Why we must reform the Medicare physician payment system

Over the years, sleep medicine physicians have seen continuous reductions in reimbursements, not only because of decreases in physician work due to advances in technology, but largely due to lower conversion factors, budget neutrality, and implementation of payment adjustment sequestration. Diverting the Medicare physician [...]

2022-09-08T14:37:47-05:00September 8th, 2022|Advocacy, Payer Advocacy|

AASM continues advocacy initiatives with CMS

The AASM is keenly aware of issues that members have been having with coverage of diagnostic tests and treatment during audits due to inconsistencies between AASM clinical practice guidelines and Centers for Medicare & Medicaid Services (CMS) coverage