Home sleep test and diagnostics billing success

Imagn Billing Success Story: Home Sleep Test and Diagnostics

Share This Post:

Share on facebook
Share on twitter
Share on linkedin
Share on email

Imagn Billing Case Summary

What follows are the details of a home sleep test and diagnostics billing success story from Imagn Billing. You will see how a dental practice in Oregon successfully billed for a (Home Sleep Test) HST 95800, Laryngeal function 92520 and Rhinometry 92512. The practice completed this service May 18, 2021. The claim for this service was quickly paid by Providence Health on June 18, 2021.

Oral Physician Case Notes

A 57-year-old female patient presented for a follow-up.  She received and was using an OAT appliance with an efficacy WatchPAT home sleep test, rhinometry, and laryngeal function. Prior to OAT appliance therapy, the patient documented interrupted sleep, snoring, and nighttime sweating. Following therapy, the patient indicated that she was getting uninterrupted sleep for at least 8 hours per night.  She also noted she now had significantly decreased daytime tiredness, no brain fog during the day, and no headaches. 

Proving Medical Necessity

As noted in the provider’s SOAP note:

  • Improved health from therapy
  • New Epworth score is within normal limits 
  • Airway improved in measured laryngeal function

Billing Medical Insurance

The dental practice collected all required documentation and clinical SOAP notes. Pre-Authorization was completed prior to submission for 1-year of follow-up care and titration.

Allowable was $725.00. Total collected from patient and insurance $725.00.  $0 applied to deduct, $287.50 applied to co-insurance.  Patient portion $287.50.

EOB Summary:

These procedures are not covered benefits with dental insurance. Thus the payment would be completely in the patient’s portion.  This patient was ecstatic with the new minimal patient portion that left the dental benefits intact for true dental issues. She was relieved and happy that her oral physician recognized her moderate obstructive sleep apnea had to be followed for maximum improvement. As a happy dental patient, she has referred many co-workers to this provider.  The provider, as another home sleep test and diagnostics billing success story from Devdent’s Imagn Billing, is enjoying increased paid business. This provider, that completes home sleep tests and diagnostic testing is another success story from Devdent’s Imagn Billing. As a result, they are enjoying increased revenue. Learn how you can become your own success story through Devdent and Imagn Billing.

Share This Post:

Share on facebook
Share on twitter
Share on linkedin
Share on email

Leave a Comment

Your email address will not be published. Required fields are marked *

Search
Subscribe to Newsletter
Online Education
Recent Posts
Recent Webinars
Services

Medical Billing Software & Service

Learn how our team can help your practice save time on your medical claims.
Exclusive

Sleep Screening & Billing Software

Streamline dental sleep in your practice with custom pipelines and patient mode.
Exclusive

Dental Sleep’s Only At-Home Screening App

A simple, efficient, and consistent method for identifying and testing patients who have a high probability of OSA.
Exclusive

Schedule aN Expert CAll

Have a question? Need advice on where to start for your unique practice? Schedule an expert call and one of our practice consultants will help get you started. 

Download
Speaker Packet

Crystal May

Co-Founder & COO
Dental Sleep Medicine & Medical Billing

Laurie Owens

Director of Medical Billing Education
Medical Billing

Schedule A Devdent Instructor For Your dental practice. event. webinar. podcast. conference.

Please accept our privacy terms

Devdent.com uses cookies to improve your site experience and to show you personalized advertising. To learn more, please read our Privacy Policy.