Rank: Member
Joined: 10/13/2015(UTC)
Posts: 11
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Hi Guest!
In order for original/traditional Medicare to offer coverage for custom made oral appliances for OSA, the dental practice must be enrolled as a Medicare DME supplier. Once enrolled, there is actually no pre-authorization required for OAT for OSA.
If you are not currently enrolled, it may be best to refer this patient to a practice that is, as the enrollment process typically takes anywhere between 3-6 months.
Hope this helps!
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Rank: Guest
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Rank: Guest
Was thanked: 16 time(s) in 15 post(s)
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Rank: Guest
Was thanked: 16 time(s) in 15 post(s)
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Can you please tell me the current (2023)or most recent oral appliance (E0486) reimbursement rate for medicare in CA?
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Rank: Administration
Joined: 11/21/2012(UTC)
Posts: 1,713
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Was thanked: 51 time(s) in 51 post(s)
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Hi Guest!
No problem. The allowed amount for Medicare DME for E0486 for California is approx 1636.27
Hope this helps!
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