- ENT Coding Specialists
ENT Medical Billing Services
ENT billing is uniquely complex. One wrong sinus surgery modifier, one missed nasal endoscopy code, or one bundled hearing test—and thousands in revenue vanish.
Neo MD fixes that with ENT-certified coders, surgical procedure optimization workflows, and aggressive revenue capture built for otolaryngology complexity.
95-97%
First-Pass Claim
+27%
Avg Revenue Increase
90
Days to Results
- Practice Revenue Health Audit
Is Your ENT Practice
Bleeding Revenue? (Most Are.)
If you fall behind your revenue goals, it’s time to get our professional consultation about the Revenue Cycle Management process. If any of these are happening, you’re losing $150K–$360K+ annually:
Visible Revenue Bleed
Immediate Impact
Nasal Endoscopy Claims Denied
Diagnostic vs surgical procedure documentation gaps
Sinus Surgery Claims Rejected
Sinus count and extent errors in billing
Tympanoplasty Claims Denied
Missing medical necessity for revision procedures
Sleep Apnea Surgery Claims Delayed
Prior authorization failures for uvulopalatopharyngoplasty
Audiology Testing Claims Bundled
When hearing tests should've been billed separately
Bilateral Procedure Modifier Missing
Not applying modifier 50 on bilateral surgeries
Invisible Losses
According to AAO-HNS and MGMA ENT benchmarking data, practices lose 18%–25% of revenue due to:
Sinus Surgery Coding
Undercounting the sinuses operated
Nasal Endoscopy with Procedure
Bundling diagnostic endoscopy
Audiology Component Billing
Not billing TC when equipment is owned
Laryngoscopy Complexity
Wrong code for operative vs diagnostic
Septoplasty with Turbinates
Not billing inferior turbinates separately
Allergy Testing Units
Undercounting percutaneous test units
Revision Surgery Coding
Missing increased complexity modifiers
Image Guidance Billing
Not billing 61782/31295 with sinus surgery
"You didn't train for 10+ years to fight with insurance companies. But right now, coding errors cost more than an ENT surgeon's salary."
$360,000+
- Industry Problem
Why General Medical Billing Companies Fail ENT Practices
ENT billing requires specialty expertise that general billers don’t have.
Sinus counting chaos
Can't accurately count and code sinuses operated
Endoscopy bundling blind spot
Bundle diagnostic with surgical procedures
Audiology component confusion
Don't bill TC when practice owns equipment
Bilateral procedure miss
Don't apply modifier 50 on bilateral surgeries
Turbinate coding errors
Don't bill inferior turbinates with septoplasty
Medical necessity gaps
Can't document revision surgery justification
Allergy testing underbilling
Undercount percutaneous test units
Image guidance blindspot
Miss surgical navigation system billing
Result: 15%–22% denial rates, 45-60 day payment cycles, and constant staff time wasted on resubmissions.
- The NEO MD Difference
The Neo MD ENT Advantage
ENT-Certified Coding Teams
- Expert in sinus surgery coding (functional endoscopic sinus surgery)
- Nasal endoscopy optimization (diagnostic vs surgical)
- Bilateral procedure modifier mastery (50, RT, LT by CPT code)
- Hearing test and audiology service coding
- Allergy testing and immunotherapy billing
- Head and neck lesion removal and reconstruction
→ 95–97% clean claim rate vs 62–74% industry average
Sinus Surgery Revenue Maximization
We ensure proper billing for:
- Multiple sinus procedures with correct code combinations
- Maxillary, frontal, ethmoid, and sphenoid sinus codes
- Image-guided surgery (61782) when applicable
- Turbinate reduction procedures (30140, 30801-30802)
- Septoplasty with or without turbinate reduction
- Post-operative debridement (31237)
→ $16K–$32K monthly recovery from sinus surgery optimization
Complete Prior Authorization Management
We handle authorizations for:
- Sinus surgery (FESS procedures)
- Septoplasty and rhinoplasty
- Sleep apnea surgery (uvulopalatopharyngoplasty, tongue procedures)
- Thyroidectomy and parathyroidectomy
- Head and neck tumor excision
- Advanced imaging (CT sinus, MRI head and neck)
→ 4.1-day turnaround instead of 9–14 days
Nasal Endoscopy Revenue Capture
We optimize billing for:
- Diagnostic nasal endoscopy (31231) on office visits
- Surgical nasal endoscopy (31237-31298)
- Nasal/sinus endoscopy with biopsy
- Nasal endoscopy with debridement
- Proper modifier 25 application with same-day E/M
→ $8K–$18K monthly from nasal endoscopy services
Audiology & Hearing Services
We capture:
- Comprehensive audiometry (92557)
- Tympanometry (92550, 92567-92570)
- Speech audiometry (92555-92556)
- Auditory brainstem response (ABR) testing (92585-92586)
- Hearing aid evaluation and fitting
- Balance testing (92531-92548)
→ $6K–$14K monthly from audiology services
Real-Time Revenue Visibility
- Daily surgical procedure claim tracking
- Weekly nasal endoscopy billing monitoring
- Monthly financial performance by procedure type
- Quarterly payer policy update reviews
→ Complete transparency
ENT Services We Master
Sinus & Nasal Procedures
Functional endoscopic sinus surgery (FESS) for maxillary, ethmoid, frontal, and sphenoid sinuses with proper code combinations, septoplasty for deviated septum correction, turbinate reduction using radiofrequency or submucous resection techniques, image-guided sinus surgery with navigation systems, balloon sinuplasty procedures, and post-operative debridement with correct global period coding.
