Clinical expertise, real-time insight, and dependable surgical support.

Patient FAQs

Intraoperative neuromonitoring (IONM) provides real-time insight into your nervous system during surgery.

Throughout your procedure, our clinical team monitors electrical signals from nerves, the spinal cord, and/or the brain to identify changes that may indicate potential neurological risk. This information is communicated to your surgical team in real time, giving them an additional layer of insight to support clinical decision-making.

It’s another way MPOWERHealth helps your surgical team focus on what matters most: your safety. Safer Surgery. Every Patient.

IONM may be recommended when a surgical procedure could place the spinal cord, nerves, or other parts of the nervous system at risk.

This can include procedures such as spinal fusion and decompression, scoliosis and spinal deformity correction, brain and cranial procedures, and selected orthopedic, ENT, vascular, and other complex surgeries.

Your surgeon will determine whether IONM is appropriate based on your procedure, medical history, and individual needs.

Your monitoring is supported by credentialed clinical professionals working together as part of your surgical team.

A credentialed oversight physician interprets the monitoring data in real time, while a credentialed technologist provides hands-on monitoring and support in the operating room. Together, they provide continuous clinical expertise and real-time insight throughout your procedure.

This integrated approach gives your surgical team an additional layer of support when every moment matters.

Your surgeon may request IONM because your procedure has the potential to affect the nervous system or because real-time neurological information can help support safer surgical decision-making.

IONM may help your surgical team:

  • Establish a neurological baseline before surgery
  • Monitor neurological function throughout the procedure
  • Identify changes that may require attention
  • Provide real-time information to support surgical decisions
  • Help optimize patient positioning during surgery

IONM is used as an important component of care for many procedures where neurological structures may be at risk. Your surgeon will determine whether monitoring is appropriate for you based on your individual procedure and clinical needs.

If you have questions about why IONM has been recommended, please speak with your surgeon or care team.

Before your procedure, your healthcare team will prepare you for surgery. An MPOWERHealth monitoring technologist will meet with you and explain what to expect, answer your questions, and review the monitoring process.

Once you are in the operating room, the technologist will place small electrodes on the surface of your skin over selected nerves and muscles. These electrodes allow the monitoring system to measure electrical signals from your nervous system during the procedure.

Monitoring typically begins after you are anesthetized and continues throughout surgery. Your monitoring data is reviewed in real time by the MPOWERHealth clinical team and communicated to your surgical team when appropriate.

Our role is to provide dependable clinical support and real-time insight so your surgical team has the information they need, when they need it.

IONM is generally considered a low-risk, non-invasive service. The electrodes used for monitoring are placed on the skin and are designed to measure your body’s electrical signals during surgery.

You may experience minor, temporary skin irritation or discomfort at electrode sites. In some cases, additional monitoring techniques may carry other risks, which your healthcare team can explain.

As with any aspect of medical care, your surgeon will consider the potential benefits and risks of IONM based on your individual procedure and circumstances.

If you have questions or concerns about IONM, talk with your surgeon or healthcare team before your procedure.

Coverage for IONM varies based on your insurance carrier, plan, procedure, and individual benefits.

MPOWERHealth will submit claims for eligible IONM services to your insurance carrier. Depending on your plan and the applicable benefits, you may have a financial responsibility.

Because every insurance plan is different, we encourage you to contact your insurance carrier directly with questions about your specific coverage, benefits, deductibles, coinsurance, or out-of-pocket responsibility.

MPOWERHealth is committed to providing clear information and support throughout the process.

Surgical Assist provides specialized clinical support to the surgeon throughout the surgical procedure. MPOWERHealth Surgical Assist professionals work as an extension of the surgical team — supporting everything from patient positioning and preparation to procedural assistance and closure.

Our highly trained Surgical Assist professionals bring clinical expertise, consistency, and dependable support to the operating room, helping the surgical team work efficiently and focus on what matters most: the patient.

At MPOWERHealth, we believe better surgical outcomes come from collaboration. One team, working together, with one goal: Safer Surgery. Every Patient.

Your surgeon may request Surgical Assist when additional specialized clinical expertise can support the complexity, efficiency, or safety of your procedure.

An MPOWERHealth Surgical Assist professional works directly alongside your surgeon and surgical team, helping with critical moments throughout the procedure — including patient positioning, preparation, exposure, procedural steps as directed by the surgeon, and closure.

The goal is not to replace your surgeon, but to strengthen the surgical team. By bringing trained clinical professionals into the operating room, MPOWERHealth helps create greater consistency, support efficient surgical performance, and give surgeons the additional support they need to focus on delivering the best possible care.

Because safer surgery is a team effort — and every patient deserves that level of support.

The coverage for surgical assistant services can differ based on your insurance plan and benefits. You may be responsible for cost-sharing, co-pays, or deductibles.

We are a participating provider with Medicare, Medicaid, and Government sponsored plans.

While we are Out of Network with most Commercial insurance plans, we adhere to the Federal No Surprise Act and State legislation. In most cases, your out of pocket will be limited to In Network Cost Share – the same as if you were receiving services from an In Network provider.

If your insurance plan does not provide coverage for our services, we are happy to discuss self-pay options with you.

The Explanation of Benefits (EOB) is NOT a bill. The insurance claim process can take time, and we make every effort to gain coverage on your behalf for the services you received. Once finalized, our team will review your claim to determine if there is a patient responsibility.

We adhere to the No Surprises Billing Act (NSA) and apply the in-network cost share as determined by your carrier, even if we are out of network with your insurance.

After your insurance has finalized your claim, our office will review your explanation of benefits. At this time, you may receive a statement for patient responsibility. The statement will include direct payment information linked to a secure site for online or phone payments.

Should you have any questions, our Patient Care Advocates are here to help. You may contact us at (866)996-2455 or email Billing@MPowerHealth.com

MPOWERHealth is committed to ensuring you have a positive experience as we support you throughout your surgical journey. We wish you a swift and complete recovery.

The No Surprises Act is a federal law that protects patients from unexpected medical bills, especially from out-of-network providers, starting January 1, 2022.

What the Law Does

The No Surprises Act stops most “surprise” medical bills, which happen when you get care from a provider outside your insurance network without realizing it. It mainly covers three situations:

  1. Emergency care – If you go to an emergency room, even out-of-network, you only pay your in-network deductible, copay, or coinsurance. The hospital or doctors cannot bill you for the difference (balance billing)
  2. Non-emergency care at in-network facilities – If you choose an in-network hospital but are treated by an out-of-network provider (like an anesthesiologist or radiologist), you also only pay in-network cost-sharing.
  3. Air ambulance services – Out-of-network air ambulance providers cannot bill you beyond your in-network cost-sharing.

Who It Protects

The law applies to most private health insurance plans, including employer-sponsored plans, and builds on protections for government plans like Medicare, Medicaid, and Tricare. It does not cover every unexpected bill, such as services not included in your plan or non-emergency care at out-of-network facilities unless you consent to waive protections.