{"id":212,"date":"2020-11-11T20:06:19","date_gmt":"2020-11-11T20:06:19","guid":{"rendered":"https:\/\/www.bradybilling.com\/blog\/?p=212"},"modified":"2020-12-11T20:07:50","modified_gmt":"2020-12-11T20:07:50","slug":"will-medical-insurance-cover-sleep-apnea","status":"publish","type":"post","link":"https:\/\/www.bradybilling.com\/blog\/will-medical-insurance-cover-sleep-apnea\/","title":{"rendered":"Will Medical Insurance Cover Sleep Apnea?"},"content":{"rendered":"\n<div class=\"wp-block-image\"><figure class=\"alignleft is-resized\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.bradybilling.com\/blog\/wp-content\/uploads\/2020\/12\/AdobeStock_178959907__1607656659_21614.jpg\" alt=\"A doctor wearing a lab coat and stethoscope writing the words \u201cSleep Apnea\u201d\" class=\"wp-image-213\" width=\"281\" height=\"164\" srcset=\"https:\/\/www.bradybilling.com\/blog\/wp-content\/uploads\/2020\/12\/AdobeStock_178959907__1607656659_21614.jpg 800w, https:\/\/www.bradybilling.com\/blog\/wp-content\/uploads\/2020\/12\/AdobeStock_178959907__1607656659_21614-300x176.jpg 300w, https:\/\/www.bradybilling.com\/blog\/wp-content\/uploads\/2020\/12\/AdobeStock_178959907__1607656659_21614-768x449.jpg 768w\" sizes=\"auto, (max-width: 281px) 100vw, 281px\" \/><\/figure><\/div>\n\n\n\n<p>You want to provide your patients with the ability to\nseek treatment for their sleep disorder, but you know it\u2019s not typically\ncovered by dental insurance? What can you do? Will medical insurance cover the <a href=\"https:\/\/www.bradybilling.com\/medical-billing-verification.html\">cost of\nsleep apnea therapy<\/a>? If so, how can you incorporate it into your practice\nwithout causing your administrative staff to scramble to learn a new system?\nRead on to find out if you can help your patients save more money by using\nmedical insurance to cover the cost of treatment and how best to help your\nstaff adjust to this new form of billing.<\/p>\n\n\n\n<!--more-->\n\n\n\n<h2 class=\"wp-block-heading\">Will Medical Insurance Cover Sleep Apnea Therapy?<\/h2>\n\n\n\n<p>Although it is never a guarantee, there is a good chance\nthat your patient\u2019s medical insurance will cover the cost of their oral\nappliance. Designated as durable medical equipment (DME), these benefits are\nconsidered essential in the Affordable Care Act (ACA). But ultimately, it comes\ndown to medical necessity and how the paperwork is filled out and presented to\nthe insurance company. <\/p>\n\n\n\n<p>If you\u2019re wondering how the medical billing process works,\nit can be broken down much like the following:<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>Collect the insurance information from the patient\nwhen they call to schedule an appointment. <\/li><li>Verify the patient\u2019s insurance card upon arrival\nfor their appointment to make sure all information is correct and nothing has\nchanged. <\/li><li>Apply for coverage preapproval with the patient\u2019s\nmedical insurance before offering to provide treatment. <\/li><li>Once verified, make sure their billing\ninformation is updated to ensure they get the maximum benefit.<\/li><li>Talk to patients about the billing process to help\nkeep them informed of what is happening.<\/li><\/ol>\n\n\n\n<p>Because this process can take ample time, causing staff to\nspend more of their day away from patients and instead, talking to insurance\nrepresentatives, it is advised that you outsource this type of billing to a\nthird-party company that employs experts who can more easily navigate the process.\n<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Are Sleep Studies Covered?<\/h2>\n\n\n\n<p>A majority of health insurance companies do indeed reimburse\nfor home or lab-based sleep studies. While some prefer that the former be used\nto cut down on costs for the insurance company, it also helps to keep patients\nfrom paying larger co-payments. Not to mention, most patients prefer to have\ntheir sleep tests done at home where they are more comfortable.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Why Would an Insurance Company Deny Coverage?<\/h2>\n\n\n\n<p>It is important when filling out the necessary paperwork for\na patient to receive approval for treatment that you clearly indicate and\nprovide evidence that this method is a medical necessity. Otherwise, the\ninsurance company is likely to deny it. According to a study in the Journal of\nClinical Sleep Medicine, more than 70% of people with sleep apnea are misdiagnosed\nas having depression. Because many of the symptoms are alike, medical\nprofessionals often miss the signs that point to a sleep disorder. This is why\ndentists can be an ally. You can more easily identify the signs and recommend a\npatient for a sleep study based on the clinical symptoms you find during an\nexamination. <\/p>\n\n\n\n<p>Providing this type of evidence will make it more likely for\nan insurance company to readily approve a sleep test or oral device and keep\ncosts lower for your patients. <\/p>\n\n\n\n<p><strong>About Brady Billing<br>\n<\/strong>Looking to outsource your medical billing? At Brady Billing, we specialize\nin dental offices that provide sleep medicine services and offer billing\nservices for dentist offices throughout the country. By offering a range of\nbilling services, we can assist in answering your questions and providing a\ncomplimentary consultation to discuss available services. To find out how we\ncan help you, visit our <a href=\"https:\/\/www.bradybilling.com\/contact-us.html\">website<\/a>\nor call <strong>(844) 424-5548<\/strong>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>You want to provide your patients with the ability to seek treatment for their sleep disorder, but you know it\u2019s not typically covered by dental insurance? What can you do? Will medical insurance cover the cost of sleep apnea therapy? If so, how can you incorporate it into your practice without causing your administrative staff [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-212","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.6 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Cost of Sleep Apnea Therapy | Medical Insurance | Brady Billing<\/title>\n<meta name=\"description\" content=\"Curious whether your medical insurance will cover the cost of sleep apnea therapy? 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