|
Don't
bill Medicare for polysomnography performed in the home
or a mobile facility, because the Centers for Medicare and
Medicaid Services (CMS) decided that unattended testing
isn't reasonable or necessary.
Medicare
will pay you for continuous positive airway pressure (CPAP)
therapy for adult patients with moderate to severe obstructive
sleep apnea (OSA), if surgery is a likely alternative to
CPAP, according to a May 12 Medlearn Matters article.
Don't
overlook: You can order and prescribe CPAP devices if
your patient's Apnea-Hypopnea Index (AHI) is greater than
or equal to 15 events per hour, or greater than or equal
to 5 and less than or equal to 14 events per hour with documented
excessive daytime sleepiness, impaired cognition, hypertension
or ischemic heart disease. You must base your patient's
AHI on at least two hours of actual polysomnography recorded
sleep.
CMS'
implementation date for this decision is June 6.
To read
the article, go here.
|
