Talk to an Expert

Local Neurology Billing Services in
Connecticut for Diagnostic and Chronic Neurological Care

Neurology billing mixes diagnostic testing, infusion therapy, and long-term chronic condition management in one specialty. Each carries its own coding rules, and a technical or professional component split missed on a single EEG can cost more than the visit itself.
Connecticut MedBill handles neurology billing built around the testing volume and chronic care documentation Connecticut neurology practices require.
Schedule Free Neurology Billing Review

Neurology Billing at a Glance

  • EEG and nerve conduction study coding
  • Sleep study coding, distinguished by study type
  • Infusion therapy billing for neurological conditions
  • Prior authorization for imaging and specialty drugs
  • Chronic neurological condition management billing
  • Technical and professional component splits on diagnostic tests
  • HUSKY Health and commercial payer verification
  • Bundled procedure and NCCI edit review
Clean Claim Rate
98.1 %
Average Denial Reduction
31 %
Claims Processed Monthly
9200 +
Connecticut Practices Served
60 +

Why Neurology Practices Choose Connecticut MedBill

Neurology billing extends beyond office visits. EEG studies, nerve conduction testing, infusion therapy, and ongoing neurological care each introduce different coding and documentation requirements.
Our team reviews those services individually instead of applying the same billing workflow to every claim. That specialty-focused approach helps improve coding accuracy and reduces delays caused by missing modifiers or authorization requirements.
Talk With Our Neurology Billing Team

01.

Experienced with neurological diagnostic testing
02.
Infusion and procedure coding reviewed carefully

03.

Technical and professional components billed correctly

04.

Authorization tracking for imaging and specialty drugs

05.

Dedicated billing support for every practice

06.

Connecticut-focused neurology billing expertise

Our Neurology Billing Experience

Our team bills for solo neurologists, neurology group practices, and multi-location clinics offering diagnostic testing and infusion services across Connecticut.
We routinely process claims involving EEG studies, nerve conduction testing, infusion therapy, and chronic condition management for epilepsy, migraine, and neuromuscular disease.
Neurology carries a higher share of technical and professional component billing than most specialties, since diagnostic testing here often involves separate equipment operation and physician interpretation performed at different times or by different parties.

What Is Neurology Billing And What Is It Different!

Neurology billing covers diagnostic testing like EEGs and nerve conduction studies, along with ongoing management of chronic neurological conditions. Many neurology patients also receive infusion therapy, which adds its own billing rules on top of standard visit coding.

How Neurology Billing Differs From General Billing

Neurology combines technical diagnostic component billing, professional interpretation billing, and chronic condition E/M coding, often for the same patient across different visit types. Missing the technical versus professional split is a common and costly error that most general billing workflows are not built to catch.

Connecticut Payer and Referral Landscape for Neurology

Advanced neurological imaging, including MRI and specialty infusion drugs, typically requires prior authorization under Connecticut's Anthem and Aetna plans. HUSKY Health applies separate criteria for neurological imaging and infusion therapy that require their own authorization tracking, administered apart from commercial preauthorization systems.

Neurology practices frequently receive referrals tied to Connecticut’s larger hospital-based stroke and epilepsy programs, and incomplete referral documentation from those programs can delay both the consult visit and any follow-up testing authorization.

Common CPT and Diagnosis Codes in Neurology Billing

Procedure Codes We Bill

  • 95816 and 95819 for electroencephalogram studies, distinguished by whether activation procedures are included
  • 95907 through 95913 for nerve conduction studies, coded by number of nerves tested
  • 95810 and 95811 for sleep studies, distinguished by whether CPAP titration is performed
  • 96116 for neurobehavioral status examination
  • 99202 through 99215 for office visits

Common Diagnosis Codes

  • Epilepsy and seizure disorders
  • Migraine and chronic headache
  • Peripheral neuropathy
  • Multiple sclerosis
  • Parkinson's disease
Nerve conduction study codes are selected based on the number of nerves actually tested during the study, not a flat per-visit code. Billing the wrong tier for the number of nerves tested is a frequent, and frequently caught, coding error.

Common Billing and Coding Mistakes in Neurology

Technical vs Professional Component Splits

Diagnostic tests like EEGs have a technical component for running the equipment and a professional component for interpreting results. Billing both under one code, or missing the modifier that separates them, causes denials or reduced reimbursement.

Infusion Therapy Coding

Infusion codes depend on drug type, infusion duration, and whether additional substances were administered in the same visit. A coding error here often means underbilling for time actually spent administering the infusion.

