Epilepsy Billing Services | Built For EEG, EMU, VNS Expertise
Transcure’s epilepsy billing services recover the revenue your practice loses to denied EEG, monitoring, and neurostimulator claims. Our CPC-certified coders work every G40 claim against payer rules before it goes out. Our epilepsy billing service provides:
- 99% first-pass clean claim rate on EEG and long-term monitoring codes
- Reduces epilepsy claims denials up to 80% through our DEXA denial team
- Prior authorization handled for VNS, RNS, and inpatient EMU admissions
- CPC, CCS, and CPMA certified coders fluent in G40 and CPT neurology codes
- Flat 5% of collections pricing with no per-claim fees, no setup cost
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
Why Do Epilepsy Practices Lose Revenue on EEG and Monitoring Claims?
Epilepsy practices lose revenue because EEG and long-term video monitoring codes carry strict medical-necessity and prior-authorization rules. Payers deny these claims over documentation gaps, wrong units, or missing authorization on device procedures.
Long-term EEG monitoring uses time-based CPT codes that shift with recording duration and video. One unit error on a 95717–95726 claim triggers a denial. VNS and RNS procedures need prior authorization that few front desks track. Transcure’s epilepsy medical billing team closes these gaps before submission.
Epilepsy Practices That Trust Our Epilepsy Billing Services
Epilepsy practices trust Transcure for epilepsy billing services and revenue cycle management. Our experience spans EEG, video-EEG monitoring, EMU admissions, VNS therapy, and seizure care billing as part of our broader neurology billing services. We support both dedicated epilepsy centers and multi-specialty neurology groups.
What Does Transcure Cover in Its Epilepsy Billing Services?
Transcure’s epilepsy billing covers the full revenue cycle, from eligibility through denial appeals, with neurology-trained coders on every claim.
Which Epilepsy Procedures Does Transcure Bill?
Our epilepsy billing services cover routine and ambulatory EEG, long-term video EEG monitoring, EMU admissions, and neurostimulation therapies. We improve epilepsy coding accuracy, reduce denials, and support faster reimbursement across epilepsy care.
Routine EEG
Our epilepsy billing services accurately code awake, drowsy, and sleep EEG studies based on documented recording states, helping prevent medical-necessity denials.
Long-Term Video EEG Monitoring
We bill long-term video EEG, ambulatory EEG, and EMU monitoring based on duration and study type to ensure accurate reimbursement.
Vagus Nerve Stimulator (VNS)
Transcure manages billing for Vagus Nerve Stimulation implantation, analysis, and reprogramming services while supporting authorization and documentation requirements.
Responsive Neurostimulation (RNS)
We bill Responsive Neurostimulation System implantation, electrocorticogram reviews, and programming visits with documentation aligned to payer requirements.
Magnetoencephalography (MEG)
Our epilepsy billing teams code spontaneous and evoked MEG studies used in epilepsy surgical planning, helping high-value diagnostic claims withstand payer scrutiny.
EEG Functional Mapping and Digital Analysis
We bill cortical mapping and advanced EEG digital analysis services associated with epilepsy surgery evaluations to capture appropriate reimbursement for services.
How Transcure Helped Neurology Care Clinic Double Collections With Structured Billing
Neurology Care Clinic struggled with inconsistent billing processes, rising denials, and missed reimbursement opportunities. Transcure introduced a standardized revenue cycle framework with clear procedures for claim creation, payment posting, and denial management. Collections nearly doubled, and daily denials dropped by roughly 90% once front-end documentation made every visit billing-ready.
Epilepsy practices face similar challenges, and our epilepsy billing services apply the same proven operational discipline to complex EEG and seizure-related claims. It’s the same system that drives results across our full neurology billing services, built to recover the revenue most epilepsy practices leave on the table.
What Makes Transcure the Right Partner for Epilepsy Billing Services?
Neurology coding changes, prior authorization demands, and payer scrutiny create challenges for in-house billing teams. That’s why practices choose our epilepsy billing services to improve coding accuracy and reduce denials
Neurology-Trained Coders
Generalist coders often miss epilepsy-specific coding and authorization requirements. Our certified coders specialize in EEG, VNS, and RNS billing to improve first-pass claim accuracy.
Seven AI RCM Agents
Our billers work alongside ELIXA, PRIA, CODIN, CLAIR, DEXA, ARIA, and REMITA to automate the epilepsy revenue cycle.
