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Sleep Care Billing That Supports Every Step
Seamless Billing Support Built To Enhance Practice Efficiency & Payer Communication.
Specialized Sleep study and CPAP billing expertise.
Faster Improve claim acceptance rates for testing services.
Compliant Follow rules for diagnostic vs. therapeutic billing.
Transparent Monthly reports with financial & operational KPIs.
Streamlined Medical Billing Solutions
Designed To Maximize Your Practice Revenue
Our Experienced Team Delivers Accurate, Compliant, & Efficient Billing Services, Helping Healthcare Providers Reduce Denials, Improve Cash Flow, & Focus On Patient Care.
Numbers That Tell Our Story
” BEHIND EVERY STAT IS A MILESTONE WE ARE PROUD OF “
IN BUSINESS
CLAIMED PROCESSED
REDUCTION IN AR
REVENUE IMPROVEMENT
FIRST PASS CLAIM RATE
Smarter Sleep Medicine Billing Nationwide
That Maximizes Revenue
Billing That Supports Sleep Specialists
Sleep medicine billing includes sleep studies, CPAP devices, and home testing. States like California, New York, and Florida require strict payer documentation. Evocare automates claims and ensures compliance with sleep study coding. Our specialists minimize denials and speed up reimbursements for providers. Sleep practices maintain healthier cash flow through our streamlined billing processes. Evocare proactively manages prior authorizations, eligibility checks, and payer-specific rules to prevent costly delays and rework. With real-time reporting and dedicated account oversight, we give sleep specialists full visibility and control over their revenue cycle.
Prevent Revenue Loss in Sleep Billing
Common denials involve missing modifiers, outdated study codes, or incomplete documentation, and states like Texas, Illinois, and Ohio report frequent sleep claim rejections. Evocare reduces rejection rates with proactive edits, real-time claim monitoring, and payer-specific validation while managing authorization tracking, resubmissions, and appeals to recover lost revenue. Our billers tailor submissions to meet payer requirements across states and use detailed analytics and ongoing compliance updates to minimize write-offs. With Evocare’s end-to-end oversight, sleep medicine providers achieve faster, more reliable collections and stronger long-term financial performance.
Smarter Billing Solutions For Sleep Specialists
We offer specialized expertise in billing for polysomnography and home sleep studies, ensuring accurate coding for insomnia, sleep apnea, and narcolepsy care. Our team streamlines prior authorizations for sleep studies and reduces denials for CPAP and DME claims. By maintaining full compliance with payer requirements, we help your sleep medicine practice achieve greater efficiency and maximize revenue.
Sleep Medicine RCM Workflow
Overcome Financial & Operational Challenges With Processes Designed For Sleep Studies, CPAP Billing, & Long-Term Patient Care.
Compliant Sleep Medicine Claims
Processing & Billing Services
Delivering & Enhancing Revenue With Expert Coding For Sleep Studies & Therapies.
Real-time verification that prevents rejections & secures faster payments.
Fast, accurate credentialing that gets your providers enrolled & billing without delays.
Patient-focused CCM programs that improve outcomes & generate recurring revenue.
Skilled virtual assistants who simplify clinical tasks & boost provider productivity.
Efficient front desk operations improving accuracy, workflow, & patient satisfaction.
Real-time verification that prevents rejections & secures faster payments.
Fast, accurate credentialing that gets your providers enrolled & billing without delays.
Patient-focused CCM programs that improve outcomes & generate recurring revenue.
Skilled virtual assistants who simplify clinical tasks & boost provider productivity.
Efficient front desk operations improving accuracy, workflow, & patient satisfaction.
Billing Without Hassle!
Streamline Your Workflow & Boost Productivity With Our Innovative Solutions.
EHR’s We Work With
Evocare Billings Keep Your Billing Flawless & Fully Integrated – No Matter Which EHR or EMR Your Practice Runs On
Hear From Our Clients
From Struggle To Streamlined — Their Words, Our Wins, & Voices Of Success.
Optimize Financial Health For Your Sleep Medicine Practice
Sleep medicine billing requires accuracy for services such as polysomnography, home sleep studies, and CPAP management. Our team of AAPC-certified billing professionals & Certified Professional Coders (CPCs) ensures precise coding, proper documentation, and streamlined prior authorizations to minimize denials and improve reimbursements.
We provide complete billing support for both diagnostic and therapeutic sleep care. By enhancing compliance, reducing administrative burdens, and improving collections, we help sleep medicine practices achieve financial success while allowing providers to focus on patient health.
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Frequently Asked Questions By
Sleep Medicine Physician
If You Can’t Find The Answer You’re Looking For, That’s No Problem. Schedule a Demo, & We’ll Work To Answer Your Question.
Why do home sleep study claims deny?
95800 (unattended study) vs. 95806 (respiratory effort only) depends on the equipment used. Billing the wrong code leads to payer rejection. ICD G47.33 (OSA) supports coverage.
How do split-night studies affect payment?
95811 includes both diagnostic and titration. Billing 95810 + 95811 denies as a duplicate. Only one is payable per night.
Why are CPAP device claims denied?
E0601 requires proof of ≥4 hours nightly use, 70% compliance in 30 days. Missing download data results in nonpayment.
How do ICD codes complicate insomnia billing?
F51.01 (primary insomnia) vs. G47.00 (unspecified) matters. Using unspecified denies coverage for CBT-I therapy billing.
Why do multiple sleep latency test (MSLT) claims fail?
95805 requires a prior overnight polysomnogram (95810). Missing documentation of the preceding study leads to denials.
Why do prior authorization requirements delay or deny sleep study reimbursements?
Prior authorization is often required for sleep studies, home testing, and CPAP equipment, and claims are denied when approvals are missing, expired, or improperly documented. Payers also apply strict medical necessity criteria that vary by plan and state. Without accurate authorization tracking and supporting documentation, reimbursements are delayed or denied entirely.
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