Medical Insurance Claims for Oral Sleep Appliances

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Submitting medical claims for OSA appliances for your dental practice

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.

Learning objectives:

  • Understand the prevalence of sleep apnea
  • Know how to 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 
  • Learn the documentation required for medical claim submission

Audience: Dentists, Hygienists, Assistants, Business Team Members, Office Managers

Appliance image courtesy of Glidewell Copyright ©2021

Our presenter:

Dilaine Gloege is Dental ClaimSupport's Chief Claims Officer, and Director of Education and Brand Management. She leads programs to help practice owners develop a team of in-house billing experts. A dental billing author, educator, speaker, and consultant, she has more than 35 years of dental and insurance claims experience and has consulted with staff in thousands of dental practices.

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Program Approval for Continuing Education

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