Medical Billing · Nationwide
Electrodiagnostic testing, complex chronic neurological care, and infusion therapies where technical/professional split billing and prior authorization rules dominate cash flow.
Aethera Healthcare Solutions provides full-service medical billing and revenue cycle management to neurology and neurophysiology practices across the United States. We handle coding, claims, payment posting, denial management, and A/R follow-up end to end — so your team can stay focused on patient care while your revenue cycle runs cleanly.
Typical neurology CPT range we work: 95810–95822, 95886–95913, 99202–99215, 64615.
EMG and nerve conduction study (NCS) units are capped and frequently audited by Medicare MACs without strict medical necessity documentation
Botox chemodenervation (CPT 64615) for chronic migraine triggers high-dollar claim denials when drug wastage (JW/JZ modifiers) is misreported
EEG and ambulatory sleep study interpretation versus technical component split (26/TC) requires rigorous billing separation
Infusion billing for MS and neuropathy biologics requires flawless J-code NDC pairing and prior authorization
Specialty-trained coders (CPC/CCS) code to the documentation
First-pass claim scrubbing against payer and NCCI edits
Proactive denial prevention and 72-hour denial work
Relentless A/R follow-up to drive days-in-A/R down
Eligibility and prior-auth verification before service
Transparent, real-time reporting in the provider portal
Use these any time — no login required.
How do you prevent denials on electrodiagnostic testing (EMG/NCS)?
We verify documented clinical indications against local Medicare MAC LCDs (Local Coverage Determinations) and ensure specific motor/sensory nerve counts match the billed CPT codes before submission.
How do you handle Botox wastage and J-code reporting?
We apply the required JW or JZ modifier with exact units administered and units discarded according to CMS regulations, preventing drug clawback audits.
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