Recently private payers have changed coverage policies for sleep services to include stipulations for utilization management review and preauthorization. These changing requirements have created concern among sleep medicine physicians as these implemented preauthorization policies result in increased administrative work associated with ordering sleep studies. Reports indicate that these processes are having a substantial negative effect on our membership – these reports are very concerning to AASM leadership.
In order to get a clear picture of exactly how preauthorization protocols are impacting the membership, we are asking all members to participate in a preauthorization survey. The survey asks for detailed information about each payer’s preauthorization process and appeals process. If you are able to do so, please complete the survey to the extent that you are able. Completed surveys are due to the AASM on or before May 28 and can be sent to email@example.com.