Purchase Information
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Overview
Medicare policies, particularly Same or Similar, have caused confusion for OAT providers. This recorded Q&A session clarifies the impact of the policy on claims, explains the same or similar guidelines, and provides practical tips for handling affected claims.
Objectives
At the conclusion of this session, participants will be able to:
- Understand the same or similar guidelines;
- Identify the impact on claims; and
- Implement practical tips for handling claims and appeals.
Target Audience
Dentists screening or treating patients with sleep-related breathing disorders.
Speaker Bio
Judie Roan is a Provider Relations Senior Analyst with CGS Jurisdiction B. Prior to joining CGS, Judie was an Outreach Specialist with the Jurisdiction A DME MAC and an Ombudsman and Business Analyst with the Region A DMERC. Judie brings over twenty-five years of Medicare experience to her current position. Her primary focus is providing the highest quality education and sharing her in-depth knowledge of Medicare policies. She strives to help the supplier community utilize all of the valuable resources available for the DMEPOS industry, guiding them to submit claims correctly and successfully pass audits.
Mary Reineke-Ferguson holds the position of Provider Outreach and Education (POE) Consultant providing guidance to both jurisdiction A and jurisdiction D durable medical equipment Medicare administrative contractors (DME MAC) administered by Noridian Healthcare Solutions. Mary has been employed with Noridian for the past 24 years.
As an Education Consultant, Mary is responsible for offering support to Noridian’s supplier community by creating and presenting training courses involving detailed billing, coding, and coverage guidelines to ensure correct claim submission resulting in proper Medicare DME payments. Mary has also had the opportunity to present during many collaborative events with the provider community to assist DME suppliers in their understanding of Medicare DMEPOS requirements.
Tanya Gillies holds the position of Provider Outreach and Education (POE) Consultant for both jurisdiction A and jurisdiction D durable medical equipment Medicare administrative contractors (DME MAC) administered by Noridian Healthcare Solutions. Tanya has been employed with Noridian for the past 18 years. Tanya has extensive experience in training related to DMEPOS coverage criteria and reimbursement. As an education consultant, she is responsible for offering support to the supplier community as well as creating and presenting training courses involving detailed billing, coding, and coverage requirements for Medicare fee-for-service. Tanya has also had the opportunity to present during many collaborative events with the provider community to assist DME suppliers in their understanding of Medicare DMEPOS requirements.
Conflict of Interest Disclosure
Judith Roan has no potential conflicts of interest.
Mary Reineke-Ferguson has no potential conflicts of interest.
Tanya Gillies has no potential conflicts of interest.
Additional Information
Content for this lecture was last reviewed and approved by AADSM health policy staff on February 27, 2025.
Original record date: February 27, 2025
Expiration date: None*
*Course content is reviewed every 3 years to ensure it is current and accurate. Should it be determined that course content is no longer current or accurate, content will expire. The AADSM will communicate that information to all registered attendees and course access will be removed.
This educational offering was funded exclusively by the AADSM. For questions regarding the content of this program or for technical assistance, contact the AADSM at info@aadsm.org or 630-686-9875.
Continuing Education
The American Academy of Dental Sleep Medicine is an ADA CERP Recognized Provider. ADA CERP is a service of the American Dental Association to assist dental professionals in identifying quality providers of continuing dental education. ADA CERP does not approve or endorse individual courses or instructors, nor does it imply acceptance of credit hours by boards of dentistry. Concerns or complaints about a CE provider may be directed to the provider or to ADA CERP at www.ADA.org/cerp. The American Academy of Dental Sleep Medicine designates this activity for 1.0 continuing education credit(s).