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.
Just as a PSG can diagnosis a patient’s sleep disorder and CPAP utilization can assist with the treatment of obstructive sleep apnea, hiring a qualified attorney to serve as a billing specialist for a sleep lab or DME company can assist in identifying regulatory compliance concerns and provide advice on documenting areas of concern related to billing and claims submission.
“Consumers are getting more savvy about the quality and cost of their healthcare, especially with the growth in popularity of benefits with lower premiums but higher out-of-pocket payments,” says Dr Barry Malinowski, vice president and medical director for Anthem Blue Cross and Blue Shield in Ohio, in a release.
The answer: It depends. A sleep physician discusses many aspects of HST.
Telemedicine is an emerging tool for sleep medicine practitioners to reach and engage with patients. Unfortunately, telemedicine practitioners use of 21st century technologies are sometimes limited to medical practice laws and regulations modeled on 20th century healthcare methods. Here are some legal dos and don’ts to consider when adopting telemedicine.
In a reminder email, National Government Services (NGS) states that ventilator codes must be used for Medicare ventilator claims, even if the ventilator is being used only on CPAP or bi-level mode.
Dental offices can consistently get great medical insurance reimbursement for oral appliance therapy. Implement these simple tried-and-true strategies.
SleepMed’s network may open the door to new referrals.
A PAP-NAP is an abbreviated daytime sleep study using PAP therapy to desensitize patients whose anxiety is likely to cause sleeping with the device to fail.
As more sleep centers look for ways to grow their offerings, the PAP-NAP comes to mind as a service that can give labs and physicians a competitive edge. A healthcare lawyer explains how to approach its reimbursement.
With start-up funding from the AASM and a strategic partnership with cloud service solution Somnoware, the Welltrinsic Sleep Network has the loftiest of goals. According to its executives, Welltrinsic will unite sleep physicians and centers to negotiate payor contracts, compile large-scale outcome data, and, ultimately, protect the long-term viability of the subspecialty.
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."
The ApniCure Inc Winx Sleep Therapy System uses continuous low suction delivered to the oral cavity via a fitted mouthpiece to move the soft tissue and increase the size of the airway in the retropharynx and oral cavity. Winx is a treatment for obstructive sleep apnea (OSA) (ICD-9 327.23).
The combined Web applications streamline patient screening and referrals.
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.
Lupin Pharmaceuticals Inc has received tentative approval for its Armodafinil Tablets, 50 mg, 100 mg, 150 mg, 200 mg, and 250 mg strengths from the FDA.
CMS issued a proposed rule that would update payment policies and payment rates for services furnished under the Medicare Physician Fee Schedule on or after January 1, 2014.
According to a special announcement from the AASM, Cigna and CareCentrix are responding to issues related to credentialing, maintenance of preauthorization approvals and documentation, and time spent during the appeal process.
Senior members of the House Ways and Means Committee introduced a bill that will prevent CMS from implementing the Round 2 bidding program and replace it with a market pricing program.
The reimbursement, legal, and regulatory aspects driving the delivery of home sleep testing in physician practices and in the patient direct model.