Neurology Billing Services in New Hampshire
New Hampshire's neurology practices face unique billing challenges shaped by Anthem Blue Cross Blue Shield's commercial rules, NH Medicaid requirements, and Novitas Solutions Medicare policies. Our AAPC-certified coders specialize in both NH payer rules and neurology coding complexity.
Why New Hampshire Neurology Practices Need Specialized Billing
New Hampshire's healthcare market includes 4,000+ physicians, and neurology practices here face a payer market dominated by Anthem Blue Cross Blue Shield on the commercial side and NH Medicaid on the public payer side. Medicare claims are processed through Novitas Solutions, which applies its own Local Coverage Determinations that directly affect neurology procedure coverage and medical necessity requirements. Generic billing teams without NH specific knowledge leave revenue on the table.
Neurology billing itself is complex. Neurology diagnostic testing codes have professional and technical components, time-based elements, and study-specific documentation requirements. EMG/NCS (95907-95913, 95885-95886) requires documenting specific nerves tested. EEG (95816-95822) has awake, sleep, and long-term monitoring variants. When you combine this coding complexity with New Hampshire's specific payer rules, authorization requirements, and 2 NH Medicaid managed care plans that each have their own billing rules, you need a team that understands both dimensions. Go Medical Billing provides that expertise at 2.49% of collections, serving neurology practices from Manchester to Concord and across New Hampshire.
Top CPT Codes for Neurology in New Hampshire
Our NH coders handle these neurology codes daily, applying Novitas Solutions Medicare rules and Anthem Blue Cross Blue Shield commercial policies to each claim.
New Hampshire Payer Challenges for Neurology
Every NH payer has specific rules for neurology claims. Here's how we navigate them.
Anthem Blue Cross Blue Shield Neurology Claims
Anthem Blue Cross Blue Shield processes the largest share of New Hampshire commercial neurology claims. We know their NH specific fee schedules, prior authorization requirements for neurology procedures, and their appeal timelines when claims are denied. Nerve conduction and needle EMG have separate code families that must be coordinated.
NH Medicaid Neurology Billing
NH Medicaid routes neurology patients through 2 managed care plans: Well Sense, AmeriHealth Caritas. Each MCO has its own neurology authorization and billing rules that we manage.
Medicare (Novitas Solutions) Neurology Coverage
Novitas Solutions processes Medicare neurology claims in New Hampshire with its own Local Coverage Determinations. We navigate Novitas Solutions's policies around eeg variant selection to prevent medical necessity denials.
Denial Prevention for New Hampshire Neurology
Common neurology denials in New Hampshire include nerve conduction and needle emg have separate code families that must be coordinated and routine, extended, ambulatory, and video eeg each have different codes and documentation. Our team catches these issues before submission and appeals aggressively with NH payer-specific documentation when denials occur.
Get Expert Neurology Billing in New Hampshire
Free billing assessment for your NH neurology practice. See where revenue is leaking.
What We Handle for New Hampshire Neurology Practices
New Hampshire Neurology Billing Cost Comparison
Hiring an in-house biller with neurology expertise in New Hampshire costs $40K-$52K annually in salary alone. Add benefits, software, clearinghouse fees, and office space, and the true cost is even higher. At 2.49% of collections, Go Medical Billing provides an entire team of AAPC-certified neurology coders and NH payer specialists for a fraction of that cost.
$40K-$52K
In-House Biller Salary
+ benefits, software, space
2.49%
Go Medical Billing Rate
Full team, all services included
60-80%
Typical Cost Reduction
With better results
Related Pages
Explore our New Hampshire and neurology billing resources.
Frequently Asked Questions
Fix Your New Hampshire Neurology Billing
Call 888-701-6090 for a free billing assessment specific to your NH neurology practice. We'll show you where revenue is leaking and how to fix it.