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PROVIDING IN-OFFICE ELECTRODIAGNOSTIC & ULTRASOUND IMAGING SERVICES TO PHYSICIANS NATIONWIDE

Nerve Conduction Testing

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Page 1: Nerve Conduction Testing

PROVIDING IN-OFFICE ELECTRODIAGNOSTIC &

ULTRASOUND IMAGING SERVICES

TO PHYSICIANS NATIONWIDE

Page 2: Nerve Conduction Testing

•NERVE CONDUCTION VELOCITY STUDIESNERVE CONDUCTION VELOCITY STUDIES•MUSCULOSKELETAL ULTRASOUNDMUSCULOSKELETAL ULTRASOUND

Services

Page 3: Nerve Conduction Testing

Features & BenefitsYour practice and your patients benefit when diagnostic testing is done

in the convenience of your office.

Income from testing benefits your practice, not an outside physician or facility.

No start up expense

HIPAA & STARK Compliant

72 hour capability to schedule testing nationwide

Compliance, Verification and Technical Support

Schedule test dates at your convenience

Provide increased patient convenience and satisfaction

Make a wise management decision to increase your practice potential and profits

You can be confident in IPR’s ethical and compliant testing protocols.

You will not place an additional burden on staff

In-Office diagnostic testing is easy to integrate into the busiest of practices

Get Paid for the information you need.

Page 4: Nerve Conduction Testing

The 1,2,3’s of In-Office Diagnostic Testing

Page 5: Nerve Conduction Testing

1. Select a Date

Call or fax a reservation for a technician & equipment to arrive on a day that is convenient to your particular practice.

Fax over the simple forms for each patient to be tested. Patients may be added to the schedule up to the day prior to testing.

Fax the final schedule with the time each patient has been scheduled for the tests.

Page 6: Nerve Conduction Testing

Types of Insurance

PPOsPOSWorker’s compensationPIPAttorney Liens

Page 7: Nerve Conduction Testing

2. The Testing Date

The technician and equipment arrives at the scheduled time and performs the diagnostic procedures as indicated by the doctors office.

A small exam room will suffice for any of the procedures.

The technician will fax or email from your office all necessary forms and patient information to expedite quick turnaround on your patients testing results.

Page 8: Nerve Conduction Testing

3. The Follow Up

In approximately five business days, you will receive summary interpretations from our board-certified neurologists and radiologists.

IPR support staff will be available for assistance in ICD-9 coding, and scheduling.

We are here to help 24/7.

Page 9: Nerve Conduction Testing

NCVs aid in the evaluation of:

Herniated DisksHerniated Disks Peripheral neuropathiesPeripheral neuropathies Numbness and tinglingNumbness and tingling Pain in the extremitiesPain in the extremities AtrophyAtrophy Entrapment neuropathiesEntrapment neuropathies Thoracic outlet syndromeThoracic outlet syndrome

RadiculopathiesRadiculopathies Carpal tunnel syndromeCarpal tunnel syndrome DiabetesDiabetes Trauma to nervesTrauma to nerves Motor/sensory deficitsMotor/sensory deficits Hot/cold sensationHot/cold sensation NeuritisNeuritis

SSEPs aid in the evaluation of:

Abnormal skin sensationAbnormal skin sensation Nerve root Nerve root compression compression Spinal cord tumor Spinal cord tumor Spinal trauma or injury Spinal trauma or injury Cervicobrachial Cervicobrachial syndrome syndrome Thoracic outlet syndrome Thoracic outlet syndrome Multiple sclerosis Multiple sclerosis Herniated discsHerniated discs

Radiculopathy Radiculopathy Neuritis Neuritis Myelopathy Myelopathy Numbness and tingling Numbness and tingling Burning sensation Burning sensation Diabetes Diabetes PlexopathyPlexopathy

Musculoskeletal and spinal ultrasound aid in the evaluation

Brachial injury/irritation Brachial injury/irritation Facet syndromes/injury Facet syndromes/injury Facet-referred pain Facet-referred pain Focal neuropathy Focal neuropathy Hyperflexion/ hyperextension injury Hyperflexion/ hyperextension injury Ligament strain/ inflammation Ligament strain/ inflammation Thoracic outlet syndrome Thoracic outlet syndrome Lumbosacral pain Lumbosacral pain

