Specialty RCM Neurology, EMG & Infusion Therapy Portland, OR (9 Neurologists)
Cascade Neurology: Optimizing EMG, Nerve Conduction & Infusion Billing for 9 Physicians
Resolving EMG nerve conduction study unbundling denials, Botox injection authorizations, and migraine infusion claims.
Published February 2026 6 min read
99.0%
Clean Claim Rate
EMG & nerve conduction claims
100%
Botox Auth Approval
For chronic migraine therapy
+$750K
Collections Increase
Annualized net revenue lift
The Challenge
- Electromyography (EMG) and nerve conduction studies (NCS) denied due to unit limit breaches.
- Therapeutic Botox injections for chronic migraine written off due to un-approved prior authorizations.
- Infusion therapy billing errors for IVIG and monoclonal antibody treatments.
The Solution & Strategy
- Automated NCCI edit checks capping NCS nerve unit limits per claim based on CMS guidelines.
- Built automated prior authorization tracking for chronic migraine Botox injections 30 days before scheduled sessions.
- Assigned certified neurology coders to review all infusion time logs.
Quantifiable Key Results
Clean Claim Rate
99.0%
Up from 82.5%Botox Auth Rate
100%
Eliminated write-offsNet Revenue Lift
+$750,000
Annual collection growth"EMG and Botox billing have strict unit limits and authorization rules. YAKKAY Healthcare optimized our coding and unlocked $750,000 in new revenue."
Dr. Linda Sterling, MDChief of Neurology at Cascade Neurology
Actionable Takeaways for Practice Leaders
1
Cap nerve conduction study (NCS) unit reporting in your billing engine to match CMS NCCI edit limits2
Automate prior authorization renewal tracking 30 days prior to recurring therapeutic Botox sessionsReady to Achieve Similar Results?
Schedule a complimentary Revenue Cycle Audit for your practice to pinpoint billing leaks and clean claim opportunities.
Organization Profile
Organization:Cascade Neurology & Pain Institute
Specialty:Neurology, EMG & Infusion Therapy
Location & Scale:Portland, OR (9 Neurologists)
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