Neurology Billing Services in Texas | EMG and EEG Claims That Actually Get Paid
Transcure’s neurology billing services in Texas manage Texas Medicaid through TMHP, HHSC rules, and commercial payer contracts. We resolve neurology denials before your A/R ages out. Here’s how:
- Real-time eligibility checks across Texas Medicaid, STAR managed care, and Medicare Advantage before every EEG or infusion.
- SB 1264 balance-billing compliance for out-of-network neurology claims, with TDI arbitration filing support.
- HHSC-aligned Texas Medicaid claims processed through TMHP under the 95-day filing deadline.
- Provider credentialing through PEMS and CAQH for new neurologists and re-credentialing deadlines.
- Revenue cycle dashboards reporting Texas-specific KPIs like clean-claim rate and days in A/R.
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
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 Transcure Improves Texas Neurology Practices Financially with Expert Billing Services?
Transcure raises Texas neurology collections by cutting prior-auth lag and never missing the 95-day Medicaid window. Built for Texas rules, our medical billing services gives us neurology-specific edge that most general billing companies lack.
What Texas Billing Laws Does Transcure's Neurology Billing Service Handle?
Transcure manages the full set of Texas billing regulations that apply to neurology practices. We catch each rule at the coding stage, so a TMRPA or prompt-pay miss never costs you the claim.
SB 1264 Surprise Billing Protection
SB 1264 bars balance billing for out-of-network neurology care under state-regulated PPO, EPO, and HMO plans. Transcure files baseball-style arbitration through the TDI IDR portal. Your practice collects fair payment without billing the patient.
Medicaid Billing Through HHSC and TMHP
Texas Medicaid is administered by HHSC and processed through TMHP under a 95-day filing deadline. Transcure manages eligibility, prior authorization, and appeals for STAR and STAR+PLUS neurology claims. We file inside the window every time.
Medicaid Managed Care Rules for STAR
Texas requires Medicaid MCOs like Superior HealthPlan and Wellpoint to meet network adequacy and grievance timelines. Transcure monitors each MCO's neurology authorization rules and filing windows. Your claims match plan-specific requirements before submission.
Texas Fair Billing and Patient Collection Limits
Texas law requires itemized bills on request and limits aggressive patient collections by health care providers. Transcure produces clear neurology patient statements and HHSC-aligned financial assistance documentation. Your practice stays clear of consumer complaints.
Which Texas Cities Does Transcure Support with Neurology Billing Services?
Transcure supports neurology practices across diverse payer markets, each with its own Medicaid managed care and commercial payer requirements. Each city has its own Texas Medicaid service delivery area with a different STAR MCO lineup. Unlike general billing vendors, we adapt billing workflows to local payer rules.
Houston, Texas
San Antonio, Texas
Dallas, Texas
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Austin, Texas
Fort Worth, Texas
Abbott, Texas
Corpus Christi, Texas
El Paso, Texas
Plano, Texas
Irving, Texas
Why Payer-Specific Neurology Billing Matters For Practices in Texas?
Payer-specific neurology billing matters because every Texas plan pays neurology differently. The same EEG or nerve study that BCBSTX approves can get denied by UnitedHealthcare. Commercial plans, Texas Medicaid MCOs like Superior, and Medicare Advantage plans like Humana each set their own rules. Those rules cover everything from EEG testing to Botox and infusion therapy. One billing approach can’t keep up with all of them.
Transcure knows what each Texas payer wants before the claim goes for billing. Our AI agents and certified Texas coders catch errors before they cost you. Your neurology claims get paid the first time, by the plan you bill most.
In Which Texas Counties Does Transcure Provide Neurology Billing Services?
Transcure’s neurology billing coverage covers all 254 Texas counties, more than any other U.S. state. Each county has its own Texas Medicaid managed care mix and local payer rules. Our billing team knows which rules apply before your first neurology claim goes out.
Andrews County, Texas
Aransas County, Texas
Bexar County, Texas
Tarrant County, Texas
Collin County, Texas
Travis County, Texas
What Neurology Subspecialties and Procedures Does Transcure Bill in Texas?
Transcure bills every neurology subspecialty and diagnostic procedure performed in Texas. Certified neurology coders apply the right codes, prior auth rules, and payer policies to each one. Our Texas neurology billing covers:
Epilepsy and EEG Monitoring Billing
EEG billing is split across routine, ambulatory, and video monitoring codes, which Texas payers reimburse differently. Our coders apply the correct long-term monitoring codes and units per study. Your epilepsy claims clear without downcoding or unit denials.
Headache and Migraine Billing
Migraine billing depends on Botox chemodenervation and CGRP injectables that Texas plans gate behind step therapy. We document the failed prophylactics and headache-day counts that payers require. Your J0585 and CGRP claims get approved, not denied for missing criteria.
Multiple Sclerosis and Neuro-infusion Billing
Infusion billing for MS carries the highest dollar risk in neurology, including IVIG, Ocrevus, and Tysabri. We bill buy-and-bill drugs at the correct J-codes and Texas fee schedule. Every infused unit gets reimbursed, with underpayments flagged and appealed.
