Who We Are We are Prime Medical Billing Solutions, LLC, a results-driven medical billing and revenue cycle partner headquartered in Atlanta, Georgia. Since about 2015, we have operated with the belief that true value lies in partnering, rather than merely contracting, with providers to ensure personalized attention and peak revenue performance. Founded by seasoned billing professionals with 20+ years of combined expert experience, our home office in Atlanta supports both individual practices and larger provider groups. Our team is passionate about maximizing reimbursements and simplifying the billing journey step by step. What Services We Offer We provide a comprehensive suite of services designed to optimize every phase of the revenue cycle: Claims processing & billing management, including electronic, UB‑04, and HCFA‑1500 formats Accounts receivable and collections, focusing on paid-to...
Neurology Billing Services
EEG, EMG/NCS, Botox for migraine and complex E/M visits each bring their own payer rules. Specialist neurology billers keep diagnostics and treatments paid.
- EEG and long-term monitoring coded by duration and setting
- Nerve conduction and EMG units matched to studies performed
- Chemodenervation (Botox) with drug units and authorizations
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Why neurology billing needs specialists
Neurology combines complex office visits with a wide range of diagnostic testing. Routine and long-term EEGs are coded by recording duration, whether video is included and who monitors the study; nerve conduction studies are billed per number of studies with needle EMG add-ons; and each test must link to a covered diagnosis.
Treatment services add more complexity. Chemodenervation for chronic migraine or spasticity requires the procedure code, the correct drug units and wastage, and prior authorization with documented headache frequency or functional limitations. Infusions for multiple sclerosis follow drug and infusion-hierarchy rules.
A neurology billing partner verifies authorizations before testing and treatment, codes diagnostics from technician and physician reports, separates professional and technical components when studies are read for hospitals, and appeals denials with the clinical detail payers require.
Common neurology billing challenges
Long-term EEG coding
Codes depend on duration, video, technologist monitoring and who interprets the study.
NCS and EMG units
Nerve conduction codes count studies; units must match the nerves tested.
Botox authorizations
Payers require documented headache days, failed preventives and drug unit details.
Professional vs. technical split
Studies read for hospitals need -26/-TC modifiers to avoid duplicate denials.
MS infusion billing
High-cost infusions require prior authorization, J-codes and administration coding.
High-level E/M documentation
Complex neurologic visits must clearly support medical decision-making or time.
What a neurology billing partner should handle
- Prior authorization for imaging, Botox and infusions
- EEG and long-term video EEG coding
- NCS/EMG coding with correct study counts
- Chemodenervation drug and procedure billing
- Professional and technical component billing
- E/M level review and documentation feedback
- Infusion center billing for MS therapies
- Denial management and appeals
- Patient statements and payment plans
- Provider and diagnostic revenue reports
Key codes in neurology billing
| Code(s) | What it covers |
|---|---|
| 95816 / 95819 | Routine EEG, awake and drowsy / awake and asleep. |
| 95700–95726 | Long-term EEG setup, monitoring and professional interpretation by duration. |
| 95907–95913 | Nerve conduction studies, billed by the number of studies performed. |
| 95885 / 95886 | Needle EMG add-on codes performed with nerve conduction studies. |
| 64615 | Chemodenervation for chronic migraine (with drug billed separately). |
| J0585 | Injection, onabotulinumtoxinA, per unit. |
| 99204–99215 | New and established patient office visits for neurologic evaluation. |
Code examples are for orientation only. Always code from the current CPT®, HCPCS and ICD-10-CM code sets and payer policies.
Medical necessity for testing
EEG and electrodiagnostic testing is closely reviewed. Document the clinical question, symptoms and prior findings, and make sure studies performed match those billed, including the number of nerves tested.
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How much does neurology billing cost?
Most billing companies charge a percentage of what they actually collect, so their incentive matches yours. Complex specialties sit at the higher end of the range because of prior authorizations, modifiers and appeal work.
Most common. You pay only on money collected.
Predictable for high-volume, low-complexity claims.
Dedicated billers working inside your systems.
Typical market ranges; actual quotes depend on claim volume, payer mix and scope. Compare quotes from several companies.
Neurology billing FAQs
With 95907–95913 based on the total number of nerve conduction studies performed, plus needle EMG add-on codes when done in the same session.
Almost always. Payers usually require a chronic migraine diagnosis, documented headache frequency and failed preventive medications.
Using codes 95700–95726 that separate setup, technologist monitoring and physician interpretation by duration and whether video is included.
Yes, with the professional component modifier -26 when the hospital bills the technical component.
Common causes include missing authorizations, unsupported diagnoses, incorrect study counts and wrong professional/technical modifiers.
Typically 4% to 8% of collections.
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