Best in Patient
Outcomes
Where better results aren’t the goal -
they’re the standard.
What to Expect
Complex surgeries carry inherent risks, including the possibility of complications. While advances in modern medicine continue to improve outcomes, there remains a small but real risk of an adverse event. Intraoperative neuromonitoring plays a critical role in reducing that risk by providing real-time feedback to the surgical team.
During surgery, neuromonitoring continuously tracks neural signals and can quickly detect changes such as delayed responses or signs of nerve irritation. This immediate feedback allows the surgeon to pause, adjust the surgical approach, or reposition instruments to help prevent potential injury to nerve structures.
NMA has been a pioneer in the field of neuromonitoring since 2006, supporting surgeons with the technology and expertise needed to enhance patient safety during complex procedures.
Our Process
Your surgeon or facility has requested intraoperative neuromonitoring for your procedure. This means a trained clinical team will monitor your nervous system throughout surgery to help support your safety.
Before surgery, a member of the NMA team will contact you to answer any questions.
On the day of surgery, we will meet with you prior to the procedure to explain the process and place a wristband with a QR code. You can scan it with your your phone to learn more about your monitoring.
If you have concerns about your care, please contact Neuromonitoring Associates at 888-338-4270 and ask for Patient Care Services.
You may also contact The Joint Commission for Ambulatory Care regarding safety or quality concerns at 1-800-994-6610 or patientsafetyreport@jointcommission.org.
Patient Billing
NMA is committed to supporting patients through the billing process. Coverage for intraoperative neuromonitoring (IONM) varies by insurance provider, so we recommend checking with your carrier before surgery.
For questions or concerns, contact our Customer Service Team at customerservice@nmaiom.com or call (855) 864-4322.
Rights and Protections Against Surprise Medical Billing
Current regulations, including the No Surprises Act, are designed to help protect you from unexpected costs. In most cases, this means your out-of-
pocket expenses for our services will be similar to what you would pay for an in-network provider.
If we are out-of-network but your surgeon and facility are in-network, the No Surprises Act generally applies. This requires your insurance company
to calculate your cost-sharing at in-network rates and prohibits balance billing.
For more information about the No Surprises Act, please click here.
Frequently Asked Questions
Intraoperative monitoring (IONM) monitors the integrity of nerves and neurological responses along neural pathways to reduce the risk of injury to a patient's neutral structure during high risk and routine procedures.
In the operating room, a trained technologist places electrodes on the patient’s skin or uses small, acupuncture-like needles to monitor nerve activity throughout the procedure. These electrodes connect to the NMA system, which continuously analyzes signals and displays them in real time for the surgeon. At the same time, a neurologist remotely monitors the data and can communicate directly with the surgical team if any changes are detected, helping reduce the risk of nerve damage.
Your surgeon requests intraoperative neurophysiological monitoring (IONM) to help protect your nervous system during surgery. Because this service is provided by a specialized team using dedicated equipment and a remote physician, it is separate from the hospital and surgeon’s services.As a result, NMA bills your insurance directly for the technical and professional components of IONM. Your surgeon can provide more detail on how this monitoring supports your care and surgical outcome.
Please email or call our Customer Service team at (855) 864-4322 so we can answer any questions or assist you with what steps to take next. This may mean we appeal on your behalf, explain our billing process, provide insight into timelines, or continue our discussions with your insurance provider. Refer to the No Surprises Act for additional information.
The EOB is not a bill from NMA or any of our providers. This means you do not need to take immediate action. The EOB is meant to help you understand charges for care you have received and outline your co-insurance or deductible amounts you may be responsible for based on your insurance plan. You may not receive an EOB for IONM services for over 30 days due to normal processing times.
We regularly follow up with your insurance, but in some cases, payments may be sent directly to you. If this happens, please forward the payment and any related documents (such as the EOB) to us so we can process and update your account promptly. If you’ve already deposited the check, you may send a personal check instead.
Please mail payments and a copy of the EOB to:
Neuromonitoring Associates
9811 W. Charleston Blvd, Ste 2-641
Las Vegas, NV 89117
For questions, contact Customer Service at customerservice@nmaiom.com or (855) 864-4322
We ask all surgeons to please inform their patients that they will receive IONM services during surgery, which may be processed as out-of-network by their insurance. NMA provides materials to help communicate this, and we request the same documentation submitted to the hospital at scheduling to support prior authorization and reduce billing confusion.
For questions, contact Customer Service at customerservice@nmaiom.com or (855) 864-4322.