Advanced Plan for Health Logo
 

Search Results

There are 2 item(s) tagged with the keyword "Intraoperative Neurologic Monitoring".

Displaying: 1 - 2 of 2

Broker World - Surprise Bills Strike Again: What Your Clients Need To Know by APH's Barbara Rutkowski & Joy McGee-Cory

By Barbara Rutkowski  &  Joy McGee-Cory - Advanced Plan for Health

Published in the June 2018 edition of Broker World

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.

Read more here. 

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

Tags: IONM, Health Plans, Employers, Intraoperative Neurologic Monitoring
Unexpected Unreasonable Claims Costs in Intraoperative Neurologic Monitoring (IONM)

Barbara Rutkowski, EdD, MSN, CCM - Vice President, Clinical Operations, Advanced Plan for Health & Joy McGee-Cory - Senior Vice President, Advanced Plan for Health

Several of our Health Plan clients and their members have experienced unexpected and very unpleasant surprises following certain complex surgical procedures – usually spine-related. So we wanted to get a cautionary word out a bit more broadly on this topic to our clients and others who may be facing similar situations. The surprises are coming in the way of bills for intraoperative neurologic monitoring (IONM).

In one case, the billing technician was not a physician, and the member’s bill for monitoring services was an unreasonable, non-negotiable $120,000.

Tags: Health Plan, Surgical Procedures, Healthcare Risks, Intraoperative Neurologic Monitoring, IONM, Out-Of-Network, Top Procedures, Medicare, Utilization

Displaying: 1 - 2 of 2