Intraoperative Neurophysiological Monitoring helps your surgeon see a clearer picture of how your nervous system is functioning during surgery. It is used during complex surgeries, such as surgery on the brain or spinal cord. There is an assortment of monitoring tools and techniques that may be used in different combinations in order to provide the surgeon useful information regarding your condition as your surgery progresses.

Our surgical neurophysiologist will be in the Operating Room participating in your surgery. Prior to surgery, our surgical neurophysiologist will attach a series of electrodes at different points along your nerve pathways to monitor your nervous system. The location of the electrodes will depend on the type of surgery being performed and on your condition.

The information regarding the function of your nervous system will also be monitored remotely by one of Sentient’s Supervising Neurologists. This is accomplished using sophisticated telemedicine technology that is detailed, highly reliable, and secure. Sentient’s surgical neurophysiologist and neurologist will confer with one another regarding any changes in your condition and will communicate that information to your surgeon.

Sentient’s Supervising Neurologists are generally board eligible or certified in neurology by the American Board of Psychiatry and Neurology and have completed at least one year of an approved Fellowship in Clinical Neurophysiology or Intraoperative Neurophysiology.

Sentient’s surgical neurophysiologists hold a minimum of Bachelor’s degree in a health science field; most hold masters or doctorate level degrees in the biomedical/clinical sciences and many have additional clinical experience with EEG, EP, chiropractic, or nursing backgrounds. Sentient requires that its surgical neurophysiologists successfully pass the Certification Examination in Neurophysiologic Intraoperative Monitoring – CNIM.

What to Expect

What to Expect During Surgery

Prior to surgery and when possible, a Sentient surgical neurophysiologist will meet you, perform a brief neurological evaluation, discuss what they will do, and prepare you for the operating room. During the preparation they will apply a small number of electrodes to various parts of your body, which may include your arms, legs, head, and/or face, depending on the type of surgery.

The electrodes will be connected to our monitoring equipment so that we can observe and analyze the function of your nervous system throughout your surgical procedure.

In addition to the surgical neurophysiologist in the operating room with you, the information will also be monitored remotely by one of Sentient’s supervising neurologists. This is accomplished using sophisticated telemedicine technology that is comprehensive, highly reliable, and secure.

Sentient’s surgical neurophysiologist and supervising neurologist will confer with one another during the surgery regarding any changes in your condition and will communicate that information to your surgeon.

Network Coverage

Participation in Medicare, Medicaid, Blue Cross, and Insurers

Sentient provides Intraoperative Neurophysiological Monitoring during complex surgeries, such as surgery on the brain or spinal cord. Monitoring is provided by Sentient staff – surgical neurophysiologists in the operating room, supported by physicians who provide physician monitoring services in real time via online connection. Monitoring services are provided under a contractual arrangement between Sentient and the hospital. It is the surgeon’s responsibility to inform the patient if Intraoperative Neurophysiological Monitoring is requested for the surgery.

Network Participation

Sentient physicians have network participation for most major insurances such as Medicare, Medicaid, and Blue Cross & Blue Shield. Depending on the patient’s insurance plan, this means that the patient may be receiving IONM services from an out of network provider. It may be necessary for the surgeon to obtain a pre-authorization from your insurance company for the provision of monitoring services.

Insurer Medical Policies

Claims for monitoring services are submitted in accordance with AMA/CPT guidelines and practice billing policies – a copy of which is available on request. Medicare and other in network claims are reported subject to applicable payer policy and AMA/CPT guidelines, accompanied by additional disclosure if necessary.

Billing Process

Charges related to monitoring services are billed directly to the patient’s insurer. After the insurance company pays the claim, Sentient will provide the patient with information on behalf of the monitoring physician about any amount owed. Any balances after the insurance payment is received will be the responsibility of the patient based on plan coverage.

The amount charged to the patient will be limited to any applicable deductible, co-insurance, and co-pay.

Billing Policies

Patient Billing Policy

Sentient provides Intraoperative Neurophysiological Monitoring during complex surgeries, such as surgery on the brain or spinal cord. Monitoring is provided by Sentient staff – surgical neurophysiologists in the operating room, supported by physicians who provide physician monitoring services in real time via online connection. Monitoring services are provided under a contractual arrangement between Sentient and the hospital. It is the surgeon’s responsibility to inform the patient if the surgeon is requesting Intraoperative Neurophysiological Monitoring for the surgery.

Coverage

A claim for monitoring services will be submitted to the patient’s insurer. Most insurance providers will pay for Intraoperative Neurophysiological Monitoring. However, it is a good idea for patients to check, or ask the surgeon’s office to check, with the insurer prior to surgery.

Network Participation

Sentient physicians are in-network with Medicare, Medicaid, Blue Cross & Blue Shield, and with certain other insurers. Depending on the patient’s insurance plan, this means that the patient may be receiving IONM services from an out of network provider. It may be necessary for the surgeon to obtain a pre-authorization from your insurance company for the provision of monitoring services..

Billing Process

Charges related to monitoring services are billed directly to the patient’s insurer. After the insurance company pays the claim, Sentient will provide the patient with information on behalf of the monitoring physician about any amount owed.

To the extent the insurance plan provides coverage, the amount charged to the patient will be limited to any applicable deductible, co-insurance, and co-pay.

Payment arrangements for self-pay patients will be discussed with the patient on an individual basis. If you have any questions about the bill you receive, call the patient financial services department on weekdays between 8:30 am and 5:00 pm EST.

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