Billing Solutions for Neurosurgery Practices

Neurosurgery Billing Services That Support Surgical Accuracy and Faster Payments

We manage neurosurgery billing with precision. From complex procedures to payer rules, our team helps you stay compliant and collect without delays.

15+

Years in Neurosurgery Billing

150+

Healthcare Providers

30+

Billing Platforms

50+

Specialties Supported

Why Neurosurgery Practices Choose Us

We deliver billing solutions built for the complex demands of neurosurgical care. Our team understands the coding, modifiers, and documentation requirements for cranial procedures, spinal surgeries, and neurostimulator implants.

By working directly within your systems, managing pre-authorizations, and tracking claims in real time, we reduce denials and rework. This lets your team stay focused on patient outcomes while we protect your revenue stream.

99% First-Pass Rate

Claims are submitted clean and accurate, resulting in faster approvals and fewer delays. That way, your team stays focused on operations instead of chasing down rejections.

Up to 30% Revenue Growth

Our clients typically see improved collections within the first 90 days of service, resulting in stronger cash flow and fewer revenue gaps from the very start.

120+ Days AR Recovery

We prioritize high-value claims, apply payer-specific follow-up strategies, and track recovery metrics to ensure nothing slips through the cracks.

100% System Integration

We work within your existing EHR and PM systems, ensuring a smooth and efficient setup. Integration is quick and your workflow stays uninterrupted.

RCM Solutions Tailored for Neurosurgery Billing

Specialized RCM support for neurosurgical procedures, with accurate coding, pre-authorization management, payer compliance, and consistent revenue recovery.

Onboarding

Patient Onboarding & Eligibility Verification

Prevent denials with upfront insurance checks and streamlined registration.

charge

Charge Capture & Medical Coding

Expert medical coders ensure precise billing, no missed charges, full compliance.

AR Management & Patient Communication

Claims Submission & Monitoring

Accurate, timely submissions with continuous tracking and follow‑up.

Denial Management & Appeals

Denial Management & Appeals

Swift recovery of rejected claims and prevention of future denials.

Payment Posting & Reconciliation

Payment Posting & Reconciliation

Ensure all payments are matched, discrepancies resolved, and books balanced.

Claims Submission & Monitoring

AR Management & Patient Communication

Proactive collections with empathetic patient support and transparent billing.

Proactive AR Follow-Ups

Proactive AR Follow-Ups

Turn delays into dollars, chase every outstanding payment with persistence, turning aging accounts into active assets.

Transparent Patient Communication

Transparent Patient Communication

We make billing effortless, with clear, timely statements that build trust, eliminate confusion, and inspire prompt, fast payments.

Reporting & Regulatory Compliance

Reporting & Regulatory Compliance

Advanced analytics and audit-driven compliance reveal trends, reduce risk, and drive smarter decisions.

Onboarding

Patient Onboarding & Eligibility Verification

Prevent denials with upfront insurance checks and streamlined registration.

charge

Charge Capture & Medical Coding

Expert medical coders ensure precise billing, no missed charges, full compliance.

AR Management & Patient Communication

Claims Submission & Monitoring

Accurate, timely submissions with continuous tracking and follow‑up.

Denial Management & Appeals

Denial Management & Appeals

Swift recovery of rejected claims and prevention of future denials.

Payment Posting & Reconciliation

Payment Posting & Reconciliation

Ensure all payments are matched, discrepancies resolved, and books balanced.

Claims Submission & Monitoring

AR Management & Patient Communication

Proactive collections with empathetic patient support and transparent billing.

Proactive AR Follow-Ups

Proactive AR Follow-Ups

Turn delays into dollars, chase every outstanding payment with persistence, turning aging accounts into active assets.

Transparent Patient Communication

Transparent Patient Communication

We make billing effortless, with clear, timely statements that build trust, eliminate confusion, and inspire prompt, fast payments.

Reporting & Regulatory Compliance

Reporting & Regulatory Compliance

Advanced analytics and audit-driven compliance reveal trends, reduce risk, and drive smarter decisions.

