Med Claims manages the full billing cycle for neurologists and neurosurgeons, from EMG coding and prior authorizations to denial appeals and payment collection. You see patients. We handle the rest.
Neurology and neurosurgery carry some of the highest billing complexity in medicine. Bundling restrictions on nerve conduction studies, prior authorization requirements for high-cost neurosurgical procedures, modifier disputes on EMG series, and insurer-specific denial patterns all create a revenue environment where even experienced in-house billing teams leave money on the table.
Med Claims was built to close this gap. Our certified medical billing specialists focus on neurology and neurosurgery revenue cycle management. We handle coding, credentialing, claim submission, denial management, and payment follow-up integrated with your existing EMR, so your practice runs leaner and your collection runs stronger.
Med Claims has helped neurology practices reduce denial rates, recover underpayments, and eliminate the administrative drag that keeps physicians from focusing on their patients.
We serve independent neurology clinics, multi-physician group practices, and neurosurgery centers managing complex payer mixes across commercial insurance, Medicare, and Medicaid.
We submit clean claims within 24 hours of documentation receipt, with active payer follow-up until every claim is resolved. No aging receivables. No forgotten balances at all.
Our coders are trained in the full neurology and neurosurgery CPT code set, including nerve conduction studies, EEG monitoring, spinal procedures, and neurosurgery global billing periods. Accurate coding from the start means fewer denials and faster payment.
We don’t wait for denials to pile up. Our team tracks claim status in real time, identifies rejection patterns by payer, and files appeals within insurer-required windows to recover revenue that in-house teams typically write-off.
Whether you’re adding a provider or joining a new payer network, our credentialing team manages the entire enrollment process, so your new physicians start billing from day one without any delays.
Every process, from claim preparation to payment posting, runs under strict HIPAA-compliant protocols. Patient data is protected at every step, with no exceptions.
Whether you need full revenue cycle management or targeted support for a specific bottleneck, Med Claims scales to your practice. You define the scope. We deliver.
Bedore any claim leaves our system, it passes through a review that cross-checks coding against current payer rules and specialty-specific billing guidelines. This catches errors that basic review misses and reduces your first-pass denial rate from the first submission.
Not all denials are equal, and not all payers play by the same rules. Our team builds and maintains payer-specific denial profiles so we know in advance where friction points exist, how to pre-empt them in coding, and how to appeal them effectively when they occur.
You receive monthly revenue cycle reports that break down claim acceptance rates, denial trends by payer and CPT codes, days-in-AR, and collection rates, so you always have a clear picture of your practice’s financial health, not just a payment deposit.
We start with a comprehensive review of your current billing workflow, payer mix, and denial history. This surfaces the specific revenue gaps we’ll close and sets the baseline for measuring improvement.
Our certified billing specialists code every encounter using the correct neurology and neurosurgery CPT and ICD-10 codes, apply appropriate modifiers, attach required documentation, and submit clean claims to the right payer contacts.
We track every claim through the payment cycle. Denials are appealed promptly with clinical documentation. Underpayments are identified and contested. Nothing is written off without a fight.
It involves:
For neurology and neurosurgery, this is particularly complex. Procedures like EMG studies, EEG monitoring, nerve conduction series, and major neurosurgical cases carry specific bundling rules, modifier requirements, and payer-specific documentation standards that require specialist knowledge to bill correctly.
Most practices see measurable improvement within 60 to 90 days of onboarding. We start by resolving your oldest outstanding claims and cleaning up denial backlogs, which typically releases a significant amount of recoverable revenue before new claims can even begin flowing our system.
Yes, and in many cases, outsourcing to a specialized billing company improves your compliance posture. Med Claims operates under full HIPAA-compliant protocols, including Business Associate Agreements (BAAs) with all clients, encrypted data handling, and role-based access controls. We are audited regularly and maintain strict documentation of all billing activity.
Yes. Our team has experience billing for a full range of neurosurgery procedures, including craniotomies, spinal fusions, laminectomies, deep brain stimulation, and cerebrovascular interventions. We understand global billing periods, assistant surgeon billing, and the documentation requirements that payers scrutinize most heavily on high-value neurosurgery claims.
Med Claims integrates with the major EMR and practice management platforms used by neurology practices, including Kareo, Greenway Health, NextGen Healthcare, AdvancedMD, and Oracle Cerner. If your system is not listed, contact us. Our team has experience with a wide range of platforms and can discuss integration options.
We’ll review your neurology billing workflow at no cost, identify where claims are being lost, delayed, or underpaid, and give you a clear picture of what better billing looks like for your practice. No commitment required.