Intraoperative Monitoring (IONM)

Why is this part of my surgery/procedure?
Intraoperative Monitoring is commonplace and many times the standard of care for the type of surgery or procedure. Your doctor may request IONM for several medical reasons including but not limited to: understanding your neurological baseline prior to the procedure, proactive feedback on neurological reactions during your procedure, optimal positioning of your body during the procedure, and improved procedure outcomes. Please speak to your doctor or surgeon if you have any questions.

Please help me understand all the different healthcare providers as part of my procedure?
Advanced NeuroSolutions is a seamless part of the medical team. Depending on your medical procedure, a doctor, surgeon, anesthesiologist, Advanced NeuroSolutions technician, the medical facility and/or hospital all work as an integrated team to support your 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?
A benefit of intraoperative monitoring is understanding a patient’s baseline prior to the surgery and proactive monitoring of the nerves during the procedure. IONM is a painless, non-invasive procedure with minimal risk. The incidence of any risks has been reported to be very low. However, as with any procedure, the risks versus the benefits must be carefully considered. You should discuss any concerns that you may have with your doctor or surgeon.

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
Effective January 1, 2022, the No Surprises Act, which Congress passed as part of the Consolidated Appropriations Act of 2021, is designed to protect patients from surprise bills for services at out-of-network facilities or for out-of-network providers at in-network facilities, holding them liable only for in-network cost-sharing amounts. The No Surprises Act also enables uninsured patients to receive a good faith estimate of the cost of care.
Billing Disclosures – Your Rights and Protections Against Surprise Medical Bills
When you get treated by an out-of-network provider at an in-network hospital or ambulatory surgical center, you are protected from surprise billing or balance billing.
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:

U.S. Centers for Medicare & Medicaid Services (CMS) at 1-800-MEDICARE (1-800-633-4227) or visit for more information about your rights under federal law.

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.
Get More Information

For questions or more information about your right to a Good Faith Estimate, visit or call 1-800-MEDICARE (1-800-633-4227).

State Resources for protection from surprise medical bills


Alabama Department of Insurance


Arkansas Insurance Department


Arizona Department of Insurance and Financial Institutions
Address: 100 N. 15th Ave. Ste. 261, Phoenix, AZ 85007-2630
Phone: (602) 364-3100


Idaho Department of Insurance



Office of Commissioner of Insurance and Safety Fire
Address: 2 Martin Luther King Jr. Dr., West Tower, Suite 702, Atlanta, GA 30334
Phone: (404) 656-2070


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
Phone: 1-877-881-6388

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

Electroencephalography (EEG)

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


(918) 895-7680Advanced NeuroSolutions is your trusted source for the highest quality Intraoperative Neurophysiologic Monitoring (IONM) and Electroencephalography (EEG) medical services.