Subspecialties in Neurology We Support Across Connecticut

Neurology practices in Connecticut often manage several overlapping chronic condition categories.
  • Epilepsy care
  • Movement disorders
  • Headache and migraine medicine
  • Neuromuscular medicine
  • Sleep medicine
  • Stroke and cerebrovascular care

Our Neurology Billing Process

Coverage and Authorization Review

Coverage and Authorization Review

We verify insurance coverage before diagnostic testing, imaging, or infusion therapy. When authorization is required, we help track approval status before services are provided.

Diagnostic Test and Infusion Coding

Diagnostic Test and Infusion Coding

EEGs, nerve conduction studies, sleep testing, and infusion therapy each follow different coding rules. Our team reviews documentation carefully so every service is billed according to the work performed.

Modifier and Claim Validation

Modifier and Claim Validation

Before submission, claims are reviewed for technical and professional component modifiers, infusion documentation, and payer-specific billing requirements. This helps reduce avoidable processing delays.

Ongoing Claim Management

Ongoing Claim Management

Neurology claims often remain open while multiple services are completed over time. We monitor unpaid balances, respond to payer questions, and follow denied claims through correction or appeal.

In-House Billing vs Connecticut MedBill for Neurology

What You Get In-House Billing Connecticut MedBill
Diagnostic testing claims Modifier issues may delay payment Technical and professional billing reviewed
Infusion billing Time documentation varies Matched to documented infusion services
Authorization management Separate tracking across services Centralized before treatment begins
Neurology-specific coding Requires ongoing staff training Reviewed by specialty-focused coders
Billing performance reports Limited visibility into trends Monthly reporting with actionable insights

Seamless EHR & PMS Integration

Connecticut Medbill integrates directly with leading EHR and practice management platforms. Supported systems include:

Neurology Billing and Your Full Revenue Cycle

Neurology combines office visits, diagnostic testing, infusion therapy, and long-term patient management. Keeping those services connected throughout the revenue cycle helps reduce billing delays and payment interruptions.
Reviewing documentation, confirming authorization, applying the correct modifiers, and following unpaid claims all contribute to more consistent reimbursement.
Our coding, authorization, AR management, and denial management services can also strengthen your overall billing workflow.
  • HIPAA Compliant
  • Connecticut Only
  • Dedicated Account Manager
  • Certified Coders
Get a Neurology Billing Assessment

Have Questions? Let’s Discuss

Fill out this form, tell us about your practice’s unique needs,
and get a tailored solution!
Contact Us Form

Frequently Asked Questions About Neurology Medical Billing

How do you bill an EEG correctly?

We separate the technical component, covering equipment and staff time, from the professional component, covering physician interpretation, applying modifiers where the same provider does not perform both.

Many commercial plans require prior authorization for advanced imaging like MRI. We verify authorization requirements before the imaging is scheduled to avoid a denial.

We match the infusion code to the documented drug type, infusion duration, and route of administration, since coding errors here often lead to underbilling.

Yes. We code ongoing management visits for conditions like epilepsy, migraine, and multiple sclerosis based on documented medical decision making.

We verify HUSKY-specific authorization and documentation requirements for neurological imaging and infusion therapy before submission.
Nerve conduction studies are coded based on the number of nerves actually tested, not a single flat code, and billing the wrong tier is a common error we check before submission.
Do sleep studies follow different coding rules than other neurological tests?
Yes. Sleep study codes differ depending on whether CPAP titration was performed during the study, and we match the code to the specific study type.
The most common causes are missing technical or professional component modifiers, missing prior authorization on advanced imaging, and infusion codes mismatched to documented time.
Filing limits vary by payer, typically 90 days to one year. We track each payer’s specific deadline so appeals are never missed.
Yes. We code diagnostic studies like EEGs and nerve conduction tests separately from chronic condition management visits, even for the same patient.
Sometimes, when documentation supports a separately identifiable evaluation service in addition to the infusion itself, using the correct modifier.
Most practices are submitting claims through us within two to three weeks, depending on EHR access and existing claims data.

Ready to Take the First Step to Neurology Practice Growth

Neurology billing requires careful coordination between testing, treatment, and documentation. We help practices build a billing workflow that supports each stage of patient care.
  • Diagnostic coding reviewed carefully
  • Infusion documentation verified
  • Easy-to-understand monthly reporting
Schedule Free Neurology Billing Review
Facebook Linkedin