Ready to Improve Your Neurosurgery Billing Outcomes?

If your practice is facing coding errors, denied claims, or revenue delays, it’s time to upgrade your billing process. We specialize in neurosurgery billing with a focus on high-complexity procedure coding, modifier accuracy, authorization management, and compliance for cranial, spinal, and neurostimulator surgeries.

Getting started is simple. We manage onboarding from start to finish and tailor the workflow to your systems. Your billing launches smoothly without disrupting clinical operations.

1

Consultation Call

Talk Today
Call Scheduled
Form Submitted

2

Solution Meeting

PROMBS Intro
Needs Discussed
Start Date

3

Contract Finalization

Terms Agreed
Docs Signed
Inquiries Resolved

4

Operations Kickoff

Billing Transfer
Roles Assigned
Systems Ready

5

Transition Icon

Successful Transition

Strategy Set
Goals Aligned
Launch Confirmed

Why We Are Best at Neurosurgery Billing Across the U.S.

We deliver complete RCM solutions tailored to the demands of neurosurgical practices. Our team is trained in high-complexity coding, including cranial, spinal, and neurostimulator procedures, with full understanding of modifier use, prior authorizations, and global periods. We help reduce denials, improve collections, and recover aged AR while working within your existing EHR and clinical workflow. Our process is built for surgical accuracy, payer compliance, and financial performance at scale. Neurosurgery groups across the U.S. rely on us to manage their billing with precision, speed, and specialty expertise.

What Our Clients Achieve with Our Neurosurgery Billing Services

0 Days

%

0 % - 10%

0 Hours

0 %

0 %

%

0 %

Get Free NS Billing Consultation Connect with a neurosurgery billing specialist today and optimize your revenue cycle with expert support.

Medical Billing Software We Leverage for Revenue Cycle Management

Here are some Industry top listed EHR being operated by us.

Our Esteemed Clients' Testimonials

Frequently Asked Questions

How do your billing services handle the complexity of neurosurgical coding?

Neurosurgery involves some of the most complex coding in healthcare. Our billing team uses highly trained neurosurgical coders who understand multi-level spinal fusions, cranial procedures, neurostimulator implants, and staged surgeries. We apply the correct CPT codes, validate surgical notes, and use proper modifiers to reflect surgical complexity. This ensures accurate reimbursement and fewer coding-related denials. Shape

Do you support high-volume neurosurgery practices with multiple surgeons?

Yes. We work with high-volume neurosurgical groups, multi-specialty teams, and hospital-affiliated practices. Our workflows are built to scale across multiple providers and locations. Each surgeon’s billing is tracked independently, and our reporting helps administrators oversee productivity, collections, and payer performance across the practice.

Can you handle billing for intraoperative neuromonitoring and surgical assistants?

Absolutely. We support billing for intraoperative neuromonitoring (IONM), assistant surgeons, and co-surgeons. We ensure correct coding of the technical and professional components, use modifiers like 26, TC, 80, 82, and 62, and make sure documentation meets Medicare and commercial payer requirements for multi-provider billing scenarios.

How do you manage pre-authorization for high-risk neurosurgical procedures?

For procedures like spinal fusions, craniotomies, or deep brain stimulation, pre-authorization is critical. We manage the entire authorization process — from benefit verification and medical necessity documentation to tracking approvals. This minimizes delays and prevents denials due to missing or expired authorizations.

What’s your approach to minimizing revenue loss from bundled neurosurgery claims?

For procedures like spinal fusions, craniotomies, or deep brain stimulation, pre-authorization is critical. We manage the entire authorization process — from benefit verification and medical necessity documentation to tracking approvals. This minimizes delays and prevents denials due to missing or expired authorizations.

What’s your approach to minimizing revenue loss from bundled neurosurgery claims?