Malingering Malingering Musculoligamentous Musculoligamentous injuries injuries Fibrous scars Fibrous scars Myofascial irritation Myofascial irritation Myofascial pain Myofascial pain Nerve root area Nerve root area inflammation inflammation Dermatomyositis Dermatomyositis Trigger points/ referred Trigger points/ referred painpain

Page 10: Nerve Conduction Testing

Diabetes & Peripheral Neuropathy

Distal Symmetric Distal Symmetric Polyneuropathy Polyneuropathy

Numbness, Tingling, Numbness, Tingling, Pain, Loss of Pain, Loss of

SensationSensation

CRANIALCRANIALMononeuropathyMononeuropathy

EXTREMITYEXTREMITYCarpal TunnelCarpal Tunnel

Thoracic / LumbarThoracic / LumbarRadiculopathyRadiculopathy

Page 11: Nerve Conduction Testing

ELECTRODIAGNOSTIC DIAGNOSIS FOR COMMON NEUROLOGICAL SYMPTOMS

Motor nerves - Muscle weakness, cramps, and spasms are associated with motor nerve damage. In some cases, there may be loss of balance and coordination

Sensory nerves - tingling, numbness, and pain. Pain Sensation of wearing an invisible "glove" or "sock", burning, freezing, or electric-like or extreme sensitivity to touch

Autonomic nerves - abnormal blood pressure and heart rate, reduced ability to perspire, constipation, diarrhea, bladder dysfunction (e.g., incontinence), and sexual dysfunction

Page 12: Nerve Conduction Testing

Some physicians are Some physicians are adding as much as adding as much as

$75,000$75,000 to their annual to their annual practice revenue by practice revenue by performing medically performing medically necessary testing in necessary testing in their offices instead of their offices instead of sending patients sending patients elsewhere.elsewhere.

Page 13: Nerve Conduction Testing

Confirming your Confirming your diagnosis with state-of-diagnosis with state-of-the-art in-office testing the-art in-office testing

makes good sense makes good sense clinically and protects clinically and protects you in today’s litigious you in today’s litigious

climate.climate.

Page 14: Nerve Conduction Testing

In-Office Diagnostic In-Office Diagnostic ServicesServices

Nerve conduction and Ultrasound Nerve conduction and Ultrasound testingtesting

Page 15: Nerve Conduction Testing

Selecting dates that fit your particular practice Selecting dates that fit your particular practice needsneeds

SUNDAYSUNDAY MONDAYMONDAY TUESDAYTUESDAY WEDNESDAYWEDNESDAY THURSDAYTHURSDAY SATURDAYSATURDAY

SUNDAYSUNDAY MONDAYMONDAY WEDNESDAYWEDNESDAY SATURDAYSATURDAY

SUNDAYSUNDAY MONDAYMONDAY TUESDAYTUESDAY WEDNESDAYWEDNESDAY THURSDAYTHURSDAY SATURDAYSATURDAY

SUNDAYSUNDAY MONDAYMONDAY TUESDAYTUESDAY WEDNESDAYWEDNESDAY SATURDAYSATURDAY

SUNDAYSUNDAY TUESDAYTUESDAY WEDNESDAYWEDNESDAY THURSDAYTHURSDAY SATURDAYSATURDAYMONDAY

THURSDAYTHURSDAY

THURSDAYTHURSDAY

FRIDAYFRIDAY

FRIDAYFRIDAY

FRIDAYFRIDAY

FRIDAYFRIDAY

FRIDAYFRIDAY

TUESDAY

Page 16: Nerve Conduction Testing

IPR INTAKE FORM

Page 17: Nerve Conduction Testing

RequiredPATIENT SYMPTOMS

Required

Required

Required

Required

Certificate of Medical Necessity

Page 18: Nerve Conduction Testing

IPR SCHEDULING FORM

Allow the appropriate time

between patients

Page 19: Nerve Conduction Testing

Call IPR Support 24/7 for assistance

•Call (888) 395-4007•Fax (888) 888-395-3941•www.ipr-management.com