$23.7M Secured to Scale FDA-Cleared Digital Sleep, Anxiety Treatments
Following the establishment of new CMS reimbursement codes for digital mental health treatments, the funding will support the commercial expansion of two prescription products.
Category: Reimbursement
Reimbursement
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Reimbursement
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The Consequences of Outdated Home Sleep Testing Codes
Why and how the year 2025 could mark the start to an era of innovation for unattended sleep testing.
Reimbursement
Latest
CMS Assigns Reimbursement Code for Chronic Rhinitis Treatment
The Centers for Medicare and Medicaid Services assigned a CPT reimbursement code for a minimally invasive procedure designed to address the symptoms of patients with chronic rhinitis.
New Partnership Boosts Virtual Sleep and Cardiopulmonary Care
IHPlans is expanding its virtual offerings by partnering with Circadian Health, a telehealth service specializing in sleep, respiratory, and cardiac care, to provide members with at-home diagnostics and treatments.
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AASM Urges Payer Reimbursement for Actigraphy
Many payers still list actigraphy as “experimental” or do not reimburse for the service, presenting a significant access-to-care barrier for patients who would benefit from this sleep assessment, says the AASM.
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Gem Health Secures Seed Financing to Bolster Virtual Sleep Apnea Clinic
Gem Specialty Health has raised a seed financing round to expand Gem Health, its virtual sleep apnea clinic, by offering insurance coverage through more local and national health plans.
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Gem Sleep Virtual Sleep Apnea Clinic Now Accepting Insurance
Gem Sleep is now accepting insurance from multiple health plans and payers, supporting over 25 million individuals.
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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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