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Your surgeon has taken extra steps to optimize the best results from your surgery.

By working with RTNA, your surgeon has chosen to provide a Tele-Neurology service known as Intraoperative Neurophysiological Monitoring.


Intraoperative neurophysiological monitoring and testing are used in surgical procedures that place the nervous system at risk or that require identification, mapping, or testing of neural structures. Monitoring the function of neural structures at risk provides an early warning system that can prevent neurological complications by identifying impending damage and alerting the surgeon so that corrective action can be taken. While a trained and certified IONM technologist performs the procedure in the operating room, interpretation of the data and recommendations are provided by a neurologist trained in neurophysiology and intraoperative neurophysiological monitoring. Feedback regarding testing or significant changes in data must be communicated to the surgeon without delay so that this information can be used to change or guide the surgical approach; therefore, interpretation and communication must occur in real time.

For a neurologist to provide real time supervision and interpretation, the neurologist must review the data as it is collected and must immediately communicate relevant feedback to the technologist and/or surgical team. Real time monitoring can be accomplished with the monitoring neurologist in the operating room during the surgery, or via an online connection that provides remote visualization of the data as it is produced and the capability of constant communication with the surgical team by means of instant messaging and/or telephone.
IONM with real-time supervision/interpretation is the expected standard of care for many types of orthopedic, neurosurgical, cardiovascular, and otologic surgery.
Your insurance carrier may pay for a portion of the costs associates with Intraoperative Neurophysiological Monitoring. 
The amount depends on your specific insurance carrier and your individual insurance plan. You may be responsible for your co-pay and deductible, and other insurance plan specifics.

You may receive an Explanation of Benefits letter from your insurance company and in rare cases, the payment for our out-of-network services may be sent to you.

Our billing department will assist you in forwarding our payment to apply to your account.

They will also work with you and your insurance carrier to minimize the patient responsibility payments and can be reached at (855) 854-5600.

Having surgery? Have questions about your insurance?

Contact Our Billing Department at 855-854-5600 or

Interested in TeleNeurology? Consider joining our team

Office: (615) 346-8182
(877) 836-2408
Billing: (855) 854-5600

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