We Treat Your IONM Claims Like Our Own
Full-scope Revenue Cycle Management for neuromonitoring providers—reduce denials, accelerate cash flow, and scale with confidence.
The Challenge for IONM Practices
High Denial Rates & Cash-Flow Strain
12%
Denial Rate
More than double the best-practice benchmark*.
83%
Avoidable Denials
Often overturned with strategic appeals and documentation*.
11.7%
Missing Pre-auth Denials
With 81.7% appeal success rate*.
+48 Hours
Out-of-Network Delays
Pre-negotiation gaps and billing disputes delay out-of-network payments by 48+ hours*.
Our IONM RCM Solutions
Tailored, full-scope revenue cycle management—not a la carte options. Every claim. Every phase. Every time.
Our verification specialists assess every scheduled case to confirm eligibility, benefits, and authorization requirements. We go beyond box-checking—we call and dig deeper to avoid delays and ensure claims are set up for success before the first electrode is placed.
Why It Matters: Missed pre-auths account for nearly 12% of denials. Our initiative-taking approach reduces denial risks and strengthens appeal potential from the start.
What Sets Us Apart: End-to-end workflow cohesion ensures pre-auth teams collaborate with denial and arbitration teams to position claims for maximum recovery.
Our certified coders work alongside compliance experts to ensure accurate, regulation-aligned coding that maximizes RVU capture while minimizing audit risk.
Why It Matters: IONM billing is highly nuanced. Submitting the wrong modifier or code format can slash reimbursement.
What Sets Us Apart: We partner with a third-party compliance officer for impartial monthly audits—bringing legal-grade accountability to every claim.
Think of our A/R team as your insurance claim defense squad. We push back hard against payer delays, underpayments, and rule breaking.
Why It Matters: Industry A/R averages exceed 45 days. Our team targets
What Sets Us Apart: Our reps know ERISA, CMS, and state insurance rules inside-out. They escalate complaints when payers break the law.
We post payments within 48 hours of receipt and reconcile to your bank account to ensure accuracy, compliance, and arbitration eligibility.
Why It Matters: Delayed or incorrect posting can jeopardize arbitration timelines and mask underpayments.
What Sets Us Apart: Our payment posters act as strategic filters—ensuring timely escalations, clean data handoffs, and detailed reporting.
We don’t rely on cookie-cutter templates. Every appeal is handcrafted based on clinical, legal, and policy evidence to overturn the denial and win the case.
Why It Matters: 83% of IONM denials are preventable or reversible with the right strategy.
What Sets Us Apart: Our appeal writers are cross-trained by technologists—ensuring clinical depth and payer-savvy tactics.
From building airtight arbitration packets to post-award claim enforcement, our in-house legal support maximizes recovery—whether handled internally or through partnered attorneys.
Why It Matters: Many billing groups stop at denial. We take your hardest claims to the finish line—through arbitration, IDR, or litigation.
What Sets Us Apart: We reconcile attorney invoices, handle post-award A/R, and never bill patients for failed arbitrations. This is billing integrity, redefined.
Why Partner with APEX?
We cut denials, accelerate cash flow, and deliver first-pass claim success—built for IONM practices that demand precision, transparency, and real results.
1. IONM-Only Expertise
We specialize in out-of-network neuromonitoring revenue cycles—no generic RCM services, just deep, niche mastery.
2. Custom SOPs & 7-Day Go-Live*
Get up and running in under a week with a personalized SOP aligned to your workflows and systems.
3. AI-Powered Tools
Our NLP-driven coding and forecasting tools minimize errors and increase collections.
4. White-Glove Support
Dedicated account managers with low client loads ensure fast, clear communication and proactive issue resolution.
5. Proven ROI
APEX clients consistently double their recovered revenue and cut DSO (Days Sales Outstanding)—because we don’t settle for "good enough."
6. Patient-First Ethics, Surgeon-Friendly Billing
We believe financial care is patient care—no balance billing, full No Surprises Act enforcement, and clean, compliant claims every time.
At ASNM? Let’s Connect Live
Stop by booth #3 to meet the APEX team, grab some swag, and see how we’re helping IONM providers grow—with ethics, precision, and real results.
Click here to learn more
How It Works: The APEX Navigator
Your Personalized Launchpad to RCM Excellence
The APEX Navigator is more than onboarding—it’s a transformation. Our engaging, personalized process sets the foundation for long-term revenue cycle success by aligning your practice’s workflows with proven, IONM-specific strategies:
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Discovery & Mini Audit
We begin with a strategic alignment session to understand your current state, challenges, and goals. This includes a mini audit of your existing claims, documentation, and financial performance indicators. -
Contract & Onboarding Process
Once agreements are finalized, we initiate access to your practice’s systems (like USMON*), confirm all required data integrations, and assign a dedicated onboarding specialist to guide the transition. -
Custom SOP Design
We co-develop standard operating procedures tailored to your team, systems, and case types—including workflows for claims, coding, A/R, and appeals. -
Claim Submissions & Appeals
From Day 1, your claims are optimized for first-pass success. Denials are met with strategic, bespoke appeals—not templates—and integrated arbitration readiness. -
Data-Driven Optimization
As we begin managing your account, we input performance data into USMON* and integrate insights into our workflows. Within 3–4 months, you’ll receive customized reporting that gives you full transparency into KPIs like clean claim rate, denial overturns, and AR aging.
*Disclaimer: While APEX completes Navigator onboarding within 7 days for practices using USMON, timelines may vary slightly for other systems.
Proof & Metrics
Ask us, we will be happy to share our achievements with you.
>90%
Denial Recovery
Via coordinated appeal and arbitration efforts*.
<30
Days DSO
Achieved consistently through optimized AR workflows*.
81.7%
Appeal Success
For pre-auth related denials*.