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.
Category: Reimbursement
Reimbursement
Latest
Reimbursement
Latest
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.
Reimbursement
LatestUnited HealthCare to Cover Inspire Sleep Apnea Implant Effective Aug 1
UnitedHealthcare is one of the businesses of UnitedHealth Group, a diversified health care company that provides coverage for approximately 41 million members.
Is Purchasing CPAPs in the Veterans Health Administration’s Best Interest?
A January 2020 report from the Office of the Inspector General (OIG) requests that under secretary coordinate with appropriate offices to assess whether purchasing sleep apnea devices is in VHA’s best interest or...
Read MoreProvider Compliance Tips for Polysomnography
CMS and Medicare Learning Network recently published a 4-page fact sheet about sleep studies. Based on the results of the OIG review of a sample of 200 randomly selected beneficiaries, the OIG found the most common type of error...
Read More
Sleep Apnea Treatment: Zephyr Partners With Medical Billing Service Providers for Dental Sleep Medicine Clinics
The manufacturer of MATRx plus, an at-home sleep theragnostic system that predicts therapeutic...
Read More
Medicare Contractors Support Use of Inspire’s Sleep Apnea Device
Inspire Medical Systems, Inc, a medical technology company focused on the development and...
Read More
When Do I Use G Codes to Code for Home Sleep Apnea Testing?
A payor reimbursement expert explains the difference between G codes and CPT codes for unattended...
Read More
4 Tips for Presenting Patient Financing Options
Whether you offer third-party or in-house payment plans, these techniques will alert your patients...
Read More
CMS: Oral Appliances Made from Digital Scans Now OK for Medicare Beneficiaries
After requests from dental sleep medicine practitioners, the Centers for Medicare and Medicaid...
Read More
9 Techniques to Clear Hurdles for Home Sleep Testing Preauthorization
Prior authorization isn’t just for in-lab sleep studies. Some third-party payors require advance...
Read More
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.
Read MoreCareCredit Now Integrated Into Henry Schein’s Dental Practice Management Software
Synchrony’s CareCredit, which is a provider of patient financing (including for many sleep-related services), is now integrated into Henry Schein Inc’s dental practice management software solutions. The companies say...
Read MoreYou Snooze, You Lose: How Insurers Dodge The Costs Of Popular Sleep Apnea Devices
A joint investigation by ProPublica and NPR looked at how CPAP data is collected by Medicare and private insurance companies to determine coverage for patients with sleep apnea. Medicare, the government insurance program for...
Read More
CMS Grants Outpatient Pass-through Payment to Remedē System for Central Sleep Apnea
The Centers for Medicare and Medicaid Services (CMS) has approved an outpatient Transitional...
Read MoreThe Cost of Sleep: How Shifts in the Healthcare Landscape Are Causing Patients to Lose Sleep
Poor health, which can be caused by sleep disorders including sleep apnea, insomnia, restless leg syndrome, is a common problem. What’s more, when treatment isn’t covered or only covered in part—as when purchasing...
Read MoreCareCredit and Medical Group Management Association Partner to Address Rising Cost of Medical Care
CareCredit, a health, wellness, and personal care credit card, has entered into a new executive partnership with Medical Group Management Association (MGMA). The partnership recognizes the evolving role of the patient as a payer...
Read MoreExorbitant Dental Bill? Medical Insurance May Cover Some of It
Oral appliances for sleep apnea aren’t the only service that may be billable by dentists to patients’ medical insurance, reports The New York Times, but be aware that insurers are always on the lookout for abuse. On...
Read More