You need a new NPI to go with Medicare, but DentalWriter walked me through the whole process. As has been stated, go "non-participating" so you can choose to accept what the government offers....or not. Your choice, if you are "non-participating"
Kent Smith DDS, Diplomate-ABDSM
www.SleepDallas.com
Dental Sleep Medicine Facility Accredited
2-day Sleep course: Wasted Days and Sleepless Nights (2013 dates March 22/23, May 17/18, July 12/13, Sept 13/14, November 8/9 )
Developer and President FindCE.com and Find-Speaker. com
Twitter - @theSleepDentist
Linked In Sleep Dentist
At 05:53 AM 2/3/2013, Guy Moorman wrote:
I've got to get a Medicare number and I think I can get the hospital to push this through for me. They have a department that deals strictly with getting Medicare and Medicaid numbers because we have PAs, nurse practitioners, CRNAs, docs coming for up to to or three years and needing numbers. I'm on staff and on all three boards so I should be able to bend some elbows. At one time people were talking about three kinds of numbers and the type we wanted. What was that Kent? I don't think it is too far in the future when we will be assigned a number by Uncle because we will be part of the national plan on some scale...sounding a lot like that on the hospital gossip.
I'm in Raleigh until next weekend so I'm going to get my staff moving on this. I will definitely use a service to get paid. I fear the compensation for all sleep stuff is going to take a big hit because of the rampant abuse by physicians. Guy
On Sat, Feb 2, 2013 at 7:32 PM, Kent Smith < kentsmith@21stcenturydental.com> wrote:
- There are about 5, including Dental Writer, who do this for you, and I strongly encourage that. Saves a lot of headaches. I run two sleep rooms all day long (10-20 patients a day), and still use an outside service.
- Kent Smith DDS, Diplomate-ABDSM
- www.21stCenturyDental.com
- www.SleepDallas.com
- Dental Sleep Medicine Facility Accredited
- MySecretBraces - Shhhhh!!!!!!!!!!!!
- 2-day Sleep course: Wasted Days and Sleepless Nights (2013 dates March 22/23, May 17/18, July 12/13, Sept 13/14, November 8/9 )
- Developer and President FindCE.com and Find-Speaker. com
- Twitter - @theSleepDentist
- Linked In Sleep Dentist
- At 06:17 PM 2/2/2013, safariandmd@aim.com wrote:
- Not trying to hijack this thread but there was discussion on OSA reimbursment groups a couple of weeks ago. Does Rose Niermans company do this for dental offices. I am thinking to have an agency do this for us. Guessing they charge 8-10 % on what they collect for us. Might just be worth having them deal with this for us. Any feedback would be appreciated.
- Sent from my Verizon Wireless BlackBerry
- From: John Highsmith DDS <schminsk@bellsouth.net >
- Sender: acesthetics@googlegroups.com
- Date: Sat, 2 Feb 2013 16:54:37 -0500
- To: <toothpick44@gmail.com >
- ReplyTo: schminsk@bellsouth.net
- Cc: ACEsthetics group< ACEsthetics@googlegroups.com>
- Subject: Re: [ACEsthetics] Medicare nails CPAPs
- Unfortunately the majority of home studies are only oximetry. My understanding is that oximetry only shows severe OSA, the type that can kill you. Nice to know, but there are a myriad of ways OSA can make your life miserable and can exacerbate any co-morbidities the patient has, so these screenings seem totally inadequate. Ironic that a patient will often get better medical care in this regard walking into Kent Smith's office than going to their physician.
- John Highsmith DDS
- Clyde, NC
- AACD Accredited Dentist
- LVI Clinical Instructor
- Diplomate, ICOI
- Fellow, Misch Implant Institute
- DrHighsmith.com
- On Feb 2, 2013, at 4:40 PM, Guy Moorman wrote:
- Don't know if this hit everyone but got a message from sleep society that Medicare is cutting CPAP reimbursement by 47% for full mask devices. Nothing was said about MADs. I worked on the nurse practitioner for the local big shot sleep guy who got me to take Kent's course (thank goodness) and asked her if they were doing any ambulatory sleep studies. I'd heard that Medicare and the Blues were going to move almost totally to ambulatory over the centers. She angrily told me that the Blues had just about made them go totally to ambulatory sleep studies because they were essentially as accurate as those being done in docs' offices or centers rather than hospitals. She said she hated the ambulatory sleep studies because patients did not know how to use them. We've had not one problem other than one clerical error and a temp loss of one test. They just hate the lower reimbursement.
- I'm sure all of this is due to abuse of sleep studies and CPAP sales by Home Health Companies. Kent that 47% I know you've seen but I did not know if the Blues in Texas had moved on the sleep centers like they have here. If we could come up with a cheaper device than the CPAP we've be doing most of the sleep devices. This will push the average Home Health fee to about 100 bucks for the lower end CPAPs which is what the government is going to mandate. I'm betting fewer and fewer people will tolerate that mask and will want to pay for an oral appliance or more expensive CPAP. Guy
- --
- Guy W. Moorman
- The Swamp
- Douglas, Georgia
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Guy W. Moorman
The Swamp
Douglas, Georgia
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