Neurotology EHR and AI Medical Billing Software

Neurotologists treat the inner ear, balance system and skull base. XEHR keeps hearing tests, balance studies, imaging and surgery together 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

Progressive left hearing loss and ringing; MRI shows a small mass.

D33.3 Benign neoplasm of cranial nerves

ReviewSign note

Diagnosis carried to the claimD33.3

THE HARD PARTS

What makes neurotology billing hard

Testing from several teams

Audiology and vestibular testing are done by other professionals and must be filed and interpreted.

Implants and their approvals

Cochlear implants need documented hearing results and candidacy before approval.

Skull base surgery with other surgeons

Operations are often shared with neurosurgery, and each surgeon documents their part.

WHERE THE WORK HAPPENS

How neurotology care is delivered and billed

Neurotologists work in otolaryngology practices and academic centers, with audiology and vestibular labs alongside. Clinic visits and test interpretations are billed on the professional claim; cochlear implant and skull base operations are performed in the hospital with the facility place of service. Device programming after implant surgery continues for years.

What payers check on neurotology claims

Cochlear implant coverage requires documented hearing test results that meet the payer’s criteria.
Ear and hearing conditions are coded with laterality.
Vestibular tests are billed by test, with the interpretation documented.
Co-surgery with neurosurgery is billed only when both surgeons document their distinct parts.
Device programming after implantation is billed according to the payer’s rules for the visit type.

Common neurotology diagnoses ICD-10-CM

H90.3	Sensorineural hearing loss, bilateral
H81.10	Benign paroxysmal vertigo, unspecified ear
H81.01	Meniere’s disease, right ear
D33.3	Benign neoplasm of cranial nerves
H93.12	Tinnitus, left ear
Z96.21	Cochlear implant status

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 neurotology visit, start to payment

1
Test hearing and balance

Audiology and vestibular studies are filed to the patient before the visit.
2
Diagnose and image

The note interprets the tests, and imaging is ordered with the findings that support it.
3
Approve and operate

Implant and skull base cases are booked with approvals prepared from the record.
4
Program and follow

Implant programming and follow-up visits are documented and billed over time.

How XEHR helps

From the neurotology visit to the payment

Tests filed and interpretedAudiology and vestibular results are filed to the patient with the interpretation.
Candidacy documentedHearing results and candidacy criteria are recorded for implant approvals.
Shared operations recordedEach surgeon’s part of a combined operation is documented for billing.
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 neurotology

AI medical billing for neurotology practices

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

Before the claim leaves

The claim-check agent looks for

Cochlear implant coverage requires documented hearing test results that meet the payer’s criteria.
Ear and hearing conditions are coded with laterality.
Vestibular tests are billed by test, with the interpretation documented.
Co-surgery with neurosurgery is billed only when both surgeons document their distinct parts.

Around the visit

Agents run on their own

Coverage checked before each neurotology 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 neurotology EHR

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

Ask us on a demo

Can audiology and vestibular results be filed and interpreted in the chart?
Are implant candidacy results documented for approval?
Is co-surgery with neurosurgery documented for both surgeons?
Are ear conditions coded with laterality?
Can implant programming visits be documented over years?

QUESTIONS

Neurotology practices ask us

Does XEHR support neurotology practices?

Yes. Hearing, balance, imaging and surgery are documented together in one record.

Can XEHR help with cochlear implant approvals?

Yes. Hearing results and candidacy are documented and used to prepare the request.

Can audiologists document in XEHR?

Yes. Audiologists record tests in the same chart, billed under their own rules.

Does XEHR handle skull base surgery with neurosurgery?

Yes. Each surgeon documents their part, and claims follow co-surgery rules.

Does XEHR support balance clinics?

Yes. Vestibular testing and therapy are documented and billed.

Can XEHR track tinnitus treatment?

Yes. Assessments and treatment are documented.

Can imaging be ordered with the findings that support it?

Yes. Orders carry the documented findings.

How much does XEHR cost for a neurotology 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 neurotology 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 neurotology

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

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