I will do dme billing, cpap, bipap, and denial management

Yes. I apply LCD L33718 compliance for all PAP device claims including AHI threshold documentation (≥15 or ≥5 with comorbidities), CMN requirements, compliance monitoring after 90 days, and face-to-face encounter documentation per CMS Final Rule 1713.

Yes. I apply rental modifiers correctly — KH for month 1, KI for months 2–3, KJ for months 4–13 of the capped rental sequence. Incorrect modifier sequencing is one of the top CPAP denial reasons and I prevent it through systematic billing workflows.

Yes. I bill in-lab polysomnography (CPT 95810, 95811), home sleep apnea tests using HCPCS G0398, G0399, G0400 for Medicare, and CPT 95800/95806 for commercial payers. I avoid the common error of billing both 95810 and 95811 for split-night studies.

The top denial reasons I resolve are: missing CMN documentation (71.2% of CPAP denials per CMS 2024), incorrect rental modifier sequence, missing prior authorization, AHI threshold not documented, and incorrect place of service codes for home vs. facility claims.

Yes. All PHI is handled through encrypted portals or secure file transfer only. No patient data is stored locally or shared outside the project scope. Full HIPAA-compliant workflow and documentation practices on every order audit-ready at all times.