3 (ish) Dentists -18 Employees -Bread and Butter Dentistry
Emotional Dentistry Advanced Dentistry Satisfaction LEADERSHIP TECHNOLOGY Time General WINNING TEAM Dentistry LIFELONG Money EDUCATION
START WITH WHY
Prank War
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Snoring
Normal Breathing
OSA Complete or partial obstruction of the airway
Apnea
Breathe!
Snoring
AHI Apnea-Hypopnea Index Apneas + Hypopneas/ # of hours slept <5 normal 5-15 mild 15-30 moderate >30 severe
Epidemiology 17-20% of adults 1 in 4 men and 1 in 50% over the age have OSA 10 women of 50 More prevalent than Up to 80-90% Incidence become = in men and diabetes or asthma remain undiagnosed women at menopause age
Undiagnosed Diagnosed d e t a e r T y l l u f s s e c c u S 80%-90% Up to
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Hypertension • Acid Reflux • Anti-depressants • Diabetes Type II • Heart Conditions • Overweight •
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AASM Practice Parameters American Academy of Sleep study and/or Sleep Medicine 2005 recommendation from MD Presence or absence of OSA (Obstructive Sleep Apnea) must be determined before initiating treatment to diagnose and to provide a baseline
STOP MAKING SNOREGUARDS!!!!
PSG (Polysomnography) An overnight sleep study in a hospital or lab setting Can study all sleep disorders
PSG (Polysomnography) Minimum of 12 channels and 22 wire leads
PSG (Polysomnography) Technician assisted and read by a sleep physician The Gold Standard
PSG
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Codes: G47.33 E0486 ICD-10— International Classifications of Diseases Diagnosis Codes- G47.33 CPT Codes- Current E0486 vs. E0485 Evaluations Procedural Terminology Considered DME- Durable Medical Equipment
You will need 1) Medical claim form printing- CMS 1500 as a paper claim or electronic claim- Cannot be hand-written 2) ICD diagnosis code made by a physician from the sleep study 3) The sleep study with the diagnosis of OSA from a sleep MD 4) CPT codes (E0486, exam codes, etc) 5) SOAP reports and narratives that the patient was seen by you and is an appropriate candidate for OAT 6) C-PAP Intolerance Form 7) An order (or prescription) for the oral appliance signed by a physician or healthcare provider (MD, DO, ARNP, PA-C)
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Surgery
C-PAP
OAT (Oral appliance therapy)
Oral Appliances What Do I Choose?
Discovery
Treatment
Calibration Now a 5!
www.joinsleep101.com erinelliottdds@gmail.com www.3d-dentists.com fb: erin elliottdds twitter: @erinelliottdds insty: @erinelliottdds linkedin: Dr. Erin Elliott
www.3d-dentists.com/dsn June 14–15 Raleigh, NC Sept 20–21 San Diego Sleep Apnea Implementation www.3d-dentists.com Fin
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