Daytime Sleep Apnea Therapy Now Covered by Medicaid in South Carolina
The non-invasive daytime therapy for sleep apnea is now covered by South Carolina’s Healthy Connections Medicaid program.
Category: Medicare & Medicaid
Medicare & Medicaid
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Updating Medicare Coverage for Sleep Apnea, Hypoventilation Syndromes, & More: Panel Takes Step Toward Fixing Outdated National Coverage Determinations
Lifesaving equipment is being denied payment because of rigid criteria in local coverage determinations and existing coverage provided by CMS is not reflective of rapidly evolving technology in the field.
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4 Updates for Dentists Providing Medicare Beneficiaries with Oral Appliance Therapy
Experts explain “same or similar,” E&M service billing, the surety bond requirement, and digital scanning changes.
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Will 2018 Be the Year for Stark Law Reform?
As the Centers Centers for Medicare & Medicaid Services states it is open to input, the...
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Did Medicare Recently Start Denying Claims for Your Patients’ Oral Appliances? Here’s Why.
A sleep apnea insurance consultant explains how a Centers for Medicare and Medicaid Services...
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CMS Seeks Input on Lowering Stark Law-related Regulatory Burdens
The Centers for Medicare & Medicaid Services (CMS) issued a request for information (RFI)...
Read MoreCMS Proposes Changes to Improve Access to Remote Patient Monitoring Technology
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...
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OIG Report: Most Medicare Claims for Replacement CPAP Supplies Didn’t Comply with Requirements
Most errors involved the physician’s order not syncing with local coverage determinations,...
Read MoreAASM Offering Expedited Accreditation for Sleep Facilities Impacted by Revised Medicare Policies
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...
Read MoreCMS to Issue Comparative Billing Report on PAP Devices in August
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...
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AASM Urges Oklahoma to Reinstate Coverage for Sleep Medicine Services for Medicaid Patients
The American Academy of Sleep Medicine (AASM) urges the Oklahoma Health Care Authority (OHCA) to...
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New England Medical Equipment Industry Leaders Discuss Medicare Issues With Legislators
In recent weeks, members of the Home Medical Equipment and Services Association of New England...
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Sleep Apnea Screening Legislation for Medicare Patients Introduced in House
A sleep apnea screening bill was introduced today in the US House of Representatives by Rep...
Read MoreDME MAC Conducts Prepayment Review of PAP Systems
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.
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CMS Proposes Sleep Service Payment Cuts
The Centers for Medicare and Medicaid Services (CMS) proposed rule for the 2014 Medicare Physician Fee Schedule includes projected cuts for all sleep medicine services in 2014.
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DME MAC A Reports Results of CPAP Prepayment Review
The DME MAC Jurisdiction A has completed a widespread prepayment review of claims for continuous airway pressure devices (HCPCS E0601).
Read MoreThe Need for Academic Sleep Centers
Medical school programs are key to increasing sleep disorder research, diagnosis, and treatment.
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