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Reimbursement Information
We recognize the important role that accurate coding, coverage, and payment play throughout the manufacturing and distribution process. Therefore, it is our goal to provide you with correct, current reimbursement information that is valuable to you as you provide disease/intervention management to your clients.

The Reimbursement Services Site guides you through:

Helpful Hints for Filing Claims
Includes DME and CPT HCPCS coding and coverage information and Ontario, Canada ADP numbers relating to Respironics products. Other related forms and coding verification letters are also housed here.

Medical Necessity Fast Facts
Materials that capture the medical reason patients need a certain therapy for their diagnosis and to help educate patients on disease states for which Respironics products provide therapy. 

Fee Schedules
DME and CPT HCPCS fee schedule amounts.

Appeal Process Guidance
Provides general strategies for appealing claims. Decisions concerning coverage and payment of services and products are affected by various factors. Use of this information does not guarantee full payment or coverage.

Reimbursement Support Line
Developed specifically to provide essential customer service, the reimbursement counselors are trained to address questions across payer types and different provider settings since reimbursement issues can vary dramatically. Respironics' experience includes reimbursement for services in the following settings:

  • home care
  • hospital inpatient
  • hospital outpatient
  • physician office
  • long-term/subacute
  • home health

Government Relations Update
Communicate reimbursement barriers affecting the respiratory care market place and highlight the issues to impact Respironics' customer business.

Clinical Reference
Download bibliographies of articles on Obstructive Sleep Apnea and Noninvasive Positive Pressure Ventilation.