Medicare & Medicaid

Vivos Therapeutics’ Supported Practices Achieve In-Network Status in Nevada

Physician-owned practices supported by Vivos in Nevada are now in-network with major commercial insurers and Medicare, expanding patient access to its sleep apnea treatments.

Medicare & Medicaid

Little-Known Ways to Pay for Oral Appliances

Dog eat your patient's oral appliance? A few simple solutions can protect your patients' sleep apnea therapy investments.

Glidewell Silent Nite Now PDAC-Approved
Regional Home Care to Refund Massachusetts Medicaid Members in $2.5 Million Settlement
Updating Medicare Coverage for Sleep Apnea, Hypoventilation Syndromes, & More: Panel Takes Step Toward Fixing Outdated National Coverage Determinations
Accessible & Approachable Dental Sleep Medicine
AASM Launches Clinical Data Registry Dedicated to Sleep Medicine
Massachusetts Investigates Potential Medicaid Billing ‘Fraud’ For Sleep Studies
CMS: Clinicians Have “Maximum Flexibility” in Determining Patient Need for CPAP During Coronavirus Pandemic

Medicare & Medicaid

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CMS Removes Noninvasive Ventilators from Round 2021 of Competitive Bidding Program

Apr 10, 2020 | Medicare & Medicaid

Due to COVID-19, CMS is removing the noninvasive ventilators product category from Round 2021 of the DMEPOS Competitive Bidding Program.

Is Sleep Medicine “Essential”?

Apr 3, 2020 | Academies & Associations, Evolving Responsibilities, Medicare & Medicaid, Patient Rights

During the coronavirus pandemic, sleep professionals decide what procedures occur now and which are postponed, using general guidance from government agencies and professional associations.

CMS: Oral Appliances Made from Digital Scans Now OK for Medicare Beneficiaries

Jun 4, 2019 | Medicare & Medicaid, Obstructive Sleep Apnea, Oral Appliances, Reimbursement

After requests from dental sleep medicine practitioners, the Centers for Medicare and Medicaid...

4 Updates for Dentists Providing Medicare Beneficiaries with Oral Appliance Therapy

Mar 7, 2019 | Academies & Associations, Medicare & Medicaid, Oral Appliances, Reimbursement

Experts explain “same or similar,” E&M service billing, the surety bond requirement, and digital scanning changes.

Will 2018 Be the Year for Stark Law Reform?

Jul 28, 2018 | Academies & Associations, Medicare & Medicaid

As the Centers Centers for Medicare & Medicaid Services states it is open to input, the...

Did Medicare Recently Start Denying Claims for Your Patients’ Oral Appliances? Here’s Why.

Jul 19, 2018 | Medicare & Medicaid, Oral Appliances, Reimbursement

A sleep apnea insurance consultant explains how a Centers for Medicare and Medicaid Services...

CMS Seeks Input on Lowering Stark Law-related Regulatory Burdens

Jul 9, 2018 | Medicare & Medicaid

The Centers for Medicare & Medicaid Services (CMS) issued a request for information (RFI)...

CMS Proposes Changes to Improve Access to Remote Patient Monitoring Technology

Jul 6, 2018 | Medicare & Medicaid, Remote Monitoring

The Centers for Medicare & Medicaid Services (CMS) proposed significant changes to the Home Health Prospective Payment System to strengthen and modernize Medicare, drive value, and focus on individual patient needs rather...

OIG Report: Most Medicare Claims for Replacement CPAP Supplies Didn’t Comply with Requirements

Jun 13, 2018 | CPAP & PAP Devices, Medicare & Medicaid

Most errors involved the physician’s order not syncing with local coverage determinations,...

AASM Offering Expedited Accreditation for Sleep Facilities Impacted by Revised Medicare Policies

Apr 21, 2017 | Academies & Associations, Accreditation, Medicare & Medicaid

The American Academy of Sleep Medicine (AASM) has created a new program that will expedite accreditation applications for sleep facilities impacted by recent changes to Medicare coverage policies for sleep studies. Earlier this...

