On Nov. 1, 2019, the Centers for Medicare & Medicaid Services (CMS) released the 2020 Medicare Physician Fee Schedule Final Rule, summarizing proposed revisions to the Physician Fee Schedule. AASM staff analyzed the final rule to determine whether CMS finalized proposals that would impact [...]

Two durable medical equipment (DME) Medicare Administrative Contractors (MACs) — CGS Administrators, LLC and Noridian Healthcare Solutions, LLC — have released "Dear Physician Letters" to highlight requirements for sleep study scoring. Per the MACs, adhering to the information provided in the letters will allow [...]

The AASM Payer Policy Review Committee has reviewed a recently revised payer policy focusing on diagnostic testing for obstructive sleep apnea in adults. The committee completed a new payer policy scorecard after evaluating the revised Sleep Disorder Management Diagnostic & Treatment Guidelines policy from [...]

The American Academy of Sleep Medicine (AASM) has launched #SleepTechnology, a new, online resource to familiarize members with trending and popular sleep devices and apps. Developed by the AASM Consumer and Clinical Technology Committee, it comprises listings that provide concise, at-a-glance summaries of both [...]

On July 29, the Centers for Medicare & Medicaid Services (CMS) released the 2020 Proposed Rule summarizing proposed revisions to the Physician Fee Schedule and Quality Payment Program. Many of the proposals included in the rule continue to prioritize the Patients Over Paperwork initiative, [...]

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 2020 CMS proposed rule that will impact sleep [...]

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 [...]