Bundling errors can cost neurosurgery practices thousands per claim. We use payer-specific bundling guidelines and tools to identify when unbundling is justified. Our coders carefully review op notes and apply modifiers like 59 or XS to separate billable procedures. This preserves revenue without compromising compliance.

How do you handle post-op care billing during global periods?

We track each surgical claim’s global period to ensure post-op visits are correctly included or billed separately when allowed. If a complication arises or unrelated services are performed during the global period, we apply modifiers like 24 or 78 and document accordingly. This protects revenue and prevents inappropriate write-offs.

Do you provide billing support for implantable neuromodulation devices?

Yes. We handle billing for spinal cord stimulators, deep brain stimulators, and other neuromodulation implants. These services require detailed documentation, coordination with device reps, and proper use of implantation and trial phase codes. We also manage payer-specific rules for hardware reimbursement and procedural bundling.

What level of reporting do you provide for neurosurgical practices?

We offer granular reporting by procedure type, surgeon, payer, denial category, and AR aging. Our dashboards show first-pass rates, appeal success, and collection trends across your neurosurgery service lines. These reports help administrators make informed decisions about case mix, profitability, and payer negotiation strategy.

How do you support billing for advanced image-guided or robotic neurosurgery?

Many advanced procedures involve image guidance, intraoperative navigation, or robotic assistance. We ensure that appropriate add-on codes and technology-specific billing elements are included and supported by documentation. We stay up to date on which payers allow separate reimbursement for these advanced technologies.

Do you help neurosurgeons navigate payer medical necessity policies?

Yes. Every payer has different medical necessity criteria for spine, cranial, and neurostimulation procedures. We help your team align documentation with these policies during scheduling and coding. This reduces the risk of retroactive denials and ensures that claims stand up to audits.

How do you handle appeals for underpaid or denied neurosurgery claims?

We categorize all denied claims, investigate payer remarks, and submit appeals with supporting clinical notes and billing corrections. Our appeal team has experience overturning bundled rejections, downcoding, and medical necessity disputes. We maximize revenue recovery with aggressive follow-up and documentation-based rebuttals.

Can you handle separate billing for diagnostic and therapeutic procedures in one encounter?

Yes. In neurosurgery, it’s common to perform diagnostic procedures (e.g., discography or myelogram) followed by surgical interventions in the same session. We review the entire operative report to determine which services are billable separately and apply correct modifiers to distinguish them. This helps you capture all legitimate revenue.

What’s your process for auditing neurosurgical documentation before claim submission?

We conduct a pre-bill audit on high-value and high-risk procedures to ensure all codes are supported by clinical documentation. We verify start and stop times, implant logs, complications, and notes from assistant surgeons or device reps. Our audits reduce post-payment recoupment risk and improve clean claim rates.

Do you provide neurosurgery billing training or documentation feedback to our providers?

Yes. We offer ongoing provider education on documentation best practices for neurosurgery. This includes guidance on global period exceptions, modifier usage, and what’s needed to support complex billing scenarios. Our team provides real-time feedback when documentation gaps could affect reimbursement.

What makes your neurosurgery billing services different from general billing vendors?

Unlike general billing companies, we specialize in neurosurgical revenue cycle management. We understand the surgical complexity, documentation requirements, and compliance risks unique to this specialty. Our coders and AR team are trained specifically in neurosurgery billing — helping you reduce denials, recover revenue, and stay audit-ready.

Head Office | Houston

857 Tristar, Suite A1,
Webster, TX 77598, US.

Nevada Office

2300 W Sahara Avenue, Suite 800,
Las Vegas, NV 89102, US.

Colorado Office

1600 Broadway, Suite 1600,
Denver, CO 80202, US.

Las Vegas Office

732 S 6TH ST, STE R,
LAS VEGAS NV 89101, US.

Virginia Office

5600 General Washington Dr Ste B207,
Alexandria, VA, 22312, US.

Thousands of providers growing their practice with PROMBS.

"Now It's Your Turn"!

Talk to an ExpertWe're available 24/7 - Schedule a call with one of our experts now.