Clinical Resources Articles
Updates about coding and reimbursement, new practice guidelines, and telemedicine
Register now for the free CMS webinar, “Measuring Quality to Improve Quality: Strengths and Challenges of Clinical Quality Measurement.” Join this webinar to receive an overview of quality measurement concepts and learn about the current CMS quality measure portfolio. During the webinar, participants also [...]
The AASM Payer Policy Review Committee recently reviewed a payer policy from Blue Cross Blue Shield of Wyoming, Diagnosis and Medical Management of Obstructive Sleep Apnea Syndrome. The committee evaluated the insurer policy and assigned a score based on nine criteria, aligned with the [...]
According to a safety announcement and consumer update issued April 30, the U.S. Food and Drug Administration is requiring the addition of a boxed warning to the prescribing information and the patient medication guides for the insomnia medications eszopiclone (Lunesta), zaleplon (Sonata), and zolpidem [...]
The Centers for Medicare & Medicaid Services (CMS) will allow Medicare Advantage plans to offer expanded telehealth coverage to beneficiaries, beginning in 2020. This change is due to implementation of the Bipartisan Budget Act of 2018 and is detailed in the Contract Year 2020 [...]
The Centers for Medicare & Medicaid Services (CMS) has made preliminary feedback on all 2018 Merit-based Incentive Payment System (MIPS) data submissions available for review through the Quality Payment Program website. All eligible clinicians who submitted MIPS 2018 data can review preliminary performance feedback [...]
Medicare Administrative Contractors (MACs) are denying coverage for oral appliance therapy for the treatment of obstructive sleep apnea (OSA) in cases in which: A patient has been prescribed positive airway pressure (PAP) therapy as the initial treatment for OSA; The PAP rental [...]
The deadline for submitting 2018 data for the Merit-based Incentive Payment System (MIPS) is March 31. The AASM MIPSwizard provides a platform for you to efficiently submit MIPS data to the Centers for Medicare & Medicaid Services (CMS). In 2018, MIPS performance will be counted [...]
The AASM Payer Policy Review Committee recently reviewed five payer policies, focusing on diagnostic testing for obstructive sleep apnea in adults. The Committee evaluated the insurers’ policies and assigned a score based on nine criteria, aligned with the AASM’s Clinical Practice Guideline for Diagnostic [...]
As one of the updates to the Local Coverage Determination process, the Centers for Medicare & Medicaid Services (CMS) now allows Medicare Administrative Contractors (MACs) the discretion to host multi-jurisdictional Contractor Advisory Committees. Contractor Advisory Committees were established to provide a formal mechanism for [...]
Effective Feb. 20, 2019, the U.S. Food and Drug Administration (FDA) has issued a final order that reclassifies the “auto titration device for oral appliances” as class II (special controls). This type of device is identified as “a prescription home use device that determines [...]
