In order to receive medical insurance reimbursement in dental sleep medicine, you need several pieces of information to complete the puzzle. Within dental sleep medicine, dental practices can bill to medical insurance for a custom oral appliance, exams, and radiographs, and in certain states, sleep studies. Medical insurance and Medicare typically reimburses for custom oral appliance therapy when claims are submitted with the proper documentation, codes, and forms. By utilizing DentalWriter Plus+ and Nierman Medical Billing Service, you can skyrocket your case acceptance and practice growth through medical reimbursement.ĭental sleep medicine medical billing is the process of submitting medical claims for oral appliance therapy that treats obstructive sleep apnea (OSA).
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Medically Necessary Dental Implants and Oral SurgeriesĮxams, CBCT and Radiographs for the Above ProceduresĪs you can see, there is a lot of potential medical reimbursement that is most likely being left on the table every day in your dental office. Sleep Apnea Appliance Therapy (Dental Sleep Medicine) Third, the medical claim form needs to be filled out properly, with the correct ICD diagnosis codes, and CPT procedure codes.īelow is a list of the most common dental procedures covered under medical insurance, however other procedures can also be covered if they meet the above requirements: Depending on the written policy, some insurance companies may require additional information in order to be approved, such as a physician’s written order or prescription.
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Second, there must be proper documentation showing that the procedure was medically necessary. Successfully billing medical insurance in a dental practice depends on several factors.įirst and foremost, the procedure has to be covered under the patient’s specific medical plan and policy.