Sleep Medicine and Polysomnography Billing
Sleep billing fails when payers require a home sleep test before covering in-lab polysomnography. We bill HSAT and in-lab studies in the order mandated by each Texas plan. Your titration and PSG claims get paid the first time.
Pediatric Neurology Billing
Pediatric neurology runs heavily through Texas Medicaid and CHIP, where prior auth rules shift by managed care plan. We handle the eligibility, authorizations, and pediatric-specific coding these MCOs require. Your patients get the care they deserve, and claims get paid.
Cognitive and Memory Disorders Billing
Dementia billing now covers cognitive testing, care planning, and Alzheimer's infusions like Leqembi. Medicare Advantage plans tie these to strict coverage and prior auth rules. We code each visit and infusion correctly, so your neurology claims survive payer review.
How Much Revenue Do Texas Neurology Practices Lose to Denied Insurance Claims?
A Texas neurology practice loses over $40,000 a year to denied and underpaid claims. Neurology carries one of the highest denial rates in medicine, driven by EMG, nerve conduction, and EEG coding errors. Industry data puts initial denials near 12% for complex specialties. Each reworked claim costs about $25 to appeal. Many never get resubmitted, so earned revenue quietly disappears from your bottom line every year.
Transcure bills at 5% of collected revenue. A practice collecting $600,000 a year pays Transcure $30,000 and lifts clean-claim rates past 95%. You get certified neurology coders, AI denial-prevention agents, and Texas appeal specialists working every claim.
What are the Key Attributes That Make Transcure Texas's Top Neurology Billing Company?
Transcure is the best medical billing company in Texas for neurology because of what every practice gets. This includes:
Texas-Exclusive Compliance Desk
A dedicated desk monitors HHSC, TMHP, TDI, and the Texas Legislature for neurology billing changes. Rules update your protocols before they take effect. You never learn about a change through a denial.
AI RCM Agents
ELIXA, PRIA, CODIN, and DEXA automate eligibility, authorization, coding, and denials for Texas neurology claims. Together, they hold a 99% first-pass clean claim rate across Medicaid, Medicare, and commercial payers.
Texas Provider Enrollment
Our team files PEMS enrollment, CAQH attestations, and payer-specific applications for Texas neurologists. We track Medicaid revalidation and re-credentialing deadlines so no payment lapse hits your practice.
Certified Texas Neurology Billing Specialists
Every biller on your account holds CPC, CCS, or CPMA certification. Annual training covers TMHP rules, SB 1264, TMRPA, and neurology coding for EEG, EMG, and infusions.
Dedicated Texas Denial Recovery Team
A specialized team targets Texas neurology denial patterns: EEG medical necessity, Botox unit edits, and missing auths. Root-cause analysis runs by payer, and recovered revenue is reported each quarter.
Texas Payer Contract Analysis
We analyze fee schedules across BCBSTX, UnitedHealthcare, Aetna, Cigna, and Humana for your neurology codes. Underpayments get identified, and we support contract renegotiation for higher diagnostic reimbursement.
What EHR Systems Are Supported by Transcure for Texas Neurology Billing?
Transcure works inside 30+ EHR and practice management platforms used by Texas neurology practices. Your team keeps the system it already runs on as we integrate directly, so there’s no switching, no migration, and no disruption to your workflow.
What Texas Neurology Providers Say About Transcure's Billing Services?
Neurology practices across Texas trust Transcure to clean up complex EMG, EEG, and infusion claims, cut denials, and recover revenue payers slow-walk. Here is what some of them say.
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 Services in Texas
Texas neurologists ask these questions most about billing, compliance, and state-specific rules. Here are direct answers.
How does SB 1264 restrict balance billing for Texas neurology providers?
SB 1264 caps what out-of-network neurologists can collect from patients on state-regulated PPO, EPO, and HMO plans. Balance billing is barred for emergency and in-network-facility care. Transcure files baseball-style arbitration through the TDI IDR portal to recover fair payment from the health plan.
What does Transcure do to stay current with Texas Medicaid neurology billing rules?
Certified billers track every TMHP bulletin and HHSC policy update that touches neurology coding or authorization. They adjust your claims for STAR, STAR+PLUS, and fee-for-service rules in real time. Eligibility, prior auth, and appeals get handled inside the 95-day filing window, so Medicaid claims stay payable.
Why do Texas neurology practices choose Transcure over other billing companies?
Practices choose Transcure for neurology billing services in Texas built around TMHP, SB 1264, and commercial payer rules. ELIXA, PRIA, CODIN, and DEXA automate the revenue cycle at a 99% first-pass clean claim rate. CPC-, CCS-, and CPMA-certified billers code EEG, EMG, Botox, and infusions correctly the first time.
What happens if a Texas neurology practice fails an HHSC-OIG audit?
An HHSC Office of Inspector General audit can end in repayment demands, civil penalties, or Medicaid program exclusion. Common triggers include EEG and EMG medical necessity gaps and authorization errors. Transcure keeps audit-ready documentation and coding logs on every neurology claim, so your practice can defend each payment.
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