Neurology Medical Billing Services in Texas
AMS Solutions provides specialized neurology medical billing for practices across Texas. Whether you’re in Dallas, Houston, Austin, San Antonio, or anywhere statewide, our AAPC-certified billers handle the full neurology code set (EEG (95812-95830), EMG/NCS (95860-95913), Botox for chronic migraine (64615/J0585)) and the Texas payer prior-authorization landscape that Texas practices encounter.
Texas-specific payer landscape
Texas neurology billing crosses Novitas Solutions Medicare Part B, Texas Medicaid Managed Care (Amerigroup, Molina, Superior, etc.), Blue Cross Blue Shield of Texas, UnitedHealthcare, Aetna, Cigna, and Humana Medicare Advantage. Each has distinct PA requirements for Botox, IVIG, and infusion therapy.
Where Texas neurology revenue leaks
- Botox for chronic migraine (64615) denials when PA criteria aren’t met (15+ headache days/month documented)
- 26/TC modifier errors on EEG/EMG interpretations
- NCS unit-based coding (95907-95913) miscounted — billing 95910 when 95913 is appropriate
- Same-day E/M + nerve block bundling without Modifier 25
- Continuous EEG monitoring (95705-95722) on epilepsy unit patients
What AMS handles for Texas 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
Texas compliance
Texas Medical Board requires medical records to be retained 7 years for adults. Our HIPAA-compliant document management meets Texas Medical Records Privacy Act (TMRPA). AAPC-certified, $5M E&O.
Get a Neurology Billing Assessment for Your Texas Practice
Call (214) 571-6317 or book a 30-minute review with our team. We’ll audit your last 90 days of claims, flag every recoverable issue, and show you exactly what’s leaking — no obligation.
Yes. We submit PA documentation including ≥15 headache days/month, prior preventive failures, and migraine-specific diagnoses. We track approvals before claim submission.
Yes — across all TX Medicaid MCOs for outpatient and ambulatory studies.
We bill the correct tier based on the number of nerves studied per the operative report. Wrong tier = wrong reimbursement; we catch the discrepancy before submission.
95%+ on first pass.
Yes. We bill the administration codes (96365-96379) and J-codes correctly with wastage documentation.
Related resources
See our full Neurology Medical Billing services, Texas medical billing services, or download the 2026 Neurology CPT Cheat Sheet.