CMS to Issue Comparative Billing Report on PAP Devices in August

Aug 11, 2016 | Medicare & Medicaid

The Centers for Medicare & Medicaid Services (CMS) will issue a national supplier Comparative Billing Report (CBR) on positive airway pressure devices, respiratory assist devices, and accessories in August 2016, according to...

AASM Urges Oklahoma to Reinstate Coverage for Sleep Medicine Services for Medicaid Patients

May 23, 2016 | Academies & Associations, Medicare & Medicaid

The American Academy of Sleep Medicine (AASM) urges the Oklahoma Health Care Authority (OHCA) to...

New England Medical Equipment Industry Leaders Discuss Medicare Issues With Legislators

Oct 2, 2014 | Medicare & Medicaid

In recent weeks, members of the Home Medical Equipment and Services Association of New England...

Sleep Apnea Screening Legislation for Medicare Patients Introduced in House

May 21, 2014 | Medicare & Medicaid, Obstructive Sleep Apnea

A sleep apnea screening bill was introduced today in the US House of Representatives by Rep...

DME MAC Conducts Prepayment Review of PAP Systems

Aug 16, 2013 | Coding, CPAP & PAP Devices, Medicare & Medicaid, Reimbursement

National Government Services reported a claim error rate of 31.30% as a result of a prepayment targeted medical review of positive airway pressure devices.

Category: Medicare & Medicaid

Medicare & Medicaid

Vivos Therapeutics’ Supported Practices Achieve In-Network Status in Nevada

Medicare Advantage Plan Adds Oura Ring to Member Benefits

CMS Establishes Reimbursement Codes for RLS Treatment System

Daytime Sleep Apnea Therapy Now Covered by Medicaid in South Carolina

Vivos’ Oral Appliances Receive Full Approval for Medicare Reimbursement

Florida Hospital to Pay $1M Over Allegations of Inadequate Supervision at Sleep Center

Former Fresno Sleep Clinic Owner Pleads Guilty to $1M Medicare Scam

Medicare & Medicaid

Little-Known Ways to Pay for Oral Appliances

Glidewell Silent Nite Now PDAC-Approved

Regional Home Care to Refund Massachusetts Medicaid Members in $2.5 Million Settlement

Updating Medicare Coverage for Sleep Apnea, Hypoventilation Syndromes, & More: Panel Takes Step Toward Fixing Outdated National Coverage Determinations

Accessible & Approachable Dental Sleep Medicine

AASM Launches Clinical Data Registry Dedicated to Sleep Medicine

Massachusetts Investigates Potential Medicaid Billing ‘Fraud’ For Sleep Studies

CMS: Clinicians Have “Maximum Flexibility” in Determining Patient Need for CPAP During Coronavirus Pandemic

Medicare & Medicaid

Sorry, No Posts Found

CMS Removes Noninvasive Ventilators from Round 2021 of Competitive Bidding Program

Is Sleep Medicine “Essential”?

CMS: Oral Appliances Made from Digital Scans Now OK for Medicare Beneficiaries

4 Updates for Dentists Providing Medicare Beneficiaries with Oral Appliance Therapy

Will 2018 Be the Year for Stark Law Reform?

Did Medicare Recently Start Denying Claims for Your Patients’ Oral Appliances? Here’s Why.

CMS Seeks Input on Lowering Stark Law-related Regulatory Burdens

CMS Proposes Changes to Improve Access to Remote Patient Monitoring Technology

OIG Report: Most Medicare Claims for Replacement CPAP Supplies Didn’t Comply with Requirements

AASM Offering Expedited Accreditation for Sleep Facilities Impacted by Revised Medicare Policies

CMS to Issue Comparative Billing Report on PAP Devices in August

AASM Urges Oklahoma to Reinstate Coverage for Sleep Medicine Services for Medicaid Patients

New England Medical Equipment Industry Leaders Discuss Medicare Issues With Legislators

Sleep Apnea Screening Legislation for Medicare Patients Introduced in House

DME MAC Conducts Prepayment Review of PAP Systems

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