Oral Appliance Therapy for Sleep Apnea

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Questions and Answers

What is the primary purpose of Oral Appliance Therapy (OAT)?

To enhance sleep quality without medical intervention

To support weight loss

To improve dental aesthetics

To treat snoring and obstructive sleep apnea (correct)

Which of the following statements is true about the EVO PH device?

It is adjusted with a specific tool. (correct)

It is always covered by insurance.

It is a self-pay device for all patients.

It is a fixed device that cannot be adjusted.

What type of patients may benefit from Oral Appliance Therapy?

Only patients with diagnosed OSA

Only those seeking cosmetic dental modifications

Patients who have tried other therapies unsuccessfully

Patients suffering from both snoring and OSA (correct)

Which device offered by ADVENT is often referred to as a Herbst style device?

EVO PH Signup and view all the answers

What distinguishes the EVO device from the EVO PH device?

EVO is self-pay, while EVO PH may be covered by insurance. Signup and view all the answers

What is the primary purpose of the OAT consultation appointment?

To discuss OAT as a solution to snoring and sleep apnea. Signup and view all the answers

What must be ensured when scheduling an OAT exam and scan appointment?

Documentation such as CPAP intolerance affidavit must be attached. Signup and view all the answers

Which appointment type follows immediately after the OAT fitting appointment?

OAT 4 week Check Up Signup and view all the answers

During the OAT fitting appointment, what is a task that the OAT provider must complete?

Make adjustments to the device as needed. Signup and view all the answers

What is necessary for checking out a patient after the OAT fitting appointment?

Upload a Proof of Delivery form to the patient chart. Signup and view all the answers

Which of the following locations offers OAT appointments?

WI: WT and AP Signup and view all the answers

What should be done before the OAT device is ordered during the scheduling of an OAT fitting?

Create an OAT Device Paid/Need to order quick task. Signup and view all the answers

What is the expected duration of a patient visit during the initial OAT exam and scan appointment?

Approximately 1 hour Signup and view all the answers

What is the purpose of the OAT Titration appointment?

To help patients find a balance between jaw comfort and reduction in snoring. Signup and view all the answers

What is the minimum deposit required for self-pay patients ordering an OAT device?

$1600 Signup and view all the answers

How long does it take to obtain pre-authorization for the OAT device from insurance companies?

3 weeks Signup and view all the answers

Which appointment is designated for patients needing a new scan and device remake?

OAT Rescan Signup and view all the answers

What kind of follow-up does the OAT Follow up appointment provide?

Specific follow-up care for patients with teeth or gum discomfort. Signup and view all the answers

What is the discounted price for self-pay patients for an OAT Herbst device?

$3200 Signup and view all the answers

What is required from the Financial Coordinator before scheduling an Exam and Scan appointment for insurance patients?

Pre-authorization of the device. Signup and view all the answers

Which payment options are available for all patients ordering OAT devices?

CommerceCare and Care Credit. Signup and view all the answers

What is covered under the payment for the device?

OAT exam, MOGS, and follow-up appointments Signup and view all the answers

How long is the global period for OAT billing?

90 days Signup and view all the answers

What does the warranty for ProSomnus Devices cover?

Defects in workmanship and materials Signup and view all the answers

Which of the following is NOT required for the OAT Exam and Scan Appointment?

Proof of delivery form Signup and view all the answers

What should be done with the ProSomnus invoice upon receipt at the OAT Fitting Appointment?

It should be removed from the box Signup and view all the answers

What is included in the schedule scrubbing for OAT appointments?

Authorization and EOOP costs Signup and view all the answers

What is the minimum requirement for forms when scheduling the OAT exam?

CPAP intolerance affidavit, sleep study questionnaire, and financial agreement Signup and view all the answers

Which document covers the schedule scrubbing process for OAT appointments?

Schedule Scrubbing Process Document Signup and view all the answers

When does the global billing period for OAT begin?

At the OAT fitting appointment Signup and view all the answers

What is a requirement when it comes to the CPAP intolerance affidavit?

It needs to be secured prior to authorization Signup and view all the answers

What must be signed and included in the chart prior to ordering an OAT?

Sleep Questionnaire Signup and view all the answers

What should be done if a patient indicates their OAT device is broken?

Create an OAT Device Repair/Replacement Request Signup and view all the answers

Which appointment type must be selected for a rescan when ordering a replacement OAT device?

OAT Rescan Signup and view all the answers

Which of the following is NOT a resource available for OAT?

Marketing materials for OAT Signup and view all the answers

When is the OAT Proof of Delivery signed?

At device delivery Signup and view all the answers

Which document must be signed at the exam and scan appointment in relation to OAT?

OAT Consent Form Signup and view all the answers

Where can OAT providers find a variety of resources related to OAT?

ADVENT University resources Signup and view all the answers

What is included in the available patient resources for adjusting the OAT device?

