Sleep disorder is a common ailment in the US with the number of people afflicted with it increasing daily and to respond to this healthcare need, there has in turn been an increase in clinics dealing with sleep disorder in all the states of the US.
However, treating sleeping disorder, which enjoys insurance coverage under Medicare, is beginning to cause sleeplessness to these physicians and hospitals, because treating increasing number of people suffering from sleeping disorder means having to deal with mounting administrative responsibilities by hospitals and physicians to realize their fee via insurance claims which involves a lengthy process starting from claim preparation to submission. This not just leaves hospitals and physicians with less time for patient care but also to claim rejections leading to unrealized account receivables.
For a clinic treating sleeping disorder to run profitably, a sound revenue management system is an absolute necessity. Our medical billing and coding services account for the entire billing and coding process, starting from claim preparation through electronic claim submission to follow-ups.
|Some of the most common sleep disorders which require medical billing procedures are as follows:
Sleep apnea — Seen from a reimbursement standpoint, sleep apnea is no more viewed independently but as falling under the tutelage of Obstructive Sleeping Apnea (OSA) which comes under the insurance coverage of continuous positive airway pressure devices (CPAPs). Therefore, successful claim preparation for sleep apnea involves accounting for medical and regulatory details (from preliminary diagnosis through a long cycle of treatment and recovery which involves the use or otherwise of the CPAPs device) required to establish compliance of all regulatory criteria. We cover the entire range of sleep apnea billing and coding activities available both through a consulting and outsourcing model to ensure the physician is solely occupied with curing sleep disorder of the patient without causing him any disturbance in his revenue cycle.
Insomnia — Being among the sleeping disorders that are covered by Medicare and whose treatment involves devices and tests under continuous positive airway pressure (CPAP), insomnia involves the use of appropriate Medicare codes and an elaborate process for preparing and submitting claims. This is where our comprehensive billing and coding services carried out by a team of specialists can help you to not just spare yourself the nonclinical activities involved in reimbursements and compliance related to insomnia but also improve your finances through reduced claim denials and optimized staff utility.
Narcolepsy — Narcolepsy is also among the sleeping disorders that come under Medicare coverage and involves an elaborate process for claim filing which includes accounting for a variety of compliance activities during diagnosis and later treatment. With an experienced team of billers and coders networked across all the states of the US, we bring an end-to-end service model for physicians and clinics treating narcolepsy which ensures accurate preparation and submission of claims, methodical follow-ups for reimbursements.
Restless legs syndrome (RLS)/Periodic limb movement disorder (PLMD) — RLS and PLMD are commonly found afflictions in the US and have recently seen a spurt due to lifestyle issues causing clinics and physicians sleeplessness not due to increase in patients but due to increasing administrative work involved in preparation and submission of claims. With our services marked by accurate coding, methodical follow-ups etc, we ensure appreciable incr ease in collection rates and other benefits that help medical care providers improve their revenue and spend more time on treating RLS and PLMD.
Other disorders - Similarly, we have medical billing and coding services for other disorders —including snoring, hypersomnia, sleepwalking, night-terrors, REM behavior disorder, rhythmic movement disorder, delayed sleep phase syndrome and advanced sleep phase syndrome.
Due to the lifestyle irregularities, sleep disorder clinics have been mushrooming, but the fact that for a profitable sleep disorder clinic revenue management is quintessential.