Complete Sleep Studies
Billing Services
Sleep care changes lives, but the complicated billing often slows development. iSolve RCM supports healthcare practices and patients by simplifying sleep medicine billing operations, reducing errors, and strengthening reimbursements, so healthcare providers can focus on better rest, better health, and stable revenue growth.
- Accounts Receivable
- Medical Credentialing
- Medical Billing Audit
- Denial Management
Turning Sleep Diagnostics into Steadfast Revenue Streams
Sleep studies billing services are more than submitting claims, they connect patient care with financial stability. From polysomnography medical billing to permanent sleep medicine billing services, precision matters. Outsourcing sleep medicine billing services can prevent issues with coding, rejections, or burnout. When billing is outsourced, patients with sleeping disorders can receive providers with fewer issues with billing, improved compliance with regulations, or cash flow problems associated with revenue cycle management.
Denial Management
Our denial management team scrutinizes each denied claim for root causes and resubmits them accurately. This strategy is effective in curtailing repeat denial rates for reimbursements related to sleep studies and polysomnography billing services.
Our Revenue Cycle Management Services
iSolve RCM follows a proper revenue cycle designed for sleep medicine providers to protect revenue and patient trust.
Accounts Receivable Management
Unpaid claims and follow-up with payers are closely monitored, and we deal with any delays in claims settlement. Our accounts receivable system enhances cash flow while also increasing the visibility of collections and revenue in practices.
Medical Coding
Qualified billers and coder experts apply appropriate CPT, ICD-10, or HCPCS codes that relate specifically to sleep medicine billing. Proper coding helps with compliance, reduces audits, and improves polysomnography revenue cycle management.
Medical Billing Audit
Underpayments, ignored charges, and gaps in compliance are all uncovered by our audits. By looking at billing patterns in the healthcare industry, we help healthcare providers recover revenue that is lost and increase billing precision.
Medical Credentialing
We carefully handle provider enrollment and credentialing with payers, guaranteeing continuous billing for sleep studies. This is to prevent denied claims caused by outdated or incomplete provider information.
Reduce Billing Stress with Our Sleep Medicine Medical Billing Services
Get paid more and faster while reducing administrative stress. Our Sleep Studies Billing Services can enhance patient satisfaction and ensure a stabilized revenue flow for your sleep study centers.
Sleep Studies Billing Services That Work for You
Let our Sleep Studies Billing experts handle the complexities of billing while your practice concentrates on patients, outcomes, and development.
Professional Coding and Billing for Sleep Medicine Practices
Polysomnography
- Full-night diagnostic and split-night studies coded correctly.
- Documentation compliant with payer-specific needs.
Multiple Sleep Latency Testing (95805)
- Correctly linked diagnosis codes and procedure codes.
- Less likelihood of denial for medical necessity.
Home Sleep Apnea Testing
- Correct billing for unattended sleep studies.
- Compliance with ever-changing payer guidelines.
Sleep Apnea Diagnosis
- ICD-10 coding aligned with clinical notes.
- Strong support for ongoing treatment claims.
CPAP Titration Studies
- Correct modifiers applied when required.
- Improved reimbursement precision.
Pediatric Sleep Studies
- Age-appropriate coding and documentation.
- Reduced claim delays for specialty care.
Common Sleep Medicine Billing Challenges and How We Fix Them
| Challenges | Solution |
|---|---|
| Frequent polysomnography claim denials | We align clinical notes with billing requirements, audit documentation, and resubmit corrected claims to confirm proper reimbursement. |
| Delays in sleep medicine reimbursements | Our team follows guidelines set out by the payers and updates claims before submission to improve approval rates and reduce delays. |
| Lack of follow-up leads to missed underpayments | We analyze EOBs, spot underpaid claims, and appeal systematically to improve revenue often overlooked by in-house teams. |
| Coding errors across sleep studies billing | We ensure that CPT and ICD-10 coding for all sleep studies is done properly to ensure that denials for both process and medical necessity are avoided. |
| Changing payer rules for sleep medicine billing | We keep current with all billing regulations and modifications in payer policies for your sleep studies billing. |
Take the Stress Out of Sleep Studies Billing
Sleep practices need billing partners who understand both patient care and revenue management. With iSolve RCM, your sleep medicine billing becomes organized and proper, so you can focus on delivering quality care while we protect your revenue.
- Chicago
- Loss Angeles
- Alabama
- California
- Indiana
- New York
Connected Billing That Fits Your Existing Systems
Our Sleep Studies Billing Services integrate smoothly with your current practice management systems and EHRs, ensuring uninterrupted workflows and proper data exchange.
Why Practices Trust iSolve RCM for Sleep Billing
We do not only process claims but we also look out for the whole revenue cycle for sleep medical providers.
Sleep Billing Expertise
Specialized billing professionals understand polysomnography medical billing services and payer expectations, reducing costly mistakes.
Revenue Growth Focus
Timely payments, clean claims, and constant follow-up are all part of our strategies to increase revenue.
Clear Billing
This practice makes billing easier to understand for the patient. It also creates trust between the practices and their communities.
Compliance Confidence
By following healthcare laws and regulations, we support providers in preventing audits and costly penalties.
Scalable Support
As your practice grows, our sleep medicine billing company adapts to higher volumes without sacrificing precision.
Frequently Asked Questions
What is sleep studies billing?
Sleep study billing is the process of assigning codes to healthcare claims based on sleep tests such as Polysomnography and Home Sleep Apnea Tests.
How is billing for a sleep study performed?
We code sleep studies precisely for the services using the correct CPT codes depending on the type of study, for example, codes 95810 and 95811. All the required paperwork is done to make sure that the billing process is correct for timely payment.
What are some common billing errors in sleep medicine billing?
Common billing errors in sleep medicine billing include:
- Incorrect coding
- Lack of documentation
- Failure to obtain prior authorisation
- Errors in billing amounts and more.
What is the CPT code for sleep management?
The following are a few frequently used CPT codes in sleep medicine billing:
- 95806 : Unattended sleep study with monitoring of heart rate, oxygen levels, airflow, and breathing effort.
- 95807: Attended sleep study with CPAP ventilation performed by a technologist.
- 95810: Attended sleep study that includes initiation of CPAP therapy.
- 95811: Multiple sleep latency testing or maintenance of wakefulness testing.
- 95812: Sleep EEG recorded with video monitoring by a trained technologist.
- 95813: Polysomnography with recording of multiple physiological parameters.
