Clinical Neurophysiology EHR and AI Medical Billing Software

Clinical neurophysiologists run and read EEG, EMG and nerve studies. XEHR records each study and bills the right part, nerve by nerve and hour by hour.

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Chart · Office visit

Lastname, Firstname M. Sample patient · DOB 01/01/1980 · Commercial

Eligible

BP128/82

HR72

BMI26.4

Temp98.6

Progress noteAI Scribe draft

Numbness and tingling in both hands; nerve study.

G56.03 Carpal tunnel syndrome, bilateral upper limbs

ReviewSign note

Diagnosis carried to the claimG56.03

THE HARD PARTS

What makes clinical neurophysiology billing hard

Billed by nerve and by hour

Nerve studies are billed per nerve and long-term EEG by hours of recording and review. Missing counts mean underpayment or denial.

Who performed and who read

Hospitals, labs and reading physicians each bill different parts of the same study.

Monitoring in surgery

Intraoperative monitoring is billed by time and requires documented attention to the case.

WHERE THE WORK HAPPENS

How clinical neurophysiology care is delivered and billed

Clinical neurophysiologists work in hospital and outpatient neurodiagnostic labs, epilepsy monitoring units and operating rooms. Studies are billed as professional, technical or global services on the professional claim depending on who owns the equipment and who interprets, and intraoperative monitoring is billed by time.

What payers check on clinical neurophysiology claims

Nerve conduction studies are billed per nerve studied.
Long-term EEG is billed by recording time and physician review.
Professional and technical parts are billed separately when split.
Intraoperative monitoring is billed by time and requires documented attention.
Many payers limit the number of nerves billable for a given diagnosis.

Common clinical neurophysiology diagnoses ICD-10-CM

G56.03	Carpal tunnel syndrome, bilateral upper limbs
G40.909	Epilepsy, unspecified, not intractable, without status epilepticus
M54.12	Radiculopathy, cervical region
G62.9	Polyneuropathy, unspecified
R56.9	Unspecified convulsions
G12.21	Amyotrophic lateral sclerosis

Examples only. The provider chooses the code that matches the documented diagnosis, and XEHR checks it against the note and the payer's rules before the claim goes out.

A VISIT ON XEHR

A clinical neurophysiology visit, start to payment

1
Check the order

The reason for the study and any approval are confirmed.
2
Record the study

Nerves, muscles or EEG hours are documented by the technologist.
3
Interpret

The physician writes and signs the interpretation.
4
Bill the right part

The study goes out on a checked claim with the right part.

How XEHR helps

From the clinical neurophysiology visit to the payment

Counts recordedNerves studied and hours recorded are documented with each study.
Parts kept straightThe claim shows the professional, technical or global service.
Monitoring time documentedIntraoperative monitoring time and attention are recorded.
AI that waits for youThe AI drafts notes and prepares claims; your providers sign and your billers approve.

Claim · CMS-1500

Sample claimLastname, Firstname M. · DOS 03/04/2026

Scrub passed

Scrubbed
Submitted
Accepted
Paid

Service	Dx	Units	Charge
Office visit	E11.9	1	145.00
A1c test	E11.9	1	28.00
Total			173.00

ERA postedPayment applied, no re-keying

Agentic AI for clinical neurophysiology

AI medical billing for clinical neurophysiology practices

XEHR is an agentic EHR: AI agents do the administrative work around every clinical neurophysiology visit, and your team approves what matters. How agentic AI works

Before the claim leaves

The claim-check agent looks for

Nerve conduction studies are billed per nerve studied.
Long-term EEG is billed by recording time and physician review.
Professional and technical parts are billed separately when split.
Intraoperative monitoring is billed by time and requires documented attention.

Around the visit

Agents run on their own

Coverage checked before each clinical neurophysiology visit
The visit note drafted for the provider to sign
Insurance payments matched and posted
Open claims tracked, denials read and appeals drafted

People decide

Your team stays in charge

Providers sign every note
Billers approve every claim and appeal
Staff submit prior authorizations
Any check can be overridden, with a reason

BUYER'S GUIDE

Questions to ask before you choose a clinical neurophysiology EHR

Ask every vendor, including us. The answers show whether a system was built for clinical neurophysiology work or only adapted to it.

Ask us on a demo

Are nerves and hours recorded for billing?
Is the right part billed?
Is intraoperative monitoring time documented?
Are payer limits on nerves considered?
Do reports reach the ordering provider?

QUESTIONS

Clinical Neurophysiology practices ask us

Does XEHR support EEG and EMG labs?

Yes. Studies, interpretations and parts are documented and billed.

Can XEHR bill long-term EEG monitoring?

Yes. Recording and review time are documented for billing.

Can intraoperative monitoring be billed?

Yes. Monitoring time and the surgery are documented.

Are reading-only studies supported?

Yes. The professional part is billed separately.

Does XEHR support ambulatory EEG?

Yes. Recording and review are documented and billed.

Can reports be shared?

Yes. Reports are filed to the chart.

Can technologists document studies?

Yes. Technologists record studies for physician review.

How much does XEHR cost for a clinical neurophysiology practice?

Pricing is published: $189 per provider per month for the Clinical plan, $449 per provider per month for the Practice Suite with billing, or 2.5% of collections for RCM as a Service. Month-to-month, with a BAA on every plan. See pricing.

How long does it take a clinical neurophysiology practice to go live?

Small practices are usually live in 2 to 4 weeks, including setup, data migration and training. We agree the plan with you before you sign.

Related specialties

See all specialties

See XEHR set up for clinical neurophysiology

A 30-minute walkthrough on a live test environment, with your specialty's templates and billing.

Book a demo See pricing