Neurology Billing Services

Billing for the
whole neurology practice

A neurology practice bills three different ways. Office visits. Testing like EEG and EMG. Infusions that cost thousands per dose. Each one has its own rules, its own approvals, and its own ways to lose money. We handle all three.

96%avg. net collection rate across TruCare clients

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The numbers behind our work

96%

average net collection rate across TruCare clients

>95%

clean claim rate, accepted on first submission

−37%

fewer claim rejections

−38%

days in A/R

Figures reflect TruCare client results across specialties, trailing twelve months.

Why practices choose our neurology medical billing services

4.8

Based on 180+ client reviews

Verified client reviews

May 14, 2026

The authorizations stopped expiring

We had infusions cancelled twice because an approval ran out and nobody noticed. TruCare tracks every one and tells us a month ahead. It has not happened since.

Marcy Lindqvist, practice administrator

last month

We were billing half the EEG

We own our equipment and employ the technologist, but only the reading was going out. They found it in week two. That alone changed our month.

T. Boone, EEG lab manager

Mar 19, 2026

The EMG denials ended

Our studies kept bouncing because they were paired with the nerve conduction codes. They fixed the pairing and showed my staff why it mattered.

Dr. Ravi Anand, neurologist

Feb 06, 2026

Nobody eats the drug cost now

One unapproved infusion can wipe out a good week. Every dose is checked against the authorization before the patient sits down.

Priscilla Nakamura, infusion coordinator

Jan 15, 2026

I can finally see the practice

Denials by reason, revenue by provider, and what is still unpaid. I stopped waiting until month-end to find out how we did.

Dr. Omar Haddad, managing partner

What TruCare does for your Neurology practice

View all services

We get your providers enrolled

TruCred files Medicare, Medicaid, and commercial enrollments and keeps your records current. Adding a neurologist, an advanced practice provider, or a testing facility is handled the same way. Revalidation dates are tracked so nobody drops off.

Medicare enrollmentPECOS upkeepIDTF enrollment

Neurology bills in three different ways

Most specialties bill one way. Neurology bills three. The clinic sends visit claims. The lab sends testing claims, often split between the equipment and the doctor who reads it. The infusion suite sends drug claims worth more than everything else combined.

Each one fails differently. A visit is denied over documentation. A nerve study is denied over how many nerves were tested or how the codes were paired. An infusion is denied because an approval lapsed, and then the practice has already bought and given the drug.

That last one is why neurology needs specialists. In most specialties, a denial costs you the fee. In neurology, it can cost you the drug too. Our billers know which claims carry that risk, and they check those first.

General billing companies tend to be good at the visit and weak on the other two. That is where the money is.

Six ways a neurology practice loses money

Only half the test was billed

If you own the machine and pay the technologist, you are owed for the recording as well as the reading. Practices that bill only for the interpretation give away the larger half.

The approval expired mid-course

Infusion authorizations run out. If nobody is watching the date, the drug is given, the claim is denied, and the practice absorbs the cost.

The EMG and nerve study were paired wrong

When both are done the same day, the EMG has to be reported with its add-on code. Use the standalone code instead, and the claim bounces.

The study count was not supported

Nerve conduction is paid for based on how many studies were performed, and the report has to show each one. Payers review this closely, and they have for years.

The drug units did not match the vial

Units billed, units given, and units discarded all have to line up. When they do not, you are either underpaid or exposed in an audit.

Nobody was watching the whole practice

Denials by reason, revenue by provider, authorizations about to lapse, claims still unpaid. All on one screen, updated daily.

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Our service offerings

Everything your practice bills, not just the visits

Office and hospital visits

New and established patients, follow-ups, and inpatient consults are coded to the documentation rather than to habit. The volume service in every neurology practice.

Nerve conduction studies

Paid by how many studies were done, so the report and the claim have to agree. One of the most reviewed services in medicine.

Needle EMG

Billed on its own or with the add-on code when nerve studies happen the same day. Choosing the wrong one is a standing denial.

