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  • Insurance EligibilityInsurance EligibilityA pivotal part of medical billing processes, insurance eligibility is of paramount.
  • Medical CodingMedical CodingA pivotal part of medical billing processes, insurance eligibility is of paramount.
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This blog will cover the role of neurology billing in increasing healthcare revenue. We will also talk about the challenges faced and how you can overcome them. 

Overview of Neurology Billing and Coding Services

Neurology billing and coding services improve financial processes for neurologists. You provide them to get accurate reimbursements. Specialized coders manage the codes of medical services. By focusing on compliance, you can prevent billing errors. You can also reduce claim denials.

Coding expertise is required for neurological tests, consultations, and procedures. It ensures that your revenue grows. You have to timely submit claims. And follow the industry regulations to be financially successful. Hospitals have dedicated teams that stay updated on coding guidelines.

neurology billing services
You must also integrate billing and coding with your practice management systems. The integration leads to efficient services. It also reduces administrative burdens. Through reporting and analytics, you can track your financial performance. And also identify areas where you can improve.

These services are also scalable. It means that they can adapt to your growth. They are flexible and can meet your updating demands. Some hospitals outsource their billing and coding processes. It enables them to concentrate on patient care. At the same time, they can multiply their revenue as well.

Importance of Neurology Billing and Coding in Neurology Practices

Neurology billing and coding are crucial processes for an efficient medical practice. Here are some reasons highlighting their importance:

1. Revenue Generation

You must accurately and timely conduct billing and coding processes. They ensure that your practice receives proper reimbursement for your services like payment posting. With more revenue, you can sustain your operations. You can even invest in technology. And attract more healthcare professionals for your staff.

2. Compliance with Regulations

Your practice should follow the regulations set by official authorities. There are coding guidelines as well that you must consider. They avoid legal issues and penalties. With proper coding, your claims can meet regulatory requirements. This way, you can reduce the risk of audits and compliance violations.

3. Patient Care Continuity

Effective neurology billing services also contribute to efficient administrative tasks. They can enable you to focus on providing patient care. With productive processes, you can quickly get reimbursed. This improves your financial health along with the ability to treat your patients.

4. Insurance Reimbursement

Insurance companies depend on accurate codes from you. They use those codes to set the reimbursement amount for your services. With proper medical coding, you can get full reimbursements for your practice.

 5. Data Analysis and Decision-Making

With billing and coding processes, you can get valuable insights. These insights are usually about the financial performance of hospitals. You can also analyze coding trends. They identify areas where you can improve. Hospitals also use that data to make strategic decisions. These measures increase their efficiency and profitability.

Common Challenges Neurologists Face in Neurology

Neurologists face a lot of challenges in their practice. They range from clinical difficulties to administrative issues. Some of the common challenges are:

1. Diagnostic Complexity

There are many neurological disorders that have diverse symptoms. It can be challenging for you to make an accurate diagnosis. An extensive testing and interpretation phase is included as well. It can be time-consuming and may lead to uncertainty in some cases.

2. Limited Treatment Options

Some neurological conditions have little to no treatment options. They need you to focus on managing their symptoms. It is the only way to improve the quality of life for patients.

3. Interdisciplinary Collaboration

Some neurological disorders may need you to collaborate with other medical professionals. They can be from different fields. Some of those fields include psychiatry, physical therapy, and rehabilitation. Coordinating care across these fields can get challenging for you.

4. Advancements in Research and Technology

Hospitals also have to keep up with upgrading research and technological advancements. It can be quite a demanding process for you. You may also have to use new diagnostic tools. Working with some of those tools requires continuous education and training.

5. Time Constraints

Neurologists also face time constraints. Some patient cases can get complex. And need thorough examinations and discussions. Such measures lead to those time constraints. Hospital staff also have to balance their time between patient care, personal lives, and administrative tasks.

Guidelines For Outsourcing Neurology Billing Services

You should establish clear guidelines while outsourcing your neurology billing services. They ensure smooth operations, compliance, and much more. Here are some guidelines to consider:

1. Evaluate the Billing Service Provider

You must conduct thorough research. Use that research to choose a suitable billing service provider. The company should be reputable and experienced enough.

