IONM Questionnaire

Are your IONM services outsourced or in-house?*
- Please Select -OutsourcedIn-HouseHybrid

Fees & Services

If out-sourced, are IONM fees fixed, hourly, or per case?*
- Please Select -FixedHourlyPer CaseOtherN/A

Is there an extra cost for overtime or late night/weekend cases?*
YesNo

Do you pay for disposables and other supplies required for IONM?*
YesNo

Is there real-time, professional oversight by a physician qualified to provide IONM?*
YesNo

Billing & Collections

Is the facility billing for any component of the service to third-party payors?*
YesNo

If so, are you collecting reimbursement from third-party payors for the technical component?*
YesNo

Has there been an evaluation done to determine the profit/loss of the program?*
YesNo

Scheduling

How many cases per week are monitored?*
- Please Select -0-55-1010-1515-2020+

How many simultaneous surgeries requiring monitoring are being performed between Monday and Friday?* (How many rooms are being run simultaneously?)
- Please Select -1-22-33-44+

How quickly does an individual operating room turnover?*
- Please Select -30-60 minutes1-2 hours2+ hours

How frequently do weekend/late night surgeries occur?*
- Please Select -RarelySometimesUsuallyAlways

For add-ons and emergent cases, is there an on-call requirement?*
YesNo

Payor Mix

What kinds of insurance are used for surgeries that require IONM?*
MedicareMedicaidMedicare HMO/AdvantageBlue Cross Blue ShieldWorkman's Comp/No Fault/MVAPrivateSelfOther

Quality Assurance

Whether IONM is in-house or outsourced, is there a Quality Assurance program and/or Competency Evaluation program in place for the surgical neurophysiologists that perform monitoring at your facility?*
YesNo

Do you receive regular Quality Assurance reports summarizing quality metrics for IONM services provided by your in-house team or by your outside partner-provider?*
YesNo

Demographics

What are the specific types of surgeries performed for your facility?*
Interventional Neuroradiological Procedures (aneurysm, etc.)Transforaminal Lumbar Interbody Fusion (TLIF)(Extreme) Lateral Interbody Fusion (XLIF, DLIF, etc.)Discectomy / LaminectomyAnterior Lumbar Interbody Fusion (ALIF)Posterior Lumbar Interbody Fusion (PLIF)Anterior Cervical Discectomy Fusion (ACDF)Craniotomies and Other Skull-based SurgeryScoliosis CorrectionPelvic and Acetabulum FracturesTethered CordCarotidAnterior ThoracicPosterior ThoracicCervical TumorLumbar/Thoracic TumorBrain TumorPosterior Cervical Discectomy/FusionAnterior and Posterior Cervical Discectomy/Fusion (A/PCDF)Thoracic Endovascular Aortic Repair (TEVAR)Other

How quickly does an individual operating room turnover?*
- Please Select -<2 Hours2-3 Hours4-5 Hours5-6 Hours6+ Hours

Information Technology

What are your requirements for documentation? Please list.*

What types of spine, brain, and cardiovascular cases, and their respective volumes, are not currently being monitored?*

Do you have any additional technology requirements? If so, please list.*

I want to receive email updates from Neuro Alert