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.
Category: Coding
Coding
Latest
Coding
LatestAMA’s 2019 CPT Code Set Debuts Remote Patient Monitoring Codes
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...
Coding
Latest
4 Steps to Correct Coding for Home Sleep Apnea Testing
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.
NGS to Reject CPAP Claims with Code CO-4
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.”
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Answers to the Questionable PSG Billing Report Released by the OIG
Sleep 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 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.
Read MoreSuccessfully Navigating Reimbursement for Sleep Medicine
This course provides physicians with the knowledge of coding processes, current sleep medicine codes, incentive programs, and working with payors.
Read MoreRemZzzs Mask Liners Lose Medicare Reimbursement Status
Medicare’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.
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DME MAC Conducting Prepayment Review for Respiratory Assist Devices
NAS Jurisdiction D DME MAC Medical Review will be launching a widespread prepayment probe review of claims for HCPCS codes E0470 and E0471.
Read MoreOral Appliance Coding Guidelines Revised
The 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 MoreSomnoDent Assigned Medicare Code
The 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
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Taking a Bite into Oral Appliance Therapy
Legal and regulatory considerations for providers of oral appliance therapy.
Read MoreCMS Issues Interim Final Values for Sleep Codes
CMS 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 MoreDME MAC Hosting Workshop Discussing PAP LCD
Noridian 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
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Home Testing Demystification
Reading 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 MorePositive Airway Pressure Devices Local Coverage Determinations Revised
DME 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 MoreNCCI Edits Home Testing G-Codes
The National Correct Coding Initiative, a subsidiary of CMS, is making changes to HCPCS level II codes G0398-G0400.
Read MoreTrailBlazer Issues New LCD Policy
TrailBlazer’s Polysomnography and Sleep Studies Local Coverage Determination has been released, and went into effect on July 28.
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