice management systems for neurology billing, ensuring accurate data flow for EEG, EMG, nerve conduction studies, and other neurology billing workflows.
Our Certifications
Transcure’s neurology billing team holds industry-recognized certifications to ensure neurology claims meet CMS compliance standards, AAN coding guidelines, and payer-specific neurology billing requirements.
What Practices Say About Our Neurology Medical Billing Services?
Jackie Judd
Practice Manager
Wilson Creek Internal Medicine
As a practice manager, I was looking to streamline the medical billing process. I tried other companies, but they were all complicated and took too much of my time. Fortunately, I found Transcure. They excel in tailoring solutions to fit my requirements.
Amber Vaughan
Office Manager
Idaho Kidney & Hypertension Institute
We are a large practice with 15 providers. Transcure has been working with us for the last 5 years. This billing company has been a great asset to us. I work with Transcure and they provide everything I ask for. The team is friendly and very pleasant to work with.
Ashlee Rose
Practice Manager
Harding Memorial Healthcare
We’ve been working with Transcure for 8 years now and I just wanted to say how happy we are with their services. They always get back to us quickly and are very easy to work with. They get my bills paid in record time and help us to generate millions in revenue.
Frequently Asked Questions About Neurology Billing
Get answers to the most common questions neurology practices ask about our neurology billing services, CMS compliance, and reimbursement rules.
What are neurology billing services?
Neurology billing services manage specialty-specific coding, claim submission, and reimbursement for neurological procedures, ensuring payer compliance and optimum revenue.
How is neurology coding and billing different from general medical billing?
Neurology coding and billing involve complex CPTs, time-based procedures, diagnostic testing, and higher ICD-10 specificity, all of which require specialty expertise to avoid denials.
How does Medicare neurology billing work?
Medicare neurology billing requires strict adherence to CMS guidelines, LCD/NCD policies, and accurate documentation to ensure timely and compliant reimbursement.
What are common neurology CPT codes?
Common neurology CPT codes include EEG testing (CPT 95812–95813), EMG studies (CPT 95885–95886), nerve conduction studies or NCS (CPT 95907–95913), and Botox injections for chronic migraine (CPT 64615).
How do you manage neurology claim denials?
Neurology denial management includes proactive claim scrubbing, root-cause analysis, and timely appeals to reduce rejections and speed up payments.
Neurology Billing Knowledge Center
Explore the latest Neurology billing insights to enhance practice performance and profitability.
04/27/2026
2026 neurology CPT codes for EEG, EMG, NCS, Botox & infusion covering modifiers, NCCI edits, CMS updates, RPM, tele-neurology & denial prevention.
04/28/2026
Over 18% of neurology claims get denied. See the top billing companies that improve reimbursements and recover lost revenue for neurology practices.
04/15/2026
A complete 2026 guide to the neurology billing process, covering claims submission, denial management, payment posting, and RCM reporting.