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If You’ve Failed CPAP, Read This

By Peter Blais, RPSGT Most payors will reimburse for an oral appliance when a patient is intolerant to CPAP (continuous positive airway pressure) therapy, says Rose Nierman, founder and CEO of Nierman...

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Getting a GAP Exception for Oral Appliances for Obstructive Sleep Apnea

By Peter Blais, RPSGT A GAP exception, also known as a network deficiency, is a way for a patient to get in-network insurance benefits with an out-of-network provider. Because many dentists are not...

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Why You Should Plan Ahead For Follow-up Sleep Study Cost

By Peter Blais, RPSGT Looking at both the 2006 and the 2015 oral appliance clinical practice guideline, it is clear that follow-up sleep testing is recommended for patients fitted with oral appliances,...

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Billing Considerations for the Initial Sleep Apnea Dentist Visit

By Peter Blais, RPSGT The decision whether to file an initial dentist office visit for a sleep apnea patient with either medical or dental insurance can be challenging. “It depends upon what is done at...

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Medicare Patients Can Get Oral Appliances for Sleep Apnea at Select Dental...

Oral appliances are an increasingly popular alternative therapy for obstructive sleep apnea (OSA). While CPAP is the gold standard therapy for OSA, some patients find they cannot tolerate the airflow...

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Dentists Must Enroll as DMEPOS Suppliers for Medicare to Pay for Their Oral...

CMS-855S is application form. By Sree Roy For general dentists who are interested in adding dental sleep medicine services for patients who are Medicare beneficiaries, a commonly asked question is:...

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