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Health plans, employers and members are experiencing unexpected and very unpleasant surprises following certain complex surgical procedures, usually spine-related. The surprises are coming in the way of bills for intraoperative neurologic monitoring (IONM)—and can sometimes reach into six figures!
During IONM, a technician or physician observes neural structures, such as nerves, the spinal cord and parts of the brain, to identify issues that could damage the nervous system. By noting any potential for damage in real time, corrective action can be taken during surgery.
Joy McGee-Cory is Senior Vice President, Advanced Plan for Health & Barbara Rutkowski, EdD, MSN, CCM - is Vice President, Clinical Operations, Advanced Plan for Health
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