Exercises for jaw soreness Signup and view all the answers

Study Notes

Oral Appliance Therapy (OAT)

OAT is a treatment option for snoring and obstructive sleep apnea (OSA).
Oral appliance therapy involves using a custom-made device that is worn while sleeping.
The device is worn over the teeth like an orthodontic retainer.
The device supports the jaw in a forward position to open the airway for better breathing while sleeping.

OAT Devices

ADVENT patients receive OAT devices from ProSomnus, which is a company specializing in sleep technology.
ProSomnus EVO PH: This is a hinged device that can be adjusted by the patient. May be covered by insurance and is often referred to as a Herbst-style device.
ProSomnus EVO: This device consists of interchangeable arches for both the upper and lower jaws. It is not currently covered by insurance and patients must pay for it out of pocket.

OAT Locations

OAT fitting and device delivery occurs at these locations:
- WI: WT and AP
- MN: WB
- IN: SB and KI
- IL: VH, NV, and CL

OAT Appointment Types

OAT Exam and Scan: This appointment involves a consultation with an OAT provider. The patient is examined, informed about OAT, and undergoes a dental scan for device customization. Appointment duration is approximately one hour.
OAT Fitting: At this appointment, the patient receives their custom-fitted device. The provider instructs them on how to adjust and use the device.
OAT 4 Week Check-Up: First follow-up appointment post-device fitting to ensure the device is working correctly and to potentially schedule a sleep efficacy test.
OAT Titration: An optional appointment where the provider can adjust the device and guide the patient on adjusting it.
OAT Follow-Up: Follow-up for patients requiring additional care or experiencing discomfort.
OAT Rescan: Appointment for patients needing a new scan and device remake.

Insurance and OAT

Many insurance companies cover some or all costs associated with the ProSomnus EVO PH device.
Before the Exam and Scan appointment, ADVENT's authorization team will work on pre-authorization.
The Financial Coordinator will note expected out-of-pocket costs for the patient.
Authorization processing takes approximately 3 weeks. Schedule appointments for insurance patients 3 weeks after authorization is complete. Self-pay patients may schedule earlier appointments.

OAT Payments

Patients using insurance benefits will be informed of their expected out-of-pocket cost by the Financial Coordinator.
Patients are required to make a minimum deposit of 50% of the out-of-pocket cost prior to ordering.
The remaining 50% can be paid in full when the device is picked up or included in an ADVENT care payment plan.
The full price of the EVO device for self-pay patients is $3200.
A minimum deposit of $1600 is required at the time of ordering.
The remaining balance can be paid in full at device pick up or included in an ADVENT care payment plan.
Patients can use CommerceCare or Care Credit to pay for OAT devices.
OAT exam and scan appointments, the device, 2 MOGS (Morning Occlusal Devices), and follow up appointments for 90 days post-fitting are included in the device payment.

Global Period for OAT

OAT billing uses a 90-day global period starting at the OAT Fitting appointment.
This global period covers all related expenses incurred during that timeframe.

OAT Warranty

ProSomnus devices have a 3-year warranty from the manufacturing date covering defects in materials and workmanship.

Schedule Scrubbing for OAT Appointments

OAT Exam and Scan Appointment:
- OAT Order is present in the patient's chart.
- Authorization has been obtained, and the expected out-of-pocket costs are documented in the appointment notes.
- CPAP intolerance affidavit, sleep study questionnaire, financial agreement, and Sengage survey are attached to the order.
OAT Fitting Appointment:
- Device has been delivered to the clinic, and the ProSomnus invoice has been removed from the box.
- Proof of delivery form is printed and placed with the device.
OAT Titration and Follow-up Appointments:
- Reason for visit notes are updated, and the appointment is scheduled correctly.

Consents and Forms Required for OAT

CPAP Intolerance Affidavit: Signed at the time of scheduling the Exam and Scan appointment and required to be in the chart prior to authorization.
Sleep Questionnaire: Signed at the time of scheduling the Exam and Scan appointment and required to be in the chart prior to authorization.
OAT Consents: Includes the General Release, Financial Responsibility, and OAT consent. Signed at the Exam and Scan appointment and required to be in the chart prior to ordering.
OAT Proof of Delivery: Signed and uploaded at the time of device delivery.

OAT Device Repair or Replacement

If a patient reports a broken or damaged OAT device, create an OAT Device Repair/Replacement Request Quick Task and assign it to the OAT Pool at the clinic where the device was ordered.
If a provider determines a new scan is required for a replacement device, schedule an "OAT Rescan" appointment.

Other Resources for OAT

ADVENT University offers numerous resources related to OAT for providers, OAT techs, and front-desk staff.
Patient resources include tips for adjusting the device, jaw soreness exercises, sleep hygiene advice, and instructions for using the Snorelab app.
Scripting resources for cost and consent conversations are available here.

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Description

This quiz covers the fundamentals of Oral Appliance Therapy (OAT) as a treatment for snoring and obstructive sleep apnea. Learn about the types of OAT devices, their functions, and the locations where patients can receive these devices. Enhance your knowledge on sleep technology and its application in improving sleep quality.