Epilepsy Center EHR and AI Medical Billing Software

Epileptologists treat seizures that are hard to control. XEHR tracks seizures, monitoring, devices and approvals in one record.

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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

Breakthrough seizures despite two medicines.

G40.219 Localization-related symptomatic epilepsy with complex partial seizures, intractable, without status epilepticus

ReviewSign note

Diagnosis carried to the claimG40.219

THE HARD PARTS

What makes epilepsy center billing hard

Intractability decides codes and approvals

Epilepsy codes state whether seizures are intractable and whether status epilepticus occurred. Newer drugs and devices are approved only when intractability is documented.

Monitoring unit stays billed by time

Video EEG monitoring is billed by recording time and physician review. Missing review documentation turns days of monitoring into a short claim.

Devices and surgery need evaluation

Stimulators and epilepsy surgery require documented evaluation, including monitoring results and imaging, before approval.

WHERE THE WORK HAPPENS

How epilepsy center care is delivered and billed

Epileptologists work in comprehensive epilepsy centers with monitoring units, clinics and surgical programs. Visits, EEG interpretation and device programming are billed on the professional claim; monitoring stays have hospital and professional components.

What payers check on epilepsy center claims

Epilepsy codes state type, intractability and status epilepticus.
Video EEG monitoring is billed by recording time and review.
Device programming is billed per session.
Newer anti-seizure drugs often need prior authorization.
Epilepsy surgery requires documented evaluation.

Common epilepsy center diagnoses ICD-10-CM

G40.219	Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, without status epilepticus
G40.909	Epilepsy, unspecified, not intractable, without status epilepticus
G40.A09	Absence epileptic syndrome, not intractable, without status epilepticus
G40.311	Generalized idiopathic epilepsy and epileptic syndromes, not intractable, with status epilepticus
R56.9	Unspecified convulsions
Z45.42	Encounter for adjustment and management of neurostimulator

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

An epilepsy center visit, start to payment

1
Review the seizure diary

Events since the last visit and medicine levels are reviewed and recorded.
2
Monitor when needed

Monitoring stays are scheduled and documented with recording and review time.
3
Adjust medicines and devices

Dose changes and device settings are documented with the reason.
4
Bill each service

Visits, interpretations and programming go out on checked claims.

How XEHR helps

From the epilepsy center visit to the payment

Seizure history structuredSeizure type, frequency and medicines tried are recorded so intractability is documented.
Monitoring time capturedRecording time and daily review are documented for each monitoring stay.
Device programming recordedStimulator settings and each change are documented and billed per session.
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 epilepsy center

AI medical billing for epilepsy center practices

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

Before the claim leaves

The claim-check agent looks for

Epilepsy codes state type, intractability and status epilepticus.
Video EEG monitoring is billed by recording time and review.
Device programming is billed per session.
Newer anti-seizure drugs often need prior authorization.

Around the visit

Agents run on their own

Coverage checked before each epilepsy center 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 an epilepsy center EHR

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

Ask us on a demo

Are seizure frequency and type tracked?
Is video EEG billed by time and review?
Are device settings recorded?
Are drug approvals tracked?
Do codes capture intractability?

QUESTIONS

Epilepsy Center practices ask us

Does XEHR support epilepsy centers?

Yes. Seizure tracking, monitoring, devices and approvals are documented.

Can XEHR record device programming?

Yes. Settings and changes are documented.

Does XEHR track medication approvals?

Yes. Approvals and renewals are tracked.

Can XEHR bill video EEG monitoring?

Yes. Time and review are documented.

Does XEHR support epilepsy surgery evaluations?

Yes. Evaluation steps are documented.

Can seizure action plans be shared?

Yes, with consent recorded.

Can diet therapy be documented?

Yes. Diet plans are recorded.

How much does XEHR cost for an epilepsy center 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 an epilepsy center 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 epilepsy center

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

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