Neurology Medical Billing - Boost Revenue and Streamline Processes.

Optimizing Neurology Billing and Coding Processes for Your Practice

Healthcare providers in neurology medical practice use a number of treatment methods and medications and provide various neurological procedures to patients. These services, treatments, and medications need to be converted into codes for accurate billing. Note that billing is crucial to prevent revenue loss, accelerate payment processes, and ensure compliance with laws and regulations. Whether your facility provides services for bipolar disorder, sleep disorders, Alzheimer’s disease, or others, you need to ensure an excellent billing mechanism. So, for that, you need neurology medical billing services. Read further to learn the benefits of hiring a billing company.

What is Neurology Medical?

The brain, blood vessels, muscles, and nerves are all part of the nervous system, which is the focus of the medical specialty of neurology. The three primary areas of interest in neurology are the central, autonomic, and peripheral nervous systems. A neurologist is a medical professional specializing in neurology, while a neurosurgeon performs surgery to treat neurological conditions.

After eight years of medical school, neurologists must complete a postgraduate residency that lasts three to four years. After finishing their residency, some neurologists may continue their studies with fellowships in other areas of neurology. Pain management, epilepsy, interventional neurology, behavioral neurology, and clinical neurophysiology may be among them.

The neurological problems that affect newborns, young children, and adults frequently vary. Pediatric neurologists treat patients under the age of 18 who have neurological issues. Cerebral palsy, severe metabolic diseases, epilepsy, learning difficulties, and illnesses of the nerves and muscles are among the conditions afflict children.

Pediatric neurologists finish a 5-year postgraduate training program after four years of medical school, which includes two years of pediatric training, one year of general neurology training, and two years of pediatric neurology training.

Ways that Neurology Medical Billing Services Will Help Your Practice

They also require specific claim procedures to handle and enhance neurology-specific account receivables. These features will benefit neurologists by assisting with neurology billing services improvement.

Real-Time Eligibility

To submit a claim to the payers, it is crucial to have correct and comprehensive information regarding the patient’s coverage and insurance plans. The physician’s front office must invest a lot of time in the coverage verification process, which could lead to problems with reimbursement if not claimed correctly.

On the other hand, doctors must ask people for payment for their services without medical insurance. Here, the neurology billing company gives the patient instant eligibility. The front office of the neurology facility can quickly and easily check the status of a patient’s coverage, co-pay, insurance benefits, co-insurance plans, and the services they have already received, thanks to this feature of neurology medical billing. Additionally, this function enables the staff to determine whether or not the patient qualifies for the service.

Electronic Claim Submission

As previously stated, neurologists must file each patient’s claims individually. They submit claims for patients while utilizing common billing software. Neurologists can submit many claims for payment using special medical billing software for neurology. Neurologists can submit claims using this tool based on the level of insurance providers and the visits they make.

The neurologist medical billing software’s single-click claim submission function enables clinicians to spend less time on neurologist medical billing. Additionally, it reduces claim filing errors and denial rates.

No Payment and Coding Errors

Though there are several reasons why your neurologist bills could be denied, billing and coding mistakes commonly cause denials and obstruct revenue cycle management.

No Need for Papers and Documentation

A provider might not give enough information on a procedure, miss important details, or submit wrong information. Except when the coder or invoice can directly communicate with the supplier and clarify the situation, a claim application may be submitted inadvertently.

Deals with Refused or Rejected Claims

If errors are found before submitting claims, the insurance provider will reject a claim submitted incorrectly and not make the payout as specified. The document is returned in this case, and the process starts over. If the insurer decides the service or cost is not covered, a claim may be denied. It is possible to pursue a claim that has been rejected, but doing so costs time and money. Therefore, you need the help of medical billers who can prevent denied claims as well as efficiently follow back to denied claims.

Under-Coding and Over-Coding

The practice of under-coding involves disclosing relatively low-cost medical services that were rendered. On the other hand, over-coding is a technique used to get a practitioner paid more than they should. These errors are frequently intentional and are regarded as dishonest. If you choose an expert in the industry, you don’t need to deal with these problems.

Common Mistakes in Neurology Practice

Neurologist teams can make several mistakes in the billing process when they have to do additional billing work with their responsibility. Of course, they do this by mistake, but it can lead to several problems for the hospital, clinic, or other medical facilities. Here are some common mistakes done by neurologists.

·         Patient data (wrong name, birth date, insurance provider)

·         Insurance information (incorrect address and policy number)

·         Provider information (incorrect name, address, or phone number)

·         Codes issues (note fewer or more digits, erroneous modifiers, and inconsistencies in the facility’s location)

·         Billing errors (submitting claims without checking to see if the facility has previously been compensated or reported; invoicing errors)

·         Inconsistent practices (using CPT instead of ICD-10 codes, or vice versa)

·         Omitting the rules of procedure

Look for the Best Neurology Billing Companies

The billing and coding companies have a team that receives specialized training in medical billing and its complexities. They are aware of how important accuracy is when billing and coding for neurology services.

Additionally, in accordance with MGMA guidelines, they complete previous authorizations, confirm eligibility, and ensure they get payments as soon as possible. Expert, credible, and demanding companies have years of experience minimizing underpayment and denials. In order to receive the highest possible reimbursements, the billers and coders make sure that all treatment procedures are tagged for from lab results and doctor notes.

The medical coding and billing institutions for neurology cover the following things but are not limited to:

·         Vascular

·         Interventional

·         Neuromuscular, neurorehabilitation, and epilepsy

·         Behavioral

·         sedatives and painkillers

·         Neuro-immunology

·         clinical neurophysiology, or diseases of movement

·         Neurosurgery