Is Your Neurology Billing Team Ready for Handling Challenges?

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Neurology practices face new medical billing and coding rules every year. Due to time constraints, providers fail to follow the new guidelines of Neurology billing which results in incorrect claims and lost payments. It also results in increased administrative/operating costs, affecting the financial health of practices.

In addition to the Evaluation and Management codes used by neurologists, there are more than 100 separate codes in the neurology and neuromuscular tests and procedures sections of CPT codes. Accuracy in Neurology billing and coding can be achieved only when providers have a correct understanding of the place of service rules and requirements as neurologists see patients in offices, hospital specialty units, and residential care facilities.

ICD-10 is around the corner and neurologists will have to invest time, money and establish co-ordination with public and private payers for implementation of the new coding system. Due to the transition, diagnoses previously described under only a few codes will now include dozens of codes. Neurologists treat a high percentage of Medicare patients, many of whom also come under Medicaid coverage, and due to this; it has become extremely important for providers to have knowledge of all rules and regulations of Neurology billing and coding in order to procure maximum reimbursements.

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Preparations to handle new Neurology Billing and Coding Challenges:

• Neurologists will have to update computer systems with the new version to handle new coding challenges