It should have expertise in neurology billing. You can check their reviews and references. Some hospitals also track the records of their potential outsourcing partners.

2. Ensure HIPAA Compliance

The billing service provider should also follow official regulations. The HIPAA regulations are important for hospitals. They protect patient details and keep them confidential.

3. Service Level Agreement (SLA)

You should also create a detailed service level agreement. It must outline the scope of your services along with their performance metrics. You can also provide the responsibilities of each party. Hospitals even define their billing processes and relevant timelines.

4. Data Security and Privacy

Hospitals have to ensure that strict data security measures are in place. They are important to protect patient information. So, you must ensure that your potential outsourcing partner has secure systems. They should follow the industry’s best data privacy practices.

5. Billing Software Compatibility

Outsourcing companies have their own software to manage billing issues. You should verify their compatibility with your electronic health record and billing systems. This integration can avoid disruptions in data flow.

6. Regular Reporting and Communication

You can also set up a regular reporting schedule. It can provide updates on the billing performance of your outsourcing partner. It can also identify any issues. These steps enable you to maintain open communication channels. You can use those channels to quickly resolve issues.

The Benefits Of Outsourcing Neurology Billing Services

Outsourcing neurology medical billing services can have several benefits for hospitals. Here are some key advantages:

1. Expertise and Specialization

Outsourcing companies often specialize in neurology billing. They bring expertise in following coding and billing regulations. They are also familiar with all the industry-specific details.

Their specialized knowledge can lead to improved coding accuracy. It reduces the likelihood of claim denials and rejections.

2. Cost Savings

Outsourcing is also a cost-effective solution for hospitals. It is better than maintaining an in-house billing department in terms of expenses. You can save on personnel costs and training expenses. You also do not have to invest in the infrastructure needed for in-house billing.

3. Focus on Core Competencies

By outsourcing your neurology billing services, you can redirect your resources. And focus on your core activities. They can include patient care, clinical services, and medical research. Outsourcing also enables you to reduce the workload from administrative tasks.

4. Increased Revenue Collection

Professional outsourcing companies are experienced in improving revenue cycles. They can reduce billing errors and promptly submit claims. These actions can improve the efficiency of your billing process. You can quickly get reimbursed. And the revenue also increases for your practice.

5. Scalability and Flexibility

Your potential outsourcing partner is also likely to scale its operations. It can accommodate the changes in the volume of your neurology patients. There can be fluctuations in your billing rate. Outsourced services are flexible and can adapt to your medical needs. This means that your partner can support you during periods of growth or decline.

Challenges of Outsourcing Neurology Billing Services

Outsourcing neurology billing services has some benefits. But there can be some serious challenges that you may encounter as well. Let’s take a look at some of those challenges in detail:

1. Data Security Concerns

You have to share your sensitive patient information with an outsourcing company. This practice raises concerns about data security and privacy. You should ensure that your outsourcing partner follows the security regulations. It must also have strict security measures in place to protect your patient data.

2. Communication Issues

Effective communication between a hospital and an outsourcing company is important. It determines a successful outsourcing partnership. There can be differences in your time zones. Many hospitals face language barriers and a lack of clear communication channels. These aspects can lead to misunderstandings and errors.

3. Dependency on External Providers

You are essentially relying on an external entity for your medical billing. It can create a sense of dependency. Your outsourcing partner may face issues and disruptions. They will always have an effect on your revenue cycle.

4. Quality Control Challenges

It is also challenging for hospitals to maintain quality control. While outsourcing their billing processes, they should establish clear quality assurance measures. You must also check the accuracy of their coding and billing practices.

5. Loss of Control

You may also feel a loss of control when you outsource your billing processes. There is a lack of direct oversight. It can be concerning if you are not closely tracking the performance of your outsourcing partner.

6. Customization and Adaptability

Some outsourcing providers have their own standardized processes. They may not fully align with your specific billing needs. So, you should always ensure that your outsourcing partner can customize its services. Customizations can even help them fit your unique billing needs.

