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.
Category: Reimbursement
Reimbursement
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Reimbursement
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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.
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.
Dental Patients Face Years of Debt, Inflated Bills with ‘Out-of-Pocket’ Credit Cards
An investigation by The Fresno Bee for The California Divide, a statewide media project examining economic inequality, has found that some dentists appear to be inflating bills and pressuring patients to put their services...
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Medicare Reimbursement Granted for 3D-printed Nylon Oral Appliance
In September, the US Food and Drug Administration (FDA) cleared Oventus Medical’s O2Vent Optima, a...
Read MoreIs 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...
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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...
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Medicare Contractors Support Use of Inspire’s Sleep Apnea Device
Inspire Medical Systems, Inc, a medical technology company focused on the development and...
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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...
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4 Tips for Presenting Patient Financing Options
Whether you offer third-party or in-house payment plans, these techniques will alert your patients...
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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...
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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...
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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.
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...
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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...
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