Office-Based Procedures
Diagnostic nasal endoscopy with complete visualization and documentation, nasal endoscopy with biopsy of suspicious lesions, debridement of nasal crusts and granulation tissue, foreign body removal from nose or ear, cerumen removal using irrigation or instrumentation, and nasal cauterization for epistaxis management.
Otology & Hearing Services
Comprehensive audiometry with pure tone air and bone conduction testing, tympanometry and acoustic reflex testing, speech audiometry and word recognition scoring, otoacoustic emissions (OAE) testing for hearing screening, auditory brainstem response (ABR) for neurologic assessment, and balance function testing including ENG and VNG studies.
Head & Neck Surgery
Thyroidectomy including total, subtotal, and lobectomy procedures, parathyroidectomy for hyperparathyroidism, parotidectomy and submandibular gland excision, neck dissection for cancer staging or treatment, laryngoscopy with biopsy or lesion removal, and tonsillectomy and adenoidectomy procedures with proper age-based coding.
Allergy Services
Percutaneous and intradermal allergy testing with correct unit billing, allergen immunotherapy build-up phase with visit coding, allergen immunotherapy maintenance phase, venom immunotherapy for insect sting allergies, allergy injection administration codes, and interpretation and report of allergy testing results.
Sleep & Airway Procedures
Uvulopalatopharyngoplasty (UPPP) for obstructive sleep apnea, tongue base reduction procedures, palatal implant placement, septoplasty and turbinate reduction for nasal obstruction, tonsillectomy for obstructive sleep apnea in children and adults, and sleep study interpretation and management.
Real Results: 4-Physician Endocrinology Group (Texas)
“We were missing nasal endoscopy codes on every office visit. Neo MD fixed our sinus surgery coding, corrected our bilateral modifier errors, and helped us optimize audiology billing. Our revenue is up 31% without adding surgeries.”
— Dr. Jennifer S., Otolaryngologist
| Metric | Before NEO MD | After NEO MD (90 Days) |
|---|---|---|
| Denial Rate on Sinus Surgery | 30% | 3.8% |
| Annual Revenue Loss | $620,000 | Recovered |
| Nasal Endoscopy Billing | Never Billed | +$16,000 / month |
| Sinus Surgery Coding Optimization | Revenue Leakage | +$19,000 / month |
| Bilateral Modifier Accuracy | Applied Incorrectly | +$11,000 / month |
| Audiology Services Billing | Consistently Underbilled | +$8,000 / month |
| Total Revenue Impact | Missed Revenue |
$64,000 / month ($768K annually) |
Free Download
ENT Denial Prevention Checklist
The exact checklist our coders use for 95%+ clean claims.
Sinus surgery coding matrix (maxillary, ethmoid, frontal, sphenoid combinations)
Nasal endoscopy decision tree (diagnostic 31231 vs surgical 31237-31298)
Bilateral procedure modifier guide (which codes allow 50, which require RT/LT)
Post-operative debridement billing rules (31237 within global period)
Hearing test medical necessity templates (audiometry, tympanometry)
Allergy testing unit calculation worksheet (percutaneous, intradermal)
Modifier 25 requirements for same-day E/M with endoscopy
Tonsillectomy age-based coding guide (42820-42826)
Used by 155+ ENT practices. Worth $2,800. Yours free.
Performance: Neo MD vs Industry Standard
| Performance Metric | Industry Avg | Neo MD |
|---|---|---|
| Clean Claim Rate | 62–74% | 95–97% |
| Denial Rate | 26–38% | 3–6% |
| Nasal Endoscopy Capture | 38–56% | 96%+ |
| Sinus Surgery Accuracy | 58–72% | 97%+ |
| Bilateral Modifier Accuracy | 64–78% | 98%+ |
| Audiology Revenue Capture | 52–68% | 94%+ |
Our Process: Revenue Acceleration in 90 Days
We begin with a comprehensive analysis of your last 90 days of billing data, examining every sinus surgery for correct code combinations and sinus documentation, reviewing office visits for missed nasal endoscopy procedures, evaluating bilateral modifier application across all procedures, and assessing audiology service billing accuracy. Our team identifies denial patterns by procedure type and payer, examines post-operative debridement coding within global periods, and reviews medical necessity documentation for hearing tests and allergy services. You receive a detailed report showing exactly where revenue is leaking with specific examples of undercoded surgeries and the dollar amount being lost to each type of coding error or missed service opportunity.
