It’s the Documentation, Dentists
Dentists are skilled at performing exams to assess candidacy for oral appliance therapy. However, challenges arise when detailing the findings in SOAP notes format for medical insurers.
Category: Reimbursement
Reimbursement
Latest
Reimbursement
Latest
UnitedHealthcare Mandates Oral Appliance Trial Before Sleep Apnea Surgery
UnitedHealthcare’s updated medical policy for obstructive and central sleep apnea establishes oral appliance therapy as a prerequisite therapy for surgical treatment in adult patients with moderate to severe OSA.
Reimbursement
Latest
What Updates to Remote Patient Monitoring Reimbursement Mean for Sleep Medicine
CPT codes released in January 2022 have implications for sleep software that scales remote physiologic monitoring treatment management.
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.
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Partnership Improves Access to OAT in Federal and Commercial Markets
SomnoMed announced Nexus Dental Systems as its preferred partner to offer sleep dentistry training and medical billing for OAT in the US Department of Defense, Department of Veterans Affairs, and commercial market segments.
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Are Dentists Maximizing Medical Billing Opportunities?
Oral appliances for sleep apnea are not the only device or service dental sleep medicine practitioners offer that patients’ medical insurance could cover.
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Oral Appliance Considerations for Medicare Beneficiaries
Dental sleep medicine practitioners can help senior adults who want to use their Medicare benefits overcome common therapy challenges.
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Idorsia Insomnia Medication QUVIVIQ Now Covered by TRICARE
“This is a big win for patients suffering from insomnia,” says Patty Torr, Idorsia US president and general manager, in a release.
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Some States Extend HETLIOZ Coverage to Patients With Non-24 Who Are Not Totally Blind
A patient filed a federal lawsuit challenging the unlawfulness of Colorado Medicaid’s prior authorization criteria for HETLIOZ coverage.
Read MoreMedicare Panel Recommends Increasing Payments for Inspire Therapy to Ambulatory Surgical Centers
CMS will review the panel’s recommendations, and the final rules will be published later in 2021.
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Somyrst, FDA-authorized Digital Insomnia Therapy, Now Has formulary Availability at OptumRx
OptumRx will offer and administer standard pharmacy benefit coverage for members who choose to add the product to their formularies.
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Pear Therapeutics’ Somryst Added to Serve You Rx’s Formularies
Serve You Rx will provide prescription benefit coverage of Somryst to their members as a standard offering on all formularies.
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Enough to Wreck Their Rest: $10,322 for a Sleep Study
How much should it cost to be monitored at home or in a hospital sleep lab? That’s the question.
Read MoreAnthem Issues Positive Coverage Policy for Inspire Therapy
This positive coverage decision provides additional OSA patients who are unable to benefit from CPAP the opportunity to gain access to Inspire therapy.”
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More Investment in Pear Therapeutics to Accelerate Reimbursement Coverage for Digital CBT-I
A new strategic investor is investing $20 million in Pear Therapeutics, bringing the total Series D investment to $100 million.
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Highmark Adds Coverage for Remedē System in Patients with Central Sleep Apnea
Highmark Blue Cross Blue Shield and its affiliates will provide coverage for the Respicardia Inc’s remedē System implantable therapy for central sleep apnea, effective immediately.
Read MoreHome Sleep Testing Prior Authorization Requirement Removed for Independence Blue Cross Members
Health insurer Independence Blue Cross has removed its prior authorization requirement for home sleep apnea tests following a dialog initiated by Itamar Medical to increase access.
Read MoreCareCredit Now Integrates Into Open Dental Practice Management Software
The integration features Quickscreen, which identifies patients who are pre-approved or who already have an existing CareCredit credit card.
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