Prior Authorization Desk
Neurology procedures face lengthy authorization requirements. Our dedicated authorization team tracks approvals and documentation requirements to keep services on schedule.
Denial Recovery Team
Denied epilepsy claims can represent significant lost revenue. Our denial specialists investigate, appeal, and resubmit eligible claims with supporting documentation to maximize reimbursement.
Pricing Tied to Collections
Our epilepsy billing services use a collections-based pricing model rather than per-claim fees, allowing billing costs to scale with revenue rather than claim volume.
HIPAA-Compliant Operations
We maintain HIPAA-compliant workflows and strong security controls to protect sensitive neurological patient data throughout the revenue cycle.
Where Does Transcure Provide Epilepsy Billing Services?
Transcure provides epilepsy billing services to neurology and epilepsy practices in all 50 states. Whether your epilepsy monitoring unit sits in a large health system or a private neurology group, we bill to your local payer mix. We track VNS and RNS authorization rules across state lines to prevent device claims from stalling.
Which Epilepsy Codes Does Transcure's Billing Team Handle?
Transcure’s epilepsy billing services are supported by certified coding specialists who manage the full epilepsy CPT and ICD-10 code set. Every coder holds CPC, CCS, or CPMA certification for coding accuracy and compliance.
95816 / 95819
- Routine EEG: awake-and-drowsy and awake-and-asleep studies
95700, 95705–95716
- Long-term EEG monitoring without video
95717–95726
- Long-term EEG monitoring with video (EMU and ambulatory)
95957
- Digital analysis of EEG
64568
- VNS electronic analysis with programming
61850
- Cortical neurostimulator electrode implantation
95836
- Electrocorticogram via implanted RNS device
95983 / 95984
- Brain neurostimulator programming
95965–95967
- Magnetoencephalography (MEG)
Why a Leading Epilepsy Center Trusts Transcure With Its Revenue
Epilepsy is one of the hardest neurology specialties to bill cleanly. Prolonged EEG, monitoring unit admissions, and DBS, RNS, and VNS procedures each carry their own documentation and modifier rules. A single gap turns a covered service into a denial. Orlando Epilepsy Center trusts Transcure with exactly that: 15 providers, multiple sites, 40-plus payers, all running on one disciplined billing process.
Most billing teams catch denials after they happen. We catch them before the claim goes out. That’s the difference behind a 99% clean-claim rate. Whether you run two providers or twenty, your revenue gets handled with the same rigor we bring to theirs.
Which EHR Systems Does Transcure Support for Epilepsy Billing?
Transcure works within your existing EHR and practice management system with no migration required. Your neurology team keeps its current charting and EEG documentation workflow. Our outsourced epilepsy billing services fit into your current workflow with no disruption to providers or staff.
Retaining the Trust Over the Years
Our goal is to deliver the top-tier Epilepsy billing services. The trust we gain over the years is just reflecting what we can do for gastro practices.
Frequently Asked Questions About Epilepsy Billing Services
Answers to what neurology and epilepsy practices ask most about coding, prior auth, and our epilepsy billing and coding process.
What CPT Codes Are Used for Epilepsy and EEG Billing?
Common epilepsy billing codes include CPT 95700–95726 for long-term EEG monitoring, CPT 95819 for routine awake-and-asleep EEG studies, CPT 95810 for polysomnography with EEG, and CPT 96020 for intraoperative neurophysiology monitoring.
Which ICD-10 Codes Establish Medical Necessity for EEG Monitoring?
Medical necessity for EEG services is typically supported by ICD-10 codes from the G40 epilepsy series. Additional diagnoses may apply based on the patient’s condition, but providers should always verify payer-specific Local Coverage Determinations (LCDs).
What Documentation Does an EEG Claim Require to Avoid Denial?
EEG documentation should include the recording duration, number of channels used, patient state (awake, drowsy, or asleep), physician interpretation, and the clinical purpose of the study.
How Do I Secure Prior Authorization for Neuromodulation (RNS, DBS, or VNS) in Drug-Resistant Epilepsy?
Prior authorization generally requires documentation of drug-resistant epilepsy, prior treatment history, medical necessity, and supporting clinical evidence. When coverage is denied, detailed appeals that reference payer policies and clinical guidelines can improve approval rates.
How Does Medicare Reimburse Epilepsy Diagnostics and Treatment?
Medicare covers many epilepsy-related diagnostic and treatment services. Coverage and reimbursement vary depending on whether services fall under Medicare Parts A, B, C, or D.
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