From Denials to Recovery: Resolving Medicare Payment Issues for a Sleep Diagnostic Center

Key Impacts

$300K Recoverable accounts receivable

50% Reduction in Medicare-related denials

80% First Pass Resolution Rate restored

Up to $1.5M Annual revenue protection through combined strategies

Improved compliance with Medicare policies and CPT coding requirements

denial management, denials management, revenue cycle management

Revenue Cycle Optimization Case Study: Sleep Diagnostic Center

Overview:

The Client specializes in providing diagnostic and therapeutic sleep studies, primarily billing CPT codes 95811 (polysomnography with CPAP titration), 95810 (polysomnography, diagnostic), and 95806 (home sleep testing). While commercial payers consistently reimburse these services, the organization faced significant challenges with Medicare denials.

Neolytix Identify root causes of Medicare denials and implement strategic solutions to optimize revenue cycle performance for sleep diagnostic services.

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