Intraoperative Monitoring (IONM)
Why is this part of my surgery/procedure?
Please help me understand all the different healthcare providers as part of my procedure?
What happens the day of my surgery?
Prior to your procedure, hospital staff will work to prepare you for surgery. During this time you will meet your Advanced NeuroSolutions technician who will answer any questions you may have about IONM before asking you to sign a consent form.
Once in the operating room, our technicians will place tiny, non-invasive electrodes on the surface of your skin over nerves and/or muscles that will be monitored during the medical procedure. Usually, monitoring of the selected nerves and muscle areas begins shortly after you are anesthetized, and data is collected throughout the procedure. Your doctor or surgeon will incorporate the data we collect into his or her decision-making process.
What are the risks?
Who pays for the IONM services?
Your insurance carrier may pay for a portion of the costs associated with IONM.
This amount depends on your specific carrier and your insurance plan. Generally, our services will be billed out of network. Please check with your insurance carrier to find out about coverage for intraoperative neuromonitoring (IONM). You may be responsible for payment of the difference; a patient bill will be sent to you if there is some portion responsible by you as the patient.
Rights and Protection Against Surprise Medical Bills
Billing Disclosures – Your Rights and Protections Against Surprise Medical Bills
What is "balance billing" (sometimes called "surprise billing")
When you see a doctor or other healthcare provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance and/or a deductible. You may have other costs or must pay the entire bill if you see a provider or visit a healthcare facility that isn’t in your health plan’s network.
“Out-of-network” describes providers and facilities that haven’t signed a contract with your health plan. Out-of-network providers may be permitted to bill you for the difference between what your plan agreed to pay, and the full amount charged for a service. This is called “balance billing.” This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.
“Surprise billing” is an unexpected balance bill. This can happen when you can’t control who is involved in your care — like when you have an emergency or when you schedule a visit at an in-network facility but are unexpectedly treated by an out-of-network provider.
If you believe you’ve been wrongly billed, you may contact:
Good Faith Estimate
You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost.
Under the law, healthcare providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.
- You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services.
- Make sure your healthcare provider gives you a Good Faith Estimate in writing at least one business day before your medical service or item. You can also ask your healthcare provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.
- If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.
- Make sure to save a copy or picture of your Good Faith Estimate.
State Resources for protection from surprise medical bills
Alabama Department of Insurance
Arkansas Insurance Department
Idaho Department of Insurance
The Illinois Department of Insurance
Phone: (877) 527-9431
Kansas Insurance Department
Kentucky Department of Insurance
Missouri Department of Insurance
Address: PO Box 690, Jefferson City, MO 65102-0690
Phone: (573) 751-4126
Oklahoma Insurance Department
Pennsylvania Insurance Department
Address: 1326 Strawberry Square, Harrisburg, PA 17120
Texas Department of Insurance
Advanced NeuroSolutions is high quality, efficient, and effective. We have selected Advanced NeuroSolutions as one of our preferred IONM Providers. Advanced NeuroSolutions earned a position as a trusted provider.Leading Hospital System
What is an EEG?
An electroencephalogram (EEG) is a medical procedure used to evaluate the electrical activity in the brain. Brain cells communicate with each other through electrical impulses. An EEG can be used to help detect potential problems associated with this activity. The test tracks and records brain wave patterns. Small, flat metal discs called electrodes are attached to the scalp with adhesive. The electrodes analyze the electrical impulses in the brain and send signals to a computer, where the results are recorded.
Why am I having an EEG?
Please consult with your doctor on why the EEG was ordered. Your doctor can explain the medical condition which is being diagnosed and how the information will be used to address your individual medical situation.
How Do I Prepare for an EEG?
Wash your hair the night before the EEG, and don’t put any products (such as sprays or gels) in your hair on the day of the test. Ask your doctor if you should stop taking any medications before the test. You should also make a list of your medications and give it to the technician performing the EEG. Avoid consuming any food or drinks containing caffeine for at least eight hours prior to the test.
What Happens the Day of the EEG?
An EEG measures the electrical impulses in your brain by using several electrodes that are attached to your scalp. An electrode is a conductor through which an electric current enters or leaves. The electrodes transfer information from your brain to a machine that measures and records the data. The Advanced NeuroSolutions technician will put a sticky gel adhesive on approximately 15 – 25 electrodes and will then be attached to various spots on your scalp.
What are the Risks?
Please consult with your doctor. This is a very low risk procedure and it is non-invasive. It is a procedure used to diagnose another medical condition that is likely affecting you.
Who Pays for an EEG?
Your insurance carrier likely pays for a portion of the costs associated with EEG. This amount depends on your specific carrier and your insurance plan. Please check with your insurance carrier to find out about your specific coverage. You may be responsible for payment of the difference; a patient bill will be sent to you if there is some portion responsible by you as the patient.
Innovative and trustworthy. I used Advanced NeuroSolutions for IONM services and was excited to hear they were providing EEG services. ANS is continuously seeking to help me and my patients through new technologies, techniques and approaches.Client Physician