{"id":221,"date":"2021-02-05T14:59:17","date_gmt":"2021-02-05T14:59:17","guid":{"rendered":"https:\/\/www.bradybilling.com\/blog\/?p=221"},"modified":"2021-03-05T15:43:17","modified_gmt":"2021-03-05T15:43:17","slug":"is-sleep-apnea-therapy-covered-by-medical-insurance","status":"publish","type":"post","link":"https:\/\/www.bradybilling.com\/blog\/is-sleep-apnea-therapy-covered-by-medical-insurance\/","title":{"rendered":"Is Sleep Apnea Therapy Covered by Medical Insurance?"},"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\/2021\/03\/AdobeStock_53814245__1614950526_77608.jpg\" alt=\"a stethoscope, calculator, pen, and explanation of benefits form \" class=\"wp-image-222\" width=\"318\" height=\"212\" srcset=\"https:\/\/www.bradybilling.com\/blog\/wp-content\/uploads\/2021\/03\/AdobeStock_53814245__1614950526_77608.jpg 800w, https:\/\/www.bradybilling.com\/blog\/wp-content\/uploads\/2021\/03\/AdobeStock_53814245__1614950526_77608-300x201.jpg 300w, https:\/\/www.bradybilling.com\/blog\/wp-content\/uploads\/2021\/03\/AdobeStock_53814245__1614950526_77608-768x515.jpg 768w\" sizes=\"auto, (max-width: 318px) 100vw, 318px\" \/><\/figure><\/div>\n\n\n\n<p>By choosing to provide appropriate treatment to patients suffering\nfrom sleep apnea, you understand that dental insurance cannot be billed for\nthis type of treatment. The only alternative is to find out if medical\ninsurance will cover the <a href=\"https:\/\/www.bradybilling.com\/medical-billing-verification.html\">cost of\nsleep apnea therapy<\/a>, right? Although this may feel daunting to you and your\nstaff, it is necessary to ensure your patients receive optimal service and\ncoverage to avoid mounting out-of-pocket expenses. Read on to learn exactly\nwhat medical insurance will cover and how a third-party billing company can\nhelp better navigate the process for you and your staff.<\/p>\n\n\n\n<!--more-->\n\n\n\n<h2 class=\"wp-block-heading\">Medical Insurance and Sleep Apnea: Is It Covered?<\/h2>\n\n\n\n<p>Since dental insurance companies do not offer coverage for\nsleep apnea therapy, it is important that you check with a patient\u2019s medical insurance\nprovider. When reviewing their policy, there is a high probability that devices\ndesigned to treat sleep apnea are designated as durable medical equipment (DME)\nand \u201cessential.\u201d But before you and your staff eagerly inform your patient of\nthis news, you must convince the insurance company of the individual\u2019s medical\nneed for the device. This is where proper paperwork must be filled out to state\nyour case. <\/p>\n\n\n\n<p>To minimize the potential for errors, a third-party medical\nbilling company can more easily complete this task and provide you and your\nstaff more time to take care of your patients. <\/p>\n\n\n\n<p>With a company like Brady Billing, their team of\nprofessionals can navigate the verification process once your staff collects\nthe appropriate insurance information when they call to schedule an\nappointment. Once it is verified upon their arrival, the process can begin to\napply for coverage preapproval before any treatment is administered. After the\npatient\u2019s sleep apnea therapy is approved by the insurance company, it will be\nthe responsibility of your team to ensure all billing information is updated to\nensure they receive the maximum benefit.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">What About Sleep Studies?<\/h2>\n\n\n\n<p>Of course, there is the necessary sleep study that must be\nperformed before your patient begins any sort of therapy. Because this is a separate\nfee, it is also beneficial that the insurance provider also covers the initial sleep\nstudy. Fortunately, many companies will reimburse for home or lab studies. It\nis best to provide your patient with the opportunity to undergo an at-home\nsleep test simply because it lowers the cost for the insurance company and\nkeeps your patients from paying higher co-pays. <\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Would Sleep Apnea Therapy Ever Be Denied?<\/h2>\n\n\n\n<p>It is possible that the medical insurance company could deny\ncoverage for sleep apnea therapy, but typically, this only occurs if the\npaperwork submitted is filled out incorrectly or it is not deemed \u201cmedically\nnecessary\u201d for the patient. This is why it is best to work with a third-party\nbilling company to ensure all evidence is properly compiled and conveyed via\nthe submitted forms. <\/p>\n\n\n\n<p>As a dentist, you can more easily identify the symptoms\nassociated with sleep apnea, allowing for a more thorough argument for your\npatient. Too many medical professionals can mistake the symptoms for depression,\nleading to a misdiagnosis. Fortunately, you can be a trusted ally for your\npatient and help them get the care they desperately need.<\/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>By choosing to provide appropriate treatment to patients suffering from sleep apnea, you understand that dental insurance cannot be billed for this type of treatment. The only alternative is to find out if medical insurance will cover the cost of sleep apnea therapy, right? Although this may feel daunting to you and your staff, it [&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-221","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=\"Unsure if medical insurance will cover the cost of sleep apnea therapy? 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