Our implementation team coordinates a smooth transition with zero disruption to your surgical schedule or patient care. We integrate with your EMR and surgical documentation system (whether you're using Epic, Athenahealth, NextGen, eClinicalWorks, or any other platform), verify all payer enrollments and credentialing including ASC and hospital privileges, set up ENT-specific coding protocols with automatic nasal endoscopy prompts on office visits, establish bilateral modifier decision trees by CPT code, and provide comprehensive training to your physicians, surgical staff, and audiologists on documentation requirements for sinus surgery, nasal endoscopy, hearing tests, and allergy services. Most practices have their first clean claims submitted within 10-12 business days.
This is where you see immediate financial impact. Our certified ENT coders begin capturing nasal endoscopy codes on every appropriate office visit, implementing correct sinus surgery code combinations based on specific sinuses treated and approaches used, optimizing bilateral procedure modifier application to maximize reimbursement while maintaining compliance, and ensuring proper audiology service coding with medical necessity documentation. We systematically rework and resubmit old denied claims with corrected coding and enhanced surgical documentation. Within the first 30 days, most practices see noticeable cash flow improvement from nasal endoscopy capture alone, and by day 90, our clients average a 26-31% revenue increase without adding surgical time or performing more procedures.
Revenue optimization doesn't stop at 90 days. We provide bi-weekly updates on ENT coding changes and payer policy modifications including sinus surgery bundling edits, conduct monthly surgical coding reviews with your providers to ensure continued documentation accuracy for bilateral procedures and sinus combinations, perform quarterly compliance audits on nasal endoscopy billing and post-operative care coding, and deliver annual CPT code update training specific to otolaryngology and audiology services. As your practice adds new procedures like balloon sinuplasty, in-office procedures, or expanded allergy services, we proactively research coverage policies and implement billing protocols to ensure maximum reimbursement from day one.
Critical Compliance Issues We Handle
ENT practices face unique compliance challenges. We protect you:
Sinus surgery documentation
specific sinuses treated, approach documented
Bilateral procedure modifiers
correct modifier by CPT code, 50 vs RT/LT
Nasal endoscopy medical necessity
separate documentation from E/M visit
Post-operative care coding
debridement within global period rules
Hearing test medical necessity
supporting documentation, frequency limits
Allergy testing unit accuracy
correct number of allergens tested
Modifier 25 compliance
separately identifiable E/M with procedures
Global surgical period rules
what's included, what's separately billable
We keep you compliant, paid, and audit-ready.
Frequently Asked Questions
10–14 days, zero claim disruption.
Yes. We manage billing for office-based procedures and ASC surgical cases with facility fee coding.
We ensure proper modifier 25 application and separate documentation for same-day services.
6–9% of collections, but clients average a 26–31% revenue increase.
Yes. We optimize all audiology services, including diagnostics, hearing aids, and balance testing.
We handle complete allergy service billing, including testing, build-up, and maintenance phases.
- Financial Attrition Warning
Stop Losing $25K–$60K Every Month
Every month you delay is another month of compounded clinical leakage.
Sinus surgeries undercoded
Nasal endoscopy was never billed
Bilateral modifiers applied incorrectly
Post-op debridement missed
Audiology services underbilled
Allergy testing revenue lost
Partner with Neo MD
Operational Performance Protocol
Bilateral modifiers
98%+
Two Ways to Get Started
Option 1
Free Revenue Analysis
No obligation. No sales pitch. Just data.
We’ll show you:
- Sinus surgery coding accuracy and combinations
- Nasal endoscopy capture rate on office visits
- Bilateral modifier application errors
- Post-operative debridement billing gaps
- Audiology service revenue potential
- Missed revenue by procedure type
Option 2
Talk to a Specialist
15-minute consultation. Zero pressure.
We’ll discuss:
- Your current billing challenges
- Sinus surgery and endoscopy coding gaps
- Bilateral modifier optimization opportunities
- Whether Neo MD is the right fit
Or call us directly:
- (929) 502-3636
Monday-Friday, 8 am-5 pm EST
The Cost of Waiting
If you’re an ENT practice collecting $3.6M annually and losing 28% to billing inefficiencies:
$1,008,000
Per year in lost revenue
$5.04 million
Over 5 years
That’s hiring another ENT surgeon, opening your own ASC, investing in advanced surgical equipment like image-guided navigation systems, or expanding into comprehensive allergy and audiology services.
Every month you wait costs you $84,000 you'll never recover.
The question isn’t “Should I switch?”
The question is: “How much more am I willing to lose?”
Neo MD Inc. | ENT Medical Billing Specialists
Trusted by 155+ ENT practices across all 50 states