Monday, March 28, 2011

Now Accepting Medicare!

We are pleased to announce that we are now participating with Medicare as a durable medical equipment supplier for oral appliances!

Late last year Medicare determined that they will cover sleep apnea appliances when medically necessary. In order to establish medical necessity, the patient must have an overnight sleep study performed that documents an apnea-hypopnea index (AHI) of 15 or greater. If less than 15 but more than 5, must have documentation of excessive daytime sleepiness, impaired cognition, mood disorders or insomnia or hypertension, ischemic heart disease or history of stroke. If the AHI is greater than 30, must have documentation of CPAP trial and reason of non-compliance.

Medicare also requires a prescription to be written by the primary care physician sent to our office describing the need for an oral appliance.

Our staff can assist you in gathering all documentation required by Medicare prior to your appointment. Why not give us a call today and start sleeping better!

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