Diagnostic studies, procedural therapies and chronic disease management each carry different documentation and payer rules, on the same panel.
Referring provider, symptoms and prior workup captured at intake.
Exam level coded against the actual complexity of the neurological exam.
EEG, EMG and sleep studies ordered with medical necessity documented upfront.
Study interpretation and time detail checked against the code being billed.
Study-count, laterality and infusion drug units applied before submission.
Payer-specific neurology edits cleared before the claim is built.
Batched same day, with acknowledgement tracked to the clearinghouse.
What actually lands in the account after documentation-aware review.
Five governance checks run on every encounter before a claim is ever built.
Notes checked for the exam and time detail each study code requires.
Unspecified codes upgraded to the laterality and etiology the note supports.
EMG nerve and muscle counts billed to the number actually studied, not a default.
Diagnostic and infusion orders checked against payer coverage policy pre-visit.
Every code change logged against the note that supports it, ready for payer audit.
EEG and EMG used to be billed by whoever was free that day. Now they're billed the same correct way every time.
Botox cycles and MS infusions finally reconcile against the auth on file, automatically.
The first partner that could tell me why a cognitive testing claim was denied, in plain language.
EEG is coded to duration and technique, and EMG/NCS is coded to the number of muscles and nerves actually studied, not a default panel, with a certified coder confirming every study before submission.
Every cycle is tracked against its authorization window and drug units administered, so the claim reconciles automatically instead of being rebuilt by hand each visit.
Symptom history and prior workup are checked against payer coverage policy before a study is scheduled, so testing isn't performed against a diagnosis the payer won't support.
Yes. Time-based cognitive testing codes are validated against the documented testing time and the interpretation note, the same way EEG and EMG time rules are handled.
Every code change carries an audit trail back to the note and authorization that supported it, reviewed on a schedule appropriate for infusion and injection therapies.
A percentage of net collections with contracted clean-claim and days-in-A/R targets. No implementation fee, and month-to-month after the first year.
