Texas Dental Sleep Services

Practice Management & Billing Webinar

Join us for this dental sleep medicine billing seminar designed to help providers optimize their claims process and ensure compliance.

  • Essential components of the claims checklist for new patient exams and appliance delivery
  • Required patient documentation and proper form completion 
  • Best practices for timely claims submission (within 7 days of service)
  • Proper coding practices to avoid audit issues 
  • Preview of our upcoming Electronic Medical Records system
  • Important guidelines for patient follow-ups and annual recalls
  • How to properly document patient demographics and insurance information 
  • The importance of including Texas Dental Sleep Services on all documentation 
  • Strategies for obtaining and documenting medical records 
  • Guidelines for creating compliant SOAP notes
  • Requirements for proof of delivery and appliance warranties
  • Process for verification of benefits

This recorded webinar is part of our ongoing series to support providers in maximizing reimbursement while maintaining regulatory compliance. Watch for details about next week’s seminar focusing on annual recalls and 6-month exams.

For questions or to request the 3-page PDF on new billing requirements.

#DentalSleepMedicine #MedicalBilling #InsuranceClaims #TDSS #DRN

Practice Management

& Billing Webinars

Proactive Strategies for Veteran Referrals

8/20/2025

 

This presentation outlines how TDSS Providers can proactively facilitate VA Community Care referrals for Veterans with obstructive sleep apnea (OSA), focusing on oral appliance therapy (OAT). It emphasizes empowering Veterans to advocate for care, coordinating with VA Community Care offices, and using VA Form 10-10172 to streamline referrals. The strategy prioritizes Community Generated Leads (CGLs) over System Generated Leads (SGLs) through community engagement, effective screening, and meticulous follow-up. Goals include improving Veteran access to OAT, reducing VA system burden, and supporting DSM practice growth.

 

TDSS PACKET – VA Community Care Referrals for OSA Patients

Provider Packet

7/30/2025

 
 

The “Provider Packet” webinar, presented by Ariel Navarrette, Eric Northey, and Dr. Martin Denbar, reviewed essential forms used in dental sleep medicine and when to use them. Key topics included the importance of submitting complete claims checklists, gathering medical documentation before exams, using patient consent and financial forms, and issuing Good Faith Estimates. The presentation covered Medicare-specific forms, proof of delivery procedures, and post-delivery care instructions. The session emphasized accuracy, timeliness, and customizing packets to fit each practice’s workflow.

Documents & Forms/Provider Packet

The Front Desk Protocol

5/21/2025

 
In “The Front Desk Protocol” webinar, Ariel Navarrette outlined a step-by-step process to help dental sleep practices manage patients and insurance claims efficiently. Key points included submitting complete claim requests within seven days, verifying benefits before scheduling, obtaining referrals and medical records when required, and following proper procedures for pre-authorizations and oral appliance deliveries. Ariel also stressed the importance of accurate patient forms and maintaining a claims log. The session ended with a Q&A and a reminder of next week’s follow-up.
 

How to Screen for Sleep Apnea

6/11/2025
This webinar/podcast provides a comprehensive guide for dental hygienists to screen for obstructive sleep apnea (OSA) during routine visits. It emphasizes integrating medical history and physical assessment including obesity, hypertension, neck circumference, and BMI measurements. The presentation covers OSA screening tools like the Epworth Sleepiness Scale and identifies oral features using Mallampati classification to assess airway structures. Finally, it stresses the importance of proper documentation and referrals to sleep specialists, reinforcing dental professionals’ crucial role in early OSA detection and improved patient outcomes.

How to Screen for Sleep Apnea

Comparing your EOB to the VOB

5/21/2025

 
Ariel conducted a billing webinar focused on comparing Explanation of Benefits (EOB) and Verification of Benefits (VOB) to help practices manage insurance claims and patient responsibilities. She provided examples and calculations for various insurance cases, including Tricare, United Healthcare, Cigna, and VA members, emphasizing the importance of timely claim submissions and comprehensive checklists. The team discussed upcoming webinar topics and shared resources, including a recent webinar on engaging veterans in VA healthcare, while also touching on plans for future discussions on sleep apnea screening.
 

Medicare, ABN Form, TriCare & VA Updates

5/28/2025

 

Ariel hosted a Practice Management and Billing webinar, which began with technical difficulties that were quickly resolved. Ariel provided updates on insurance procedures, Medicare requirements, and changes to VA fee structures. The presenters emphasized the importance of proper documentation and adherence to guidelines, with Eric confirming that the presentation would be made available online for future reference.

 

Engaging Veterans & VA Healthcare

5/14/2025

 

Eric led a webinar on expanding dental sleep medicine practices by focusing on VA healthcare navigation. He discussed how veterans can access oral appliance therapy through VA and community care networks, emphasizing the need to engage and empower veterans and educate VA providers about treatment options and the HSRM referral process. 

Engaging the Vet Community and Healthcare System

Reviewing Medical Records

5/7/2025

 

Ariel discussed the importance of reviewing medical records in relation to claims processing, pre-authorizations, and audits, with a focus on sleep disorders and the need for detailed information in medical provider notes and sleep studies. They also emphasized the importance of accurate completion of the Tdss prescription form and the need for clear documentation of the sending of medical records to physicians. The team plans to discuss comparing explanation of benefits to verification of benefits in their next meeting.

The First Appointment Advantage

4/30/2025

 

The meeting focused on a new training manual for turning patient inquiries into lasting relationships, introducing a six-step framework for managing patient interactions in sleep apnea diagnosis and treatment. Eric discussed strategies for overcoming cost objections and emphasized the importance of empathy, social proof, and success stories in patient interactions. The comprehensive document being distributed includes various resources for patient care, with upcoming topics covering medical records and navigating the VA healthcare system.

 

The First Appointment Advantage

How to Read the VOB

4/23/2025

 

The meeting covered various aspects of billing and insurance verification for dental practices, including how to read and submit Verification of Benefits forms, interpret different insurance scenarios, and handle lab charges and repairs. The team discussed upcoming webinars, including one featuring Dr. Denbar, and reviewed their recent outreach efforts to veteran groups and the Navy Seal Foundation. They also addressed updates to their processes and forms, as well as plans for future discussions on Medicare billing and related topics

Billing for Recall Appointments

4/9/2025

 

Ariel discussed the status of a decision made by Doc regarding a reimbursement rate, the importance of managing recall visits, and the revenue generation potential for practices. They also addressed the process of handling patient insurance and self-pay options, the use of oximeters, and the plan to expand their network with more carriers. Lastly, they discussed the Provider packet, the completion of a video for the last seminar, and plans for future seminars to discuss improving the VA referral process.

Claim Requests & the Claim Checklist

4/2/2025

 
Ariel conducted a meeting to prepare for a presentation on dental sleep medicine billing, discussing technical aspects and content concerns. They covered important topics such as the claims checklist, patient documentation requirements, and proper coding practices to ensure compliance and timely payment. The meeting also addressed future improvements, including the implementation of an electronic medical record system and the importance of regular patient follow-ups.

HSRM Request for Services Form

4/16/2025

 

Ariel discussed various administrative and operational matters related to their healthcare practice, including service requests, billing procedures, and upcoming webinars. They addressed technical issues during their meeting and reviewed processes for handling patient visits, particularly for VA patients. The team also went over the Request for Services form and discussed plans for future training and documentation improvements.