Routine EEG

Awake and drowsy, awake and asleep, or asleep only. The code follows what the recording actually captured, and the report has to say so.

Long-term and ambulatory EEG

Monitoring is billed by duration, by whether video was recorded, and by the component you own. The most complex code family in neurology.

Botulinum toxin injections

The injection, the guidance, and the drug units, with the coverage criteria documented before the claim goes out.

Infusion therapy

MS therapies, IVIG, and other infusables. Drug and administration are billed together, with waste documented and the authorization checked first.

Evoked potentials, autonomic and sleep testing

The smaller studies that round out a neurology practice are the ones most often left unbilled.

What you get with TruCare

Coders who know the testing rules

Your claims are handled by certified billers and coders who work on neurology caseloads. They know the pairing rules, the study counts, and what a payer will ask to see.

A team on authorizations full time

Neurology runs on approvals. Someone has to file them, follow them, and watch them expire. That is a job, and we staff it.

No new software for your staff

We work on top of the system your practice already uses, including Epic, Athenahealth, eClinicalWorks, AdvancedMD, and Elation. No migration and no second login.

The denials that hit neurology hardest

Neurology denials are rarely about whether the care was needed. They are about whether the paperwork around it held up. An approval, a study count, a modifier, a unit.

Most of them are preventable before the claim is built, which is where we put the effort.

Not sure what your denials are costing you?

Send us 90 days, and we will show you the pattern.

Request a billing audit

Here is what we catch first:

No authorization, or an expired one

The costliest denial in neurology, because the drug has already been given. We file early and track every approval to its end date.

The EMG was billed with the wrong code

When nerve studies are done the same day, the EMG belongs on its add-on code. Using the standalone code is a predictable rejection.

The study count is not supported

If the report does not show each nerve tested, the claim will not hold up. We check the count against the report before billing.

The technical component was missed

Practices that own their equipment often bill only the reading. We check which half you are entitled to and bill both when you are.

Drug units do not match the record

Units given, units billed, and waste all have to agree. A mismatch on a high-cost drug is both a denial and an audit flag.

The visit and the procedure collided

An office visit on the same day as a test or injection needs the right modifier, or one of them falls off the claim.

The main neurology code groups

Our neurology billing and coding services run on a small set of code families. Visit codes, testing codes split between two components, injection codes, drug codes, and administration codes. Most lost revenue sits in the gaps between them.

Our coders work on neurology charts every day. They know which codes pair, which ones cannot be billed together, and what each payer wants to see behind them.

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The codes we work with every day:

95907 to 95913

Nerve conduction studies

One code family is banded by the number of studies performed. The report decides which band applies, so the documentation and the claim have to match exactly.

We bill inside the systemyou already use

Nothing about your clinic day changes. TruCare connects to Epic, athenahealth, eClinicalWorks, AdvancedMD, Elation, and the other systems that practices chart in, so visits, test reports, and infusion records come across on their own. No migration weekend. No second login for your technologists or nurses.

The difference shows up in what does not slip. An authorization three weeks from expiry. A study billed without its technical half. Drug units that do not match the record. An appeal with a deadline this week. Those land on a worklist instead of in next month’s denial report.

See a demo with your EHR

Deep integrations with all EHRs

TruCare connects seamlessly with your existing workflows — no switching required.

What changed for neurology billing in 2026

Testing codes lost work value

The 2026 fee schedule applies an efficiency adjustment of 2.5 percent to the work value of codes that are not billed by time. EMG, nerve conduction, EEG interpretation, and injections all sit in that group.

There are now two conversion factors

For the first time, Medicare pays at one rate for practices in qualifying advanced payment models and another for everyone else. Which one applies to you is worth confirming.

Practice expense moved between settings

The 2026 rule redistributed practice expense between office and facility settings. For a practice that owns its testing equipment, that changes what the technical side is worth.

EEG and nerve conduction descriptors were revised

The 2026 code set updated parts of both families. A charge sheet built on last year’s descriptors will produce rejections.

