Insurance Tips

Obstructive Sleep Apnea Treatment

Keller offers two different oral appliances for the treatment of Obstructive Sleep Apnea: The Thornton Adjustable Positioner (TAP®) and the Elastic Mandibular Advancement (EMA®). Both the TAP and the EMA feature the ability to adjust the amount of mandibular advancement, opening the patient's airway.

Click here to view a research evaluation of the TAP.

Click here to view a research evaluation of the EMA.

Here are some Tips for medical insurance reimbursement:

1. Obtain a copy of the PSG (sleep study) results with a diagnosis of Obstructive Sleep Apnea (OSA)
2. Letter of medical necessity
3. Pre-Authorization from patient's insurance company may be required. Always call to determine necessity for Pre-Auth.
4. SOAP Narrative
5. Description of TAP
6. Description of EMA
7. Informed Consent Form
8. Referral letter signed by physician
9. Completed CMS 1500 medical claim form. CMS forms can be purchased online at http://www.cms.hhs.gov/ or google "CMS 1500" for a variety of vendors.  

Here are the commonly used Medical codes for OSA:

E0486 Oral Appliance to Treat Sleep Apnea
327.23 Diagnostic code for Obstructive Sleep Apnea
 

Please contact the Communications Team at (888) 919-7577 or jtierney@kellerlab.com.