Clinical Resources Articles
These sleep medicine articles include updates about coding and reimbursement, new practice guidelines, and telemedicine. To view our case study of the month, visit the AASM sleep medicine case studies page.

CMS establishes a DME prior authorization program

On Dec. 29, 2015, the Centers for Medicare & Medicaid Services (CMS) published a final rule establishing a prior authorization program for certain durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) items that are frequently subject to unnecessary utilization. The rule identifies continuous positive airway pressure (CPAP) devices as one of the items “potentially subject to prior authorization.”

2016-01-07T00:00:00-06:00January 7th, 2016|Clinical Resources, Professional Development|

Competitive bidding rates set nationwide by CMS

Recently the Centers for Medicare & Medicaid Services (CMS) released the fee schedule for durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS). suppliers previously unaffected by competitive bidding will see a significant cut to payment for certain equipment, including CPAP. 

2015-12-23T00:00:00-06:00December 23rd, 2015|Clinical Resources|

CMS posts new data to Physician Compare

On Dec. 10 the Centers for Medicare & Medicaid Services (CMS) posted 2014 quality data on the Physician Compare website. AASM members are encouraged to review this information to be aware of the quality data patients are now able to access.

2015-12-17T00:00:00-06:00December 17th, 2015|Clinical Resources|

Hospital payment cuts averted for 2016

In mid-November the Centers for Medicare & Medicaid Services (CMS) published the 2016 Hospital Outpatient Prospective Payment System (OPPS) Final Rule, which finalized recommended changes outlined in the proposed rule published this summer. However, proposals to drastically cut payment to in-center sleep testing were averted following comments submitted by the American Academy of Sleep Medicine.

2015-12-03T00:00:00-06:00December 3rd, 2015|Clinical Resources|
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