New codes for AI-assisted EEG analysis

The AMA added temporary codes covering software-supported review of EEG recordings. Coverage is limited, but the codes now exist.

Authorization requirements kept expanding

More plans now require approval for long-term video EEG, repeat nerve studies, and infusions, and more of them expire mid-course.

How we keep rule changes from costing you

Someone has to read the annual rule, the code set, and each payer bulletin. That is part of what you are paying us for.

When a descriptor changes or a value moves, it goes into our claim checks before your first claim of the year goes out.

We also read the remittance rather than just posting it. If a payer pays below your contracted rate, we raise it instead of absorbing it.

In-house vs. outsourced

What one biller can realistically cover

A neurology practice asks a lot of one person. Visits, testing, injections, infusions, and the authorizations behind all of it. An in-house biller who knows your physicians is valuable. Whether one of them can cover that span is the real question.

The question	One in-house biller	TruCare
Authorizations	Filed when there is time between other work	A dedicated queue, tracked to the expiry date
Testing codes	One person’s grasp of pairing rules and study counts	Coders who work these code families daily
Technical component	Often missed entirely	Checked on every study you own the equipment for
Drug claims	The largest claims, handled by a generalist	Units, waste, and authorization verified before billing
Code changes	Noticed when denials appear	Built into claim checks when they take effect
Records requests	Answered late, if at all	Filed inside the deadline as routine work
Cost shape	Salary, benefits, training, software	A percentage of collections, so it moves with volume
Absence and turnover	One departure stalls months of work	Coverage is our problem, not your office manager’s
Underpayments	Posted and forgotten	Compared against your contracted rates
What the owner sees	A report built on request	Denials by reason and revenue by provider, live

Want to see where your practice stands?Send us 90 days of denials and aging A/R.

Hover a state to see coverage

Where we serve

Neurology billing in every state

We work with solo neurologists, multi-site groups, epilepsy programs, infusion suites, sleep labs, and teleneurology practices. Coverage rules for testing differ by Medicare contractor and by plan, so we handle them one at a time rather than from a template.

Prior authorization

Technical and professional billing

Infusion and drug claims

Multi-state enrollment

Denial and appeal management

A named account contact

Who we bill every day

Medicare Part B

Testing coverage rules, contractor policies, and drug claims

Medicare Advantage

Authorization rules that differ plan by plan

Medicaid and managed Medicaid

State programs and MCO plans

BCBS and Anthem

Testing and infusion policies that vary by plan

Centene family

Molina, WellCare, Amerigroup

Other

Workers’ compensation, VA Community Care, self-pay

We bill whatever plans your practice is contracted with. If you are not contracted yet, TruCred handles the enrollment.

Neurology billing saver guide

A practice collecting $1.3 million saves up to $40,690 a year by outsourcing to TruCare

	In-house billing	With TruCare	Annual saving
Dedicated billing staff	$73,060	$0	$73,060
Billing software and clearinghouse	Varies	Included	—
Training, turnover, and coverage	Varies	Included	—
TruCare fee (from 2.49% of collections)	—	$32,370	—
Total annual cost	$73,060	$32,370	$40,690

Example: a practice collecting $1.3 million a year with one full-time biller, at TruCare’s starting rate of 2.49%. Biller cost uses the BLS May 2025 median wage for medical records specialists ($51,140), with benefits at 30% of total compensation. Software and training costs vary by practice and are not counted. We do not replace your front desk, we take the claims work off it. Larger groups are quoted on volume rather than at the starting rate, so a bigger practice should not scale this example up.

Want this run on your own numbers?

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What changes once the backlog clears

““We assumed our billing was fine because money kept coming in. What we could not see was everything that never got billed at all. Half our EEG volume, the technical side of our studies, a stack of authorizations nobody owned. Six months in, the practice feels like a different business, and I am not doing claims at night.””

Dr. Omar Haddad

managing partner, Lakeshore Neurology

Billing for the whole neurology practice