Neurology EHR and AI Medical Billing Software

Neurology combines detailed exams, testing and long-term therapy. XEHR keeps exams, studies, treatments and claims in one record.

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Includes Clinical Neurophysiology Epilepsy Vascular Neurology

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

Headaches twelve days a month.

G43.709 Chronic migraine without aura

ReviewSign note

Diagnosis carried to the claimG43.709

THE HARD PARTS

What makes neurology billing hard

Studies with interpretation

EEG and nerve studies are billed with their interpretation, and each needs a report.

Drugs and injections given in clinic

Infusions and injections for migraine and other conditions need exact documentation.

Approvals for imaging and drugs

Advanced imaging and many neurology drugs need prior authorization.

WHERE THE WORK HAPPENS

How neurology care is delivered and billed

Neurologists see patients in clinic, consult in the hospital and interpret tests such as EEG and nerve studies. Visits and interpretations are billed on the professional claim, with the professional and technical parts split when the lab belongs to someone else. Many neurology treatments are high-cost drugs given by injection or infusion, which bring prior authorization and drug billing.

What payers check on neurology claims

EEG and nerve studies are billed as professional, technical or global depending on who did what.
Botulinum toxin for migraine or spasticity is billed in its units with the muscles injected documented.
Many migraine, multiple sclerosis and other neurology drugs require prior authorization.
Migraine and epilepsy codes specify whether the condition is intractable and whether status is present.
Hospital consults are billed with the hospital place of service.

Common neurology diagnoses ICD-10-CM

G43.909	Migraine, unspecified, not intractable, without status migrainosus
G40.909	Epilepsy, unspecified, not intractable, without status epilepticus
G20.A1	Parkinson’s disease without dyskinesia, without mention of fluctuations
G62.9	Polyneuropathy, unspecified
I63.9	Cerebral infarction, unspecified
G44.209	Tension-type headache, unspecified, not intractable

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 neurology visit, start to payment

1
Structured neuro exam

The neurological exam is recorded in a structured format that is easy to compare over time.
2
Test and interpret

EEG and nerve study results are filed and interpreted with the part the practice performed.
3
Treat and approve

Injection and infusion therapies are flagged for prior authorization when ordered.
4
Bill visit, test and drug

The visit, interpretations and any drug go out on one checked claim.

How XEHR helps

From the neurology visit to the payment

Structured neuro exam templatesExam findings are captured consistently.
Studies and reports in the chartResults and interpretations sit next to the visit.
Authorizations from the chartRequests are prepared and tracked through renewal.
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 neurology

AI medical billing for neurology practices

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

Before the claim leaves

The claim-check agent looks for

EEG and nerve studies are billed as professional, technical or global depending on who did what.
Botulinum toxin for migraine or spasticity is billed in its units with the muscles injected documented.
Many migraine, multiple sclerosis and other neurology drugs require prior authorization.
Migraine and epilepsy codes specify whether the condition is intractable and whether status is present.

Around the visit

Agents run on their own

Coverage checked before each neurology 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 neurology EHR

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

Ask us on a demo

Is the neurological exam structured for comparison over time?
Are EEG and nerve studies billed with the right part?
Is botulinum toxin billed in units with muscles documented?
Are infusion approvals tracked?
Do migraine and epilepsy codes capture intractability?

QUESTIONS

Neurology practices ask us

Does XEHR support EEG and nerve study billing?

Yes. Studies documented with their interpretation carry onto the claim.

Can XEHR help with neurology drug authorizations?

Yes. Requests are prepared from the chart and tracked.

Does XEHR support EEG and nerve study billing?

Yes. Studies are billed with the correct part and the interpretation is documented.

Can XEHR track infusion approvals for neurology?

Yes. Drugs needing approval are flagged and renewals are tracked.

Does XEHR support infusion suites for neurology?

Yes. Infusions are documented and billed with drug units and time.

Can neurologists see patients by telehealth?

Yes. Telehealth visits are documented and billed.

How much does XEHR cost for a neurology 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 neurology 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.

SUBSPECIALTIES

Neurology subspecialties on XEHR

Related specialties

See all specialties

See XEHR set up for neurology

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

Book a demo See pricing