Medical Insurance Billing for Sleep Apnea Simplified

Sleep apnea is a common sleep disorder that affects more than 25 million adult Americans. As a result, many dental offices are turning to oral appliance therapy to help those with the condition. However, this presents a certain challenge for dentists. Oral appliances are not claimable under a patient’s dental insurance. Instead, their medical insurance plan must be billed. You must use dental-medical cross coding, which makes the process more complex, leaving more room for error. With medical insurance billing for sleep apnea creating a certain challenge, we can help you simplify the process.

Billing for Sleep Apnea

When enrolled as a durable medical equipment provider for treating sleep apnea, you can get oral appliances at a much more affordable rate while also increasing the likeliness of claim acceptance by insurance companies. Often, dental practices attempt to handle the coding and billing on their own. However, since there are no set codes for sleep apnea, this makes submitting claims difficult. It is not uncommon for dental practices to have claims rejected due to simple errors. To avoid rejection and costly mistakes, the best option is to outsource your sleep apnea insurance billing for your dentist office.

To properly bill for sleep apnea, there are three elements of a claim that must be filled out: diagnosis codes, procedures codes, and the medical claim form. ICD-9 codes are used for diagnosing, while the procedures are reported through CPT codes, including HCPCS code set. With CPT having a subset of codes to explain how the procedure was used for each specific patient, this further creates an issue with claim acceptance.

Thankfully, Brady Billing makes the entire process far easier by outsourcing your sleep apnea billing. We provide you with verifications within 24 hours, including pre-authorizations and pre-determinations. We use electronic claims submissions to streamline the entire process while also handling any denials or claim appeals. We will even negotiate any fees.

With us handling the heavy work, there is decreased room for error as we manage the cross coding and claim submission. Through our careful services that are catered to billing for sleep apnea, we decrease the margin of error to ensure claims are quickly accepted, processed, and reimbursed.

Without having to spend time and resources on confusing claim submissions, you can better allocate your resources elsewhere to provide an enhanced level of care for your patients. We will work closely with your dental practice throughout the entire process so you can rest assured your billing for sleep apnea is in good hands.

Outsource Your Sleep Apnea Billing

As a dentist offering treatment for sleep apnea, you provide the community with a great service. Do not let the headache and hassle of cross coding limit your ability to provide superior care. We will help you with your sleep apnea coding to ensure your claims are accepted, approved, and reimbursed quickly.

If you are ready to simplify your billing for obstructive sleep apnea, contact Brady Billing for your free consultation. We will make coding for sleep apnea appliances easier.