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Physician & Dental Sleep Medicine Billing Services

Integrity Practice Solutions has deep experience with sleep medicine and sleep center billing. Our staff works with

  • Institutional sleep center billing
  • Professional  (modifier 26) component for reading sleep studies.
  • Home Sleep Testing (HST)
  • Dental sleep medicine
  • CPAP / Bi-PAP

It is very important to have a billing service understand the nuances of billing for sleep medicine and studies. Sleep apnea is one of the most undiagnosed issues in the country and leads to many other problems if left untreated. As a sleep medicine doctor, you take care of these patients. Lets us take care of your billing so you can sleep in peace! Forgive the pun!

Often offices don’t fully understand the coding that goes along with advanced treatments. For example, frequently asked questions involve at-home sleep apnea testing. It’s often difficult to distinguish between the three possible codes; 95800, 95806, G0399. Each code is used separately based on airway restriction, testing, time, etc… Although these are the most common questions in sleep medicine billing, there are other factors that come into play.

Here is a quick reference to the various CPT’s involved in sleep medicine billing

Sleep Medicine Codes

These codes change frequently and you need a sleep medicine billing company that keeps unto date with the changes. Our staff understands what goes behind sleep studies and they are able to effectively fight denied claims.

sleep-medicine

Payors are getting tougher on approving sleep studies and many require a home sleep study before they will allow a study at the sleep center. Our staff keeps up with payor policies so you do not end up doing something which does not pay once the service is provided.

Dental sleep medicine is another large sub-set of sleep medicines. Instead of using bulky CPAP and Bi-PAP devices, patients with mild sleep apnea can be helped with Oral appliances. Integrity practice solutions work with dental sleep medicine providers to do their authorizations and billing. Our staff is very familiar with working with sleep study results, Epworth sleepiness index, and patient questionnaire to obtain pre-authorization for oral mandibular appliances. We provide dentists with

  • Verifications within 24 hours
  • Pre-Authorization
  • Electronic and Paper claims
  • Denials and Follow-ups
  • Detailed reports

Integrity Practice Solutions is the knowledgeable medical billing company your practice needs. Our aggressive revenue cycle management does not accept denials. We strive to get you the money your business is owed in the first pass.

Benefits of OUTSOURCING

GET PAID FASTER & FOR EVERY PATIENT

GET PAID FASTER & FOR EVERY PATIENT

Our billers will review all the claims and send them out within 24 hours. Any missing information will be promptly discussed with the office so there are no delays in claims processing. We can use our software for billing or bill from your existing EHR. We have worked with Medisoft, eClinicalworks (eCW), Kareo, STI, OmniMD, Meditab IMS, OfficePracticum (OP), Healthfusion among many others.

REDUCE EMPLOYEE DEPENDENCE WITH MEDICAL BILLING OUTSOURCING

REDUCE EMPLOYEE DEPENDENCE WITH MEDICAL BILLING OUTSOURCING

Cash flow of your office is dependent on your claims going out in a timely manner. You cannot afford to have that stop when someone takes a vacation or has to take time off. With our size, your claims will never stop going out and your collections will always be worked on. You never have to worry about that.

SAVE MONEY BY OUTSOURCING YOUR BILLING

SAVE MONEY BY OUTSOURCING YOUR BILLING

We get paid only if you get paid. You get the benefit of having a specialized team of experts working on your account without worrying about training, vacation etc. If you go on a vacation, you do not have to pay any of your billing and collections staff.

REDUCE PAYER DENIALS

REDUCE PAYER DENIALS

You do not need to live in a vacuum!! We work with hundreds of providers and learn from the denials and push back that we receive from insurance. We learn from this and educate our practices so they do can get paid on the first time.

FULL TRANSPARENCY

FULL TRANSPARENCY

You and the staff you designate will always have full access to your data. We do not want to hide anything from you. When we do follow up, the notes will be attached to the patient chart and you can review them. We believe in 100% transparency.

NO CONTRACTS

NO CONTRACTS

It is your money and it is your right to work with whomever best serves your need. We do not impose any contracts. We are confident in our service that you will not find a harder working billing service provider.

How It WORKS

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Denial MANAGEMENT

Denial management is the key to a successful revenue cycle program. Many companies claim to “automate” RCM but they fail to acknowledge that the problem in denials is the “intention” and not “technology”. There is no other alternative to being on the phone with insurance company for hours on end and fighting for a claim to get paid. Nonetheless, smart billers learn from their interaction with insurances and pass on that knowledge to the offices they work with so they can take care of these “gottchas”. For e.g. many companies will deny a claim if you send a specific (e.g Lt knee pain) and unspecified pain diagnosis on the same claim.

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Contact Us Now ! 1-844-245-5633

Integrity Practice Solutions – A Professional Medical Billing Company.

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