Billing & Coding
We don’t just submit claims—we code them to win.
Precision-Coded Claims. Compliant. Optimized. Paid.
Billing and coding in intraoperative neuromonitoring (IONM) are not just complex—it’s mission critical. With ever-evolving payer rules, variable procedure combinations, and distinct in- vs out-of-network requirements, coding errors can cost tens of thousands in lost revenue or trigger compliance audits.
At APEX IONM, we bring IONM-specific expertise to every claim. Our certified coding professionals and billing strategists ensure that every case is billed correctly the first time, backed by continuous compliance oversight and performance monitoring.
Why This Step Matters
- Up to 12% of IONM claims are denied due to avoidable billing and coding errors.
- Payers frequently change RVU expectations, modifier preferences, and coverage criteria—especially for global vs pro-only claims.
- Inaccurate coding delays cash flow and undermines appeals—even when the care was medically necessary.
What We Do
✅ Certified Coding Oversight
Our team includes AAPC-certified coders with deep IONM expertise, ensuring CPT accuracy and modifier compliance.
✅ Regulatory-Driven Coding
We follow CMS, payer-specific, and specialty guidelines to code for medical necessity and maximize allowable RVUs.
✅ Global vs Professional Billing Strategy
We tailor claim format to payer preference—pro-only, global, or split—based on nuanced insurance requirements.
✅ Coding to Prevent Denials
We analyze past payer behaviors and adjust claims in advance to avoid common flags and improve first-pass success.
✅ Compliance Review on Every Claim
We partner with an external compliance officer who performs impartial monthly audits for full regulatory protection.
What Sets APEX Apart
Neuro-Specific Coding
We know how to bill for multimodal IONM, overlapping procedures, and specialty-specific needs (e.g., spine, neuro, ENT). Generalist coders can’t touch this level of precision.
Audit-Ready Accountability
Every code submitted is documented, reviewed, and supported with clinical rationale—protecting your practice from claw backs.
Strategy-Backed Revenue Capture
We go beyond correct coding—we optimize for reimbursement while staying 100% compliant.
Legal-Grade Accuracy
Every claim is prepped as if it might be challenged. That’s how we keep denials low and recovery rates high.
Result: More Revenue. Fewer Setbacks.
Whether it’s maximizing RVU value or preempting audits, our billing and coding services help you collect more, faster—and stay protected long-term.
Ready to Transform Your Revenue Cycle?