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
AMENDMENTS TO THE MEDICAL PRACTITIONERS AND DENTISTS ACT AND PROPOSED RULES,
Dr. Steven Katz and Kelly Fox-Galvagni Dr. Steven Katz and Kelly Fox-Galvagni
The GEMPro Bruxism Monitor DDMEs GEMPro Dentists Dilemma Sleep apnea is a
Update and Discussion on a European System for Continuing Educational
Sustainable dentistry projects at the UoM Presented by Dr Vitalia Kinakh ,
8/28/2012 Gregg Warshaw, M.D. Professor of Family and Community Medicine
1 2 3 4 5 ADA DA De Dent ntis ists s pe per 100,000 Popula ulatio
Transparency register: 4885579968-84 Council of European Dentists
PRESENTATION ON PROVIDER NETWORKS DIANE RHODES SENIOR POLICY MANAGER The
(S (Some) s ) syndromes o of t f the H Head a and N Neck An An
Sleep Apnea Therapy Device Taylor Karns, Jen Rich, Ben Mihelich, Calvin
RespireRx Pharmaceuticals Inc. to Present at 2017 Rodman & Renshaw
Inspire Medical Systems, Inc. s February 2019 NYSE: INSP Disclaimer This
The pathogenesis of pediatric OSA Stijn Verhulst, MD, PhD Pediatric
Sleep Apnea is not on the death certificate No financial disclosures or
For personal use only Investor Presentation FY2019 DISCLAIMER &
SLEEP AND AIRWAY Rashpal Deol BDS, MDS, DDS Member, AADSM Visiting
Recontres Genevoises de Pneumologie, HUG, Feb 17, 2010 Pulmonary Hypertension
Presentation Review Presentation Review Bioengineering 6061: Presentations
NRP: EEE24A A Signal Processing Approach to the Detection of Obstructive
I have atrial fibrillation, What now? 2016 Michael S. Lloyd MD FACC FHRS
The Role of Glucagon in Obstructive Sleep Apnea Karoline Moon, MD, MSPH