Airway Management’s flexTAP Is PDAC-Approved
Airway Management shares the HCPCS code it received for flexTAP, an oral appliance designed to treat mild to moderate obstructive sleep apnea.
Airway Management shares the HCPCS code it received for flexTAP, an oral appliance designed to treat mild to moderate obstructive sleep apnea.
The American Medical Association (AMA) has released the 2019 Current Procedural Terminology (CPT) code set. There are 335 code changes in the new CPT edition reflecting the CPT Editorial Panel and the health care community’s...
With the integration of HSAT into clinical practice, applying the precise billing and coding is a critical—but often bewildering—task. This article outlines an easy process to facilitate reimbursement.
Effective April 1, 2014, National Government Services will begin rejecting claims for CPAP equipment and accessories with American National Standards Institute (ANSI) code CO-4, “procedure code is inconsistent with the modifier used, or a required modifier is missing.”
Read MoreSleep testing is clearly on the OIG’s radar. A recently released report by the agency identified nearly $17 million in questionable billing for PSG services. A lawyer analyzes the OIG’s report and provides recommendations you can implement today.
Read MoreNational Government Services reported a claim error rate of 31.30% as a result of a prepayment targeted medical review of positive airway pressure devices.
Read MoreThis course provides physicians with the knowledge of coding processes, current sleep medicine codes, incentive programs, and working with payors.
Read MoreMedicare’s PDAC has revised the billing codes for RemZzzs CPAP Mask Liners to a non-covered item. The company is asking sleep professionals to submit testimonials to help it restore the reimbursable status.
Read MoreNAS Jurisdiction D DME MAC Medical Review will be launching a widespread prepayment probe review of claims for HCPCS codes E0470 and E0471.
Read MoreThe Durable Medical Equipment (DME) Medicare Administrative Contractors (MACs) have issued updated coding guidelines for oral appliances billed for reimbursement under code E0486. Using these requirements, all products currently listed on the c
Read MoreThe Pricing, Data Analysis, and Coding (PDAC) Contractor and each of the four Durable Medicare Equipment (DME) Medicare Administrative Contractors (MACs) have determined that the appropriate Medicare Healthcare Common Procedural Coding System (H
Read MoreLegal and regulatory considerations for providers of oral appliance therapy.
Read MoreCMS published its interim final values for sleep testing on November 2, 2010, as part of Medicare’s Final Part B Physician Fee Schedule for 2011. Although the sleep code values are to be effective January 1, 2011, CMS is offering the publi
Read MoreNoridian Administrative Services (NAS) will host a positive airway pressure (PAP) Web workshop on December 8, 11 AM CT. The 90-minute workshop will review the PAP device local coverage determination and policy article. According to information
Read MoreReading into changes in the sleep medicine business and regulatory environment. A variety of new challenges—and ripe opportunities—await sleep industry participants as the new decade dawns. The regulatory and business trends sh
Read MoreDME MAC contractors for the Centers for Medicare and Medicaid Services revised their local coverage determinations (LCDs) for positive airway pressure (PAP) devices. “The revision addresses physician credentialing and the interpretation of
Read MoreThe National Correct Coding Initiative, a subsidiary of CMS, is making changes to HCPCS level II codes G0398-G0400.
Read MoreTrailBlazer’s Polysomnography and Sleep Studies Local Coverage Determination has been released, and went into effect on July 28.
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