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o matter what your level of clinical experience, there will always be some patients that just don’t respond to your care the way you would expect. As such, Missouri Brain & Spine provides personalized initial and/or second opinions for those patients who have not responded, or have become refractory to, traditional forms of care while allowing you, the referring physician, to maintain control of patient management.
An in-house study found that Missouri Brain & Spine changed the working diagnosis in 28% of cases, and modified treatment plans in 77% of cases.
Our unique program allows the referring physician to attend the referred patient’s Independent Neurological (INE) Evaluation and/or advanced diagnostic testing procedure. We believe that this co-management relationship allows for increased physician awareness regarding the various evaluation and management methodologies of brain-based disorders.
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here are four-steps in the process of requesting a second opinion. We anticipate the steps will take you about 30-45 minutes to complete. A helpful hint that we recommend:
Have your medical records of your patient or those of your loved one on hand as you fill out the medical history questionnaire portion of this process.
The medical history questionnaire is detailed so having medical records to quickly reference will help make the process more efficient.
Below is a brief description of the information being requested in each step of the online process: -
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issouri Brain & Spine provides an unparalleled level of diagnostic expertise. Our physician(s) hold advanced certifications in: vestibular & balance disorders, concussion/Traumatic Brain Injury (TBI)/non-Traumatic Brain Injury (nTBI)/chronic traumatic encephalopathy (CTE), neurodevelopmental & neurobehavioral disorders, as well as advanced electrodiagnostic testing.
For your patient’s convenience, our practice features a comprehensive on-site physical and neuro-rehabilitation department, vestibular laboratory, radiology suite, electro-diagnostic laboratory, neurocognitive/psychological testing and laboratory services.
Additionally, Missouri Brain & Spine’s physicians are also available to perform testing in YOUR office. Our on-site evaluations and advanced diagnostic service(s) are limited to: Independent Neurological Evaluations (INE), Nerve Conduction Velocity (NCV), Electomyography (EMG), saccadometry and laboratory draw. All testing results are reviewed at the time of service, with a comprehensive report to follow. Contact our office today, 636-343-5500, to schedule in-office diagnostic testing for your patients.
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he cost to receive an Independent Neurological Evaluation (INE) and/or secondary medical opinion is $699.00. A fee of $180.00 will be charged to a credit card for reviewing any previous medical records and testing. This amount will be deducted from the examination fee, and the balance due at the initial visit.
Missouri Brain & Spine’s independent evaluation service is not covered by: Medicare, Medicaid and various private insurers. While we offer evaluation services to patients whom have suffered motor vehicle accidents and/or Workman’s Compensation injuries, we are unable to defer payment until settlement. All payments are due at the time of service.
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t the time of service, Missouri Brain & Spine’s physicians will provide a verbal review of all relevant finding associated with the evaluation and/or advanced diagnostic test(s) with the ordering physician (and their patient – if requested). All evaluations performed by Missouri Brain & Spine include a comprehensive written report, within 3 business days of the initial testing, that contains all pertinent objective findings, the patient’s active diagnosis, as well as treatment recommendations.
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