Out-of-Network Surgical Revenue Cycle · Rowlett, Texas

Billing that flows from first signal to final payment.

Intraoperative neuromonitoring billing, carried end to end by a team that knows every pathway a claim can take.

Request a claims review See how we work an IONM claim

No obligation. We look at your denials before we ever talk about a rate.

The work in the operating room is only half of it. The other half is proving it: in the right codes, with the right documentation, inside the payer’s deadlines.

How a Claim Moves

Everything between the operating room and the deposit.

Neuromonitoring is not a specialty most billing companies staff for, so they work it like any other claim, watch it underpay, and write the difference off as the cost of doing business.

Stage 01 · Clean Coding

Two claims, same surgery, very different money.

95940 and 95941 are not interchangeable, and G0453 is its own animal. One-on-one attendance in the room, remote oversight across cases, the base study underneath it all: get the combination wrong and the case underpays or bounces on the first pass.

Stage 02 · The Record

A clean IONM claim is assembled, not submitted.

The operative note, the technologist’s log, the oversight physician’s report, the baselines and any alert events all have to agree with each other before the claim goes out. When they don’t, we go get the missing piece; we don’t send it and hope.

Stage 03 · Open Negotiation

When the payer underpays, a clock starts.

A fixed negotiation window opens: a formal notice, a supported number, and an actual negotiation, not a phone call and a shrug. Most claims should settle here, and the ones that do settle faster and cheaper than arbitration.

Stage 04 · Federal IDR

The part most billers quietly skip.

If it doesn’t settle, initiation is a narrow window measured in business days; this is the deadline most practices miss. Both sides then submit one number with supporting evidence, and the arbiter picks one offer outright. The case is won or lost in that package.

Rowlett, Texas

Twenty-five years in diagnostic medicine, hands on the claims.

Results

The only numbers worth putting on a website are the ones we can back up.

94%

Average net collection rate

Across IONM and AEEG clients, the trailing 12 months. Representative preview figures; replaced with verified results before launch.

78%

Of denials overturned on appeal

First- and second-level appeals combined

38 days

Average days in A/R

Measured from date of service

127IDR cases initiated in 2025

81%Resolved in our clients’ favor

64%Settled before arbitration

Send us thirty denied claims. We’ll tell you what they’re actually worth.

No cost, no commitment, no contract to sign first. We’ll review them, tell you what went wrong, and show you what we’d do differently. If the answer is “nothing”, we’ll tell you that too.

Request a claims review 972-412-5299

Or email lisa@hnpcs.net and reach her directly.