Full-Scope Revenue Cycle Solutions for IONM Practices
Every claim, every stage, every time.
Our IONM RCM Solutions
At APEX IONM, we provide end-to-end revenue cycle management designed specifically for intraoperative neuromonitoring (IONM) providers. From the moment a case is scheduled to the final payment reconciliation, our tailored services strengthen margins, reduce denials, and accelerate your cash flow.
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?
✅ IONM-Only Expertise
Built specifically for neuromonitoring.
✅ Out-of-Network Proficiency
We thrive where general RCM firms struggle.
✅ Navigator Onboarding
Get set up in 7 days with custom SOPs.
✅ White-Glove Support
Dedicated account managers with low caseloads.
✅ Ethical Billing
We believe financial care is patient care.