rcm solutions Neurology facilities

Medical Billing And Revenue Cycle Management Solutions For Neurology / Neurosurgery Practices

Neurologists and neurosurgeons perform different types of procedures to address disorders of the brain, spine, and nervous system. At StafGo Health, we specialize in providing comprehensive medical billing and revenue cycle management (RCM) solutions made specifically for neurology practices, neurosurgery practices, and surgical centers. Our team of experts is well aware of the strategies and techniques to solve all your problems and provide solutions to best suit your requirements.

Accurate Coding Management For Neurology Practices With Stafgo Health

To ensure optimal reimbursement, Neurology billing involves a wide range of highly specialized services that require accurate documentation and precise coding. Our team is efficient in managing all ranges of CPT codes involved in neurosurgery and neurology, which includes 22551–22558 for spinal fusion procedures, 63030 for lumbar laminectomy, 22840–22847 for spinal instrumentation, 61510–61512 for craniotomy and brain tumor excision, 63650 for spinal neurostimulator implantation, 62270 for lumbar puncture, 95816 for routine EEG, 95907–95913 for nerve conduction studies depending on the number of studies performed, 96132–96133 for neuropsychological testing evaluations, 96138–96139 for test administration and scoring, and 99204–99215 for new and established patient evaluation and management (E/M) services, and additionally, procedures such as 95970–95972 for neurostimulator programming and 64612–64615 for chemodenervation.

Why Outsource Medical Billing And RCM To Stafgo Health For Your Neurology/Neurosurgery Practice?

Outsourcing medical billing and revenue cycle management (RCM) to StafGo Health helps your neurology/neurosurgery practices to focus on the best care of patients while our team of experts handles the complexities of your billing. We provide you access to specialized expertise, advanced technology, and dedicated support—all designed to maximize your revenue and streamline operations to enhance your financial growth. Our skilled RCM team is well aware of neuro-specific CPT codes and documentation requirements, boosting your operational efficiency and financial performance.

Common RCM Challenges Faced by Neurosurgery/Neurology Practices

Due to intricate procedures and overlapping E/M and diagnostic services, neurosurgery and neurology practices require specialized knowledge, and therefore, these practices involve complex billing challenges.

Complex Coding and Documentation Needs— Neurosurgical procedures consist of highly specific CPT codes. Missing any modifiers or incomplete documents can result in claim denials or underpayments. Also, in Neurology, detailed and time-based CPT codes are generally difficult to code correctly and require specific documents to show medical necessity.

Frequent Denials and Preauthorization Issues - Preauthorization Issues are also a very important step in billing. Insurance carriers usually require prior authorization for neurosurgical/neurology procedures, and any problem in this process can result in delayed or denied payments.
High Claim Values and Increased Scrutiny - As procedures in Neurosurgery are expensive, claims involve large reimbursements, making them a prime target for payer audits. There are more chances of delays, denials, and potential clawbacks.
Delayed Payments and Aged A/R- Neurosurgery and Neurology practices usually get reimbursements late due to longer-than-average accounts receivable (A/R) cycles, which affect their cash flow and financial stability.
Lack of In-House Resources- To manage RCM, a very knowledgeable and highly skilled team of coders, billers, and compliance experts is required. It is difficult to find such skilled staff, resulting in increased billing errors and inefficiencies.
Patient Responsibility and High Out-of-Pocket Costs - With rising deductibles and co-pays, patients are also responsible for some portion of their neurosurgical/neurology bills. Due to the lack of clear billing and follow-up systems, practices can face revenue loss from uncollected patient balances.

Solving Your Neurology/Neurosurgery Practice Challenges with StafGo Health

At StafGo Health, we understand the unique challenges involved with the neurosurgical and neurogical billing and therefore, we provide the specialized RCM solutions that are tailored to your specific needs.

Precision in Neurosurgical Coding and Accurate Neurology Coding— Our certified coder has comprehensive knowledge in neurosurgery CPT codes, including spinal fusions, laminectomies, craniotomies, and neurostimulator implants. Our certified coders keep their focus on reducing claim errors and maximizing reimbursements by ensuring precise documentation for complex services like EEGs (95816–95827), EMGs (95860–95870), and nerve conduction studies.
Streamlined Prior Authorization and Eligibility - Our pre-certification experts streamline your time-consuming prior authorizations precisely and help in real-time insurance verifications, preventing costly delays and ensuring compliance with payer policies.
Denial Prevention and Recovery - Our team proactively deals with the denial management system and also analyzes the root causes to prevent future issues. And make sure you secure every dollar you’ve earned.
Optimized Cash Flow and A/R Management - Our team works actively to track and reduce your accounts receivable (A/R) days through efficient claim submission, follow-up, and patient collections to ensure faster payments.
Custom Reporting and Transparent Analytics - We facilitate you with our detailed RCM reporting trackers, giving you full visibility into key performance metrics like collections, aging, denial trends, and payer behavior so that you can make informed decisions.
Patient Billing and Communication - Our team simplifies the patient payment experience with clear statements, payment plan options, and responsive support, which inculcate the feeling of satisfaction and reduce outstanding balances.