Clinical Resources Articles
Updates about coding and reimbursement, new practice guidelines, and telemedicine
On July 29, the Centers for Medicare & Medicaid Services (CMS) released the proposed rule citing potential revisions to payment policies under the Physician Fee Schedule (PFS) and other Part B payment policies. Highlights of the proposed rule that will impact sleep medicine include: [...]
The AASM Payer Policy Review Committee recently reviewed a policy from Horizon Blue Cross Blue Shield of New Jersey, “Diagnosis and Medical Management of Obstructive Sleep Apnea Syndrome.” The committee evaluated the policy and assigned a score based on nine criteria, aligned with the [...]
All providers who participated in the Merit-based Incentive Payment System (MIPS) program during 2018 can now log in on the Quality Payment Program (QPP) website to review 2018 MIPS performance feedback and final scores, including your payment adjustment. Participants will receive a positive, neutral, [...]
The American Academy of Sleep Medicine is partnering with ArborMetrix to create the first qualified clinical data registry (QCDR) dedicated solely to sleep medicine. The AASM issued a request for proposals in September 2018 and decided to partner with ArborMetrix due to its informatics [...]
Question: What code is used for cognitive behavioral therapy for insomnia (CBT-I)? Answer: There are three different code series that can be used to report cognitive behavioral therapy for insomnia (CBT-I). Some providers report evaluation and management (E/M) codes for new and established patients, [...]
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 [...]
