Neurology Medical Billing Services in New Jersey
AMS Solutions provides specialized neurology medical billing for New Jersey practices — Newark, Jersey City, Paterson, Trenton and statewide. Our AAPC-certified billers handle EEG (95812-95830), EMG/NCS (95860-95913), Botox for chronic migraine (64615/J0585) and the New Jersey payer mix.
New Jersey-specific payer landscape
New Jersey neurology billing crosses NJ FamilyCare Medicaid Managed Care (Aetna Better Health, Amerigroup, Horizon NJ Health, UnitedHealthcare Community, WellCare), Horizon Blue Cross Blue Shield NJ, AmeriHealth, Aetna, Cigna, and Medicare. Novitas is the MAC for NJ Medicare Part B.
Where New Jersey neurology revenue leaks
- Botox 64615 PA denials in NJ FamilyCare
- 26/TC modifier errors on EEG/EMG interpretations at NJ hospitals
- NCS unit-based coding (95907-95913) miscounted
- Same-day E/M + nerve block bundling without Modifier 25
- Continuous EEG monitoring billing complexity
What AMS handles for New Jersey practices
- Pre-encounter eligibility verification and benefit checks
- Coding, charge entry, and claim submission
- Denial management and appeals (we don’t write off — we fight)
- A/R follow-up and patient statements
- Monthly reporting tied to your practice management system
New Jersey compliance
New Jersey Patient Records Privacy + HIPAA + NJ Identity Theft Prevention Act. AAPC-certified, $5M E&O.
Get a Neurology Billing Assessment for Your New Jersey Practice
Call (214) 571-6317 or book a 30-minute review with our team.
Yes. PA submitted with ≥15 headache days/month + prior preventive failures documented.
Yes — across all NJ MCOs for outpatient and ambulatory neuro studies.
We bill the correct tier based on the number of nerves studied per the operative report.
95%+ on first pass.
Yes. Administration codes (96365-96379) + J-codes correctly billed with wastage documentation.