Medical Insurance Claims for Oral Sleep Appliances
Sleep disorders such as obstructive sleep apnea (OSA) can pose serious health risks if left untreated. That’s one reason why patients may come to your dental office seeking an oral appliance for treatment. Dentists are uniquely qualified to provide and fit oral appliances for sleep-related conditions.
Why would patients prefer an OSA appliance over other options?
- A well-fitted appliance is often easier to tolerate than CPAP therapy
- An appliance is convenient and easy to travel with
- An oral device is a non-invasive treatment
Most payers require a diagnosis of OSA from the patient’s physician, accompanied by a qualifying sleep study to consider coverage. Dental providers must be familiar with all state laws pertaining to the practice of sleep medicine.
This course covers general and Medicare-specific rules for claims submission, including example claims. You will learn how to submit claims for oral appliances to treat obstructive sleep apnea (OSA) for successful reimbursement.
After the course attendees will:
- Understand the prevalence of sleep apnea
- Select the correct CDT code for the type of appliance
- Recognize the ICD-10-CM codes for sleep disorders
- Understand the Medicare-specific criteria that determine coverage
- Submit the proper documentation required for claim submission
Earn one(1) CE credit
Appliance image courtesy of Glidewell Copyright ©2021
Dilaine Gloege is a dental practice consultant with a focus on practice administration to improve insurance claims collection. She helps dental billing professionals collect more from dental billing processes through training in dental and medical procedure coding, coordination of benefits, and documentation. She has written and contributed to many professional publications, numerous blog articles and is the author of Dental ClaimSupport’s Profitable Guide to Coordination of Benefits for Dentists.
Dental Claims Academy
This course is part of a training center for professionals to improve insurance collection in any dental practice. Get access to all resources--coding knowledge, billing process training, a discussion forum, and more--as a member of Dental Claims Academy.