Medicare Coverage of Oral Appliances
Presented by:- Judie Roan, CGS
- Mary Reineke-Ferguson, Noridian
- Tanya Gillies, Noridian
Thursday, February 27, 2025
7pm-8pm ET (6pm-7pm CT/5pm-6pm MT/4pm-5pm PT)
Duration and CE credit(s): 1.0 hour
*Available to AADSM members only
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Medicare policies, particularly Same or Similar, have caused confusion for OAT providers. This webinar will clarify the impact of the policy on claims, explain the same or similar guidelines, and provide practical tips for handling affected claims.
Target Audience
Dentists treating patients with sleep-related breathing disorders.
Objectives
At the conclusion of this webinar, participants will be able to:
- Understand the same or similar guidelines;
- Identify the impact on claims; and
- Implement practical tips for handling claims and appeals.
 | Judie Roan is a Provider Relations Senior Analyst with CGS Jurisdiction B. Prior to joining CGS, Judie was an Outreach Specialist with the Jurisdiction A DME MAC and an Ombudsman and Business Analyst with the Region A DMERC. Judie brings over twenty-five years of Medicare experience to her current position. Her primary focus is providing the highest quality education and sharing her in-depth knowledge of Medicare policies. She strives to help the supplier community utilize all of the valuable resources available for the DMEPOS industry, guiding them to submit claims correctly and successfully pass audits. |
 | Mary Reineke-Ferguson holds the position of Provider Outreach and Education (POE) Consultant providing guidance to both jurisdiction A and jurisdiction D durable medical equipment Medicare administrative contractors (DME MAC) administered by Noridian Healthcare Solutions. Mary has been employed with Noridian for the past 24 years. As an Education Consultant, Mary is responsible for offering support to Noridian’s supplier community by creating and presenting training courses involving detailed billing, coding, and coverage guidelines to ensure correct claim submission resulting in proper Medicare DME payments. Mary has also had the opportunity to present during many collaborative events with the provider community to assist DME suppliers in their understanding of Medicare DMEPOS requirements. |
 | Tanya Gillies holds the position of Provider Outreach and Education (POE) Consultant for both jurisdiction A and jurisdiction D durable medical equipment Medicare administrative contractors (DME MAC) administered by Noridian Healthcare Solutions. Tanya has been employed with Noridian for the past 18 years. Tanya has extensive experience in training related to DMEPOS coverage criteria and reimbursement. As an education consultant, she is responsible for offering support to the supplier community as well as creating and presenting training courses involving detailed billing, coding, and coverage requirements for Medicare fee-for-service. Tanya has also had the opportunity to present during many collaborative events with the provider community to assist DME suppliers in their understanding of Medicare DMEPOS requirements. |
Conflict of Interest Disclosure
- Judith Roan has no potential conflicts of interest
- Mary Reineke-Ferguson has no potential conflicts of interest
- Tanya Gillies has no potential conflicts of interest
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