Healthcare SBC

Neurology

Healthcare IT and billing built for a neurology practice

Long-visit documentation, diagnostic testing and infusion therapy billing for neurology practices.

A physician reviewing a treatment plan with a patient

Why neurology is different

Neurology encounters are long, cognitively dense and often poorly captured by templates designed for fifteen-minute visits, which is why neurologists are among the most consistently undercoded specialists in medicine.

Healthcare SBC supports time-based and complexity-based E/M documentation, structured reporting for EEG, EMG and nerve conduction studies, and infusion workflows including the prior authorization that high-cost neurologic drugs require.

Common challenges

Where neurology practices lose revenue

The billing and workflow problems specific to this specialty, and the ones generic systems handle badly.

Undercoded prolonged visits

Complex neurologic evaluations frequently support high-level or prolonged service codes that never get billed.

Diagnostic testing components

EEG, EMG and NCS require correct professional and technical component billing and precise study documentation.

Infusion therapy billing

Drug acquisition, administration codes, units and waste documentation all have to align or the claim is underpaid.

Specialty drug authorization

High-cost neurologic therapies carry heavy prior authorization and step-therapy requirements.

How we address it

Built for neurology workflows

  • Time-based and MDM-based E/M support with prolonged service capture
  • Structured EEG, EMG and nerve conduction study reporting templates
  • Infusion scheduling with drug, unit and waste documentation
  • Specialty pharmacy prior authorization management
  • Neurologic assessment scales integrated into flowsheets

Commonly billed codes in neurology

A sample of the codes our neurology coders work with daily.

  • 95816Electroencephalogram, awake and drowsy
  • 95886Needle electromyography, complete
  • 95910Nerve conduction studies, 7-8 studies
  • 96365Intravenous infusion, initial hour
  • 99215Established patient visit, high complexity

Codes shown for reference only. Verify against current code sets and payer policy.

FAQ

Neurology, frequently asked questions questions

How do you capture prolonged service codes?
Our coders review documented total time and medical decision-making against current E/M and prolonged service guidelines, identifying encounters that support additional units: a common source of recovered revenue in neurology.
Do you bill EEG and EMG studies?
Yes. Diagnostic neurophysiology studies are billed with correct professional and technical component handling based on equipment ownership and place of service, with documentation templates that satisfy payer requirements.
Can you manage infusion therapy billing?
Yes, including drug units, administration hierarchy, sequential and concurrent infusion coding, and JW waste documentation, along with prior authorization for high-cost agents.