Sleep Study Billing, Done Right
From in-lab polysomnography to home sleep tests and PAP compliance billing—we bring clarity to the complex codes and payer requirements that impact your sleep practice revenue.
Accurate Billing for Sleep Labs and Sleep Medicine Providers
Sleep billing isn't just about running the correct code—it’s about navigating evolving payer rules for study interpretation, documentation of symptoms, and device compliance. Many practices lose thousands due to unnoticed denials or invalid HST claims.
We specialize in the financial side of sleep medicine. Our team ensures that your diagnostic, titration, and CPAP setup services are billed correctly—and reimbursed on time.
Why Sleep Practices Choose Us
- Billing for CPT codes 95810, 95811, 95800, G0398–G0400
- PAP therapy compliance reporting & documentation support
- Medical necessity validation for HST and in-lab studies
- Split-night vs full-night titration billing strategies
- Sleep EMR integration with platforms like Somnoware & Sleep EMR
Our Focus
To help sleep providers get paid correctly—for every study, every setup, and every follow-up—without falling behind on compliance or collections.
Sleep Billing Backed by Clinical Precision
Sleep medicine billing is a landscape of codes, compliance, and confusion. We help sleep centers and DME suppliers stay profitable—while keeping up with split-night studies, PAP rules, and evolving payor guidelines.
Sleep Study Coding
From 95810 to G0399, we handle HST and PSG claims with proper use of modifiers, medical necessity, and payer-specific edits.
PAP Compliance Billing
We track CPAP adherence reports, file follow-up claims, and ensure continued reimbursement for device use and supplies.
Medical Review Support
We help justify repeat sleep studies, re-evaluations, and long-term monitoring based on clinical progress notes.
Software & Device Integration
Our billing syncs with WatchPAT, Somnoware, and other tools—streamlining charges without disrupting clinical workflow.
Flexible Billing Rates for Sleep Specialists
Whether you run an independent sleep lab or a multi-location diagnostic center, we tailor our billing percentages to fit your services, study volume, and technology stack.
Independent Sleep Providers
Ideal for physicians billing for consultations, HSTs, CPAP setups, and limited testing.
Accredited Sleep Centers
For facilities offering full polysomnography, titration, MSLT, and long-term monitoring with tech and staff on site.
What’s Included
- Pre-auth management for sleep studies and devices
- Compliant billing for G-codes, 95805, 95806, 95810
- Appeals for denials due to incomplete documentation
- Daily reconciliation of sleep-related CPT and HCPCS codes
Have a hybrid sleep & neurology practice? We’ll build a plan that fits.
Sleep Billing—Simplified, Step by Step
We’ve designed our process to match the flow of sleep centers and diagnostic labs—minimizing delays and maximizing claim approval rates.
1
Study Intake Validation
We confirm patient eligibility, document referring symptoms, and validate the necessity of the test ordered (PSG or HST).
2
Code Assignment
We assign the right CPT/G-code based on study type, interpretation, and devices used—ensuring alignment with documentation.
3
Claim Submission
We transmit claims through integrated PMs, monitor clearinghouse status, and respond quickly to payer edits or rejections.
Analytics & Adjustments
We provide insight into authorization trends, top denial reasons, and billing cycle delays—then adapt processes to improve outcomes.
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Accuracy in Coding HST, PSG & Split-Night Studies
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Avg. Reimbursement Time for Clean Sleep Claims
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Revenue Growth in 6 Months for Full-Service Sleep Labs
End-to-End Revenue Cycle for Sleep Practices
From the first sleep referral to CPAP compliance monitoring, we manage every stage of your billing process—backed by regulatory knowledge, payer policy updates, and real-world sleep coding expertise.
Consult & Referral Billing
We handle E/M coding for sleep consults, PAP follow-ups, and physician reviews—ensuring medical necessity is documented and defensible.
Sleep Study Code Management
Proper coding of 95800–95811, G-codes, and split-night studies with compliant use of modifiers and crosswalk validation to avoid rejections.
PAP Setup & DME Billing
We bill for equipment rentals and supplies (A7030–A7038), track usage data for adherence validation, and maintain DME eligibility logs.
Pre-Authorization Coordination
We initiate and follow up on authorizations for PSG, HST, and repeat sleep studies—reducing scheduling delays and denials at the source.
Compliance & Chart Auditing
We audit signed interpretations, score sheets, tech notes, and ensure alignment between physician dictation and coded services.
Denial Recovery & Reporting
From diagnosis mismatches to documentation shortfalls, we resolve denials, refile appeals, and deliver detailed revenue reports each month.
Sleep Billing Questions? We’ve Got You Covered.
Get clear answers to common billing challenges in sleep medicine—whether you're a diagnostic lab, DME provider, or full-service sleep center.
Talk to a Sleep Billing Expert
Whether you’re launching a sleep lab, managing DME services, or scaling a multi-site sleep group—we’re here to handle the billing. Let’s explore how we can improve your reimbursements.
Chicago, IL 60601, USA