●  Neurology  ●

Unlock capacity in your neurology practice

Neurology demand outstrips supply almost everywhere — yet many practices run months-long waitlists while ancillary capacity sits idle and infusion economics go unmanaged. Access is the growth strategy; operations are how you get it.

Sound Familiar?

Demand isn’t the problem. Throughput is.

The 90-day waitlist paradox

New patients wait months while no-shows, loose templates, and follow-ups that could be telehealth or APP visits consume the schedule that should be seeing them.

Infusion economics on autopilot

Biologic infusion services carry real margin and real risk — buy-and-bill inventory, payer-by-payer margin swings, and authorization lapses can turn a profit center into a loss quietly.

Prior auth burying the staff

Imaging, EMGs, and specialty medications each drag their own authorization burden. Unmanaged, it consumes staff capacity and delays the care that drives revenue.

●  Two Ways to Engage  ●

Same executive expertise. Two engagement models.

Both engagements bring senior healthcare-executive expertise to your neurology practice. The difference is the number of hours per week your outside expert is involved — and who executes the plan.

Fractional Executive

We lead it with your team

A COO, CFO, or CEO-level operator embedded in your practice on a weekly cadence — running leadership meetings, working directly with your staff, and owning outcomes. Executive-caliber leadership at roughly 20–30% of the cost of a full-time hire.

Consulting

We build it, you run it

A focused engagement built around analysis and a clear, prioritized roadmap. Often the better value when you already have the leadership in place to execute a well-built plan — project-based, defined scope, defined deliverables.

How We Work

Five steps. Every engagement.

Every engagement — fractional or consulting, any specialty — follows the same five-step operating discipline.

1
Assess
2
Prioritize
3
Execute
4
Develop
5
Measure

Where We Focus

What we work on inside neurology practices

Converting overwhelming demand into managed access, and managing the ancillary economics that make a neurology practice thrive.

  Access & template design

New-patient slot protection, urgency triage, telehealth follow-up channels, and no-show management — cutting wait times while raising productive volume.

  APP leverage model

NP/PA roles designed for follow-up care, protocol visits, and shared care — expanding physician capacity for the new patients and complex cases only they can see.

  Infusion suite economics

Per-drug, per-payer margin analysis, buy-and-bill inventory discipline, authorization workflows, and chair utilization — run like the pharmacy business it is.

  Diagnostic utilization

EMG, EEG, and imaging capacity managed against referral demand — scheduling, staffing, and internal capture of studies currently leaking out.

  Prior authorization operations

Dedicated auth workflows with payer playbooks across meds, imaging, and procedures — measured turnaround, not heroic effort.

  Revenue cycle for cognitive care

E/M coding accuracy for complex visits, prolonged-service capture, chronic care management, and denial patterns worked systematically.

“A neurology waitlist is unmet demand you already own. Operations decide whether it becomes revenue or resentment.”

Questions

Frequently asked questions

How can a neurology practice reduce new-patient wait times?
Protect new-patient slots in the template, triage referrals by urgency, move routine follow-ups to telehealth and APP visits, and manage no-shows as a KPI. Most practices can cut weeks off their waitlist without adding a single provider - the capacity is usually hiding inside follow-up visits that don't need a physician's in-person hour.
Is an in-office infusion suite worth it for neurology?
Often yes - MS, migraine, and other biologic infusions can be a strong service line - but it must be run with pharmacy-grade discipline: per-drug and per-payer margin analysis, tight buy-and-bill inventory control, and airtight authorization workflows, since a single unauthorized high-cost infusion can erase a month of margin. We model it honestly before you build, and instrument it after.
How should neurologists use nurse practitioners and PAs?
The highest-value model puts APPs on protocol-driven follow-ups, medication management, and shared-care visits, which frees physician schedules for new patients and complex evaluations. Success depends on defined clinical protocols, appropriate supervision per your state, and template design that routes the right visit to the right provider automatically.
What engagement model fits a neurology practice?
Practices with an administrator often start with a consulting engagement focused on access and infusion economics - a defined roadmap with defined returns. Groups without business leadership more often choose ongoing fractional management: weekly operating cadence, financial oversight, and accountability, at roughly 20-30% of the cost of a full-time executive.
●  FROM THE ARCHIVE  ●

The Neurology briefing series

Five sourced, data-driven reports on the business of running a neurology practice.

01
Neurology Access and Referral Management: What Long Wait Times Are Actually Costing You

Neurology wait times and referral management: how access problems cost revenue, erode referring physician loyalty.

02
The Economics of an E/M-Heavy Neurology Practice After the Office Visit Changes

Neurology coding accuracy after E/M guideline changes: how G2211 works, what the 2026 fee schedule does to office visit revenue.

03
Neurology Infusion Suite Economics and the Buy-and-Bill Risk Equation

Neurology infusion suite: buy-and-bill economics, Medicare ASP pricing changes in 2026, and how to evaluate whether in-office infusion makes sense for.

04
In-Office Neurodiagnostics: EEG, EMG, and the Business Case for Doing Them Right

In-office EEG, EMG, and nerve conduction studies in neurology: Medicare CPT coding rules, reimbursement, LCD compliance.

05
Telehealth and Staffing Models for a Cognitive Specialty

Neurology telehealth billing and staffing: Medicare coverage through 2027, cognitive assessment codes, APP deployment models.

Book your complimentary discovery call now

Thirty minutes. No pitch. An honest read on where your practice stands.

Free Consultation

(844) 451-0524