Why choose RTNA?

Nationally recognized as the leading physician practice in remote neurophysiological monitoring and neurodiagnostics, our team helps clients ensure their IONM services are backed by professional oversight through people, processes, and technology.

We provide neurologist oversight for real-time neuromonitoring of over 45,000 orthopedic, neurosurgical, cardiovascular, and otologic surgeries annually. We employ 18+ physicians who collectively provide services in more than 1,300 health care centers and 700 hospitals in every state across the country.

We have the ability to partner with diverse clients such as technical services providers, physician practices, hospitals or health care systems. Our internal credentialing and management of professional services and resources ensure we can offer clients sustainable surgery coverage.

Together, RTNA staff serve on several professional medical organization boards including the ASNM, ABNM, ABRET, ACNS, and ASET as well as several national committees and advisory groups, insurance payor committees, and committees that develop graduate competencies and curricula in electrodiagnostics. We have a presence in organized medicine on the state level and within the AMA, as well as an individual who serves as the medical director for Vanderbilt University’s Electroneurodiagnostic Technology Training Program. In addition to serving as a resource for regulatory and practice issues in IONM, we provide lectures on various topics in neurophysiology and neurodiagnostics including those for both technologists and physicians.

In order to fulfill the needs of neurophysiology monitoring companies, RTNA has developed a state of the art monitoring TeleNeurology and Neurophysiological platform.

We help ensure your organization provides the highest level of neurological patient care. Contact us to schedule a conversation about frequent procedures and modalities our physician oversight team can cover for your IONM or surgical needs.


Intraoperative neurophysiological monitoring and testing are used in surgical procedures that place the nervous system at risk or that require identification, mapping, or testing of neural structures. Monitoring the function of neural structures at risk provides an early warning system that can prevent neurological complications by identifying impending damage and alerting the surgeon so that corrective action can be taken. While a trained and certified IONM technologist performs the procedure in the operating room, interpretation of the data and recommendations are provided by a neurologist trained in neurophysiology and intraoperative neurophysiological monitoring. Feedback regarding testing or significant changes in data must be communicated to the surgeon without delay so that this information can be used to change or guide the surgical approach; therefore, interpretation and communication must occur in real time. For a neurologist to provide real time supervision and interpretation, the neurologist must review the data as it is collected and must immediately communicate relevant feedback to the technologist and/or surgical team. Real time monitoring can be accomplished with the monitoring neurologist in the operating room during the surgery, or via an online connection that provides remote visualization of the data as it is produced and the capability of constant communication with the surgical team by means of instant messaging and/or telephone. IONM with real-time supervision/interpretation is the expected standard of care for many types of orthopedic, neurosurgical, cardiovascular, and otologic surgery.