7. Hidden Costs

Outsourcing is generally considered a cost-saving measure. But, there can be some hidden costs associated as well. They may be placed with your initial setup or customization. So, you should understand the full scope of all the costs. Understanding their scope lets you budget the services accurately.

Common ICD-10 Codes for Neurology

According to the American Academy of Professional Coders, there are 11 categories of ICD-10 codes for neurology. The common codes, out of those categories, include:

ICD-10 Code

Disease/Disorder

G01 Meningitis in bacterial diseases 
G04 Encephalitis, myelitis and encephalomyelitis
G10 Huntington’s disease
G12 Spinal muscular atrophy and related syndromes
G20 Parkinson’s disease
G30 Alzheimer’s disease
G35 Multiple sclerosis
G43 Migraine
G40 Epilepsy and recurrent seizures
G80 Cerebral palsy
G50 Disorders of trigeminal nerve
G60 Hereditary and idiopathic neuropathy

 

Common CPT Codes of Neurology

There are ten categories for the CPT codes of neurology. Some of the common ones, out of those categories, include:

  • CPT Code 95700

This code is assigned when a patient undergoes a minimum 8–8-channel EEG. It is the study of the electrical activity of the brain. This procedure is administered by a technologist. They record a video of the procedure as well.

  • CPT Code 95706

This code is also assigned to electroencephalography. The difference is that the procedure lasts for 2 to 12 hours. You have to intermittently check the patient. There is no video recording of the procedure. The technologist reviews the data and writes a technical description.

  • CPT Code 95812

This code is assigned to a diagnostic test. It uses small electrodes that are attached to the scalp. The procedure includes extended monitoring with a runtime of more than 40 minutes.

  • CPT Code 95830

This code is assigned to the insertion of electrodes. They are inserted into the patient’s cheeks. They also record the electrical activity of their brain.

  • CPT Code 95829

This code is assigned to a process called electrocorticogram. It records the brain’s electrical activity from the cerebral cortex. This is done by placing the electrodes on the brain’s surface.

  • CPT Code 95836

This code is assigned to the analysis of the electrocorticogram procedure. It records from a brain neurostimulator pulse generator. This generator is placed before conducting the procedure. The results are interpreted, and a written report is prepared.

  • CPT Code 95864

This code is assigned to a process called electromyography. It records the electrical activity produced by skeletal muscle cells. You have to insert needles into those muscles during their resting and contracting phase. You can hear the recordings using a loudspeaker.

  • CPT Code 95912

This code is assigned to 11 or 12 studies of nerve conduction. They are parts of a diagnostic test. The test evaluates functions like the electrical conduction ability. This ability is usually associated with the motor and sensory nerves.

The Bottom Line

Outsourcing neurology billing services can improve your financial processes. They also ensure that you get accurate reimbursements in a timely manner.

There are some challenges as well, like data security concerns and loss of control. You must follow proper guidelines and evaluate your outsourcing partners for financial success.

Contact us today and get access to top-quality neurology billing services from our experts!

Contact Us For Neurology Billing Services

Ready to upscale your Neurology Billing Services? Schedule an appointment with Health Quest Billing today and let our experts guide you towards a more efficient and profitable billing future.

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Frequently Asked Questions (FAQs)

Medical billing is a process in which hospitals generate claims. Then, they submit those claims to insurance companies. The purpose is to obtain payments for their medical services.

A CPT test in neurology is a neuropsychological test. It measures the sustained and selective attention of a person. Sustained attention is the ability to maintain constant focus on a continuous activity

A bill payment software is an automated tool. It gives you more control of your finances. You will be able to see the status of a bill from virtually anywhere at any time. You can also check the status of approvals or make a payment.

An automated billing system is a special type of software solution. It takes care of all the processes related to medical billing. You have to provide little manual input. Based on that input, a software can generate invoices and collect payments.

A bill account is a way of enabling patients to merge their invoices. The invoices are merged into an account. The total amount is paid off at a later date.