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CMS Reimburses Sleep Apnea CPAP Treatment When Diagnosed with Home Testing

by Heather Lindsey • July 1, 2008

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Watch-PAT 100 (Itamar Medical, Israel) and ARES (Advanced Brain Monitoring, Inc., Carlsbad, CA) use technology that is not currently recommended by the AASM but that may be useful in certain clinical situations, said Dr. Wardrop.

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Explore This Issue
July 2008

Whatever system you use, if you become comfortable with it and what the machine is measuring, you’re probably fine, Dr. Wardrop said.

In addition to choosing the appropriate device, the AASM guidelines recommend that home testing should only be performed under the guidance of an AASM-accredited sleep medicine program and in conjunction with a comprehensive sleep evaluation. Testing should be supervised by someone who is board certified in sleep medicine or who fulfills the eligibility criteria for the sleep medicine certification examination.

Finally, physicians need to schedule a follow-up visit to review test results with their patients, the guidelines state.

The Bottom Line

Even though it may take some time to address all the questions and concerns about the CMS ruling and reimbursement and for otolaryngologists to decide whether to offer home testing and what monitoring devices to use, ultimately, the decision is good for our patients and good for resource management, concluded Dr. Davidson.

For the full CMS ruling, go to CMS’s Web site at www.cms.hhs.gov/mcd/viewdecisionmemo.asp?from2=viewdecisionmemo.asp&id=204& .

©2008 The Triological Society

Pages: 1 2 3 4 5 6 7 | Single Page

Filed Under: Departments, Health Policy, Medical Education, Practice Focus, Sleep Medicine Tagged With: diagnosis, healthcare reform, Medicare, policy, polysomnography, reimbursement, sleep apnea, testingIssue: July 2008

You Might Also Like:

  • Incorporating Home Sleep Studies into the Diagnostic and Treatment Armamentarium
  • Shift in Diagnosis, Treatment of Obstructive Sleep Apnea A Challenge for Otolaryngologists
  • Testing Recommendation for Children with Sleep-Disordered Breathing
  • At-Home Sleep Studies Less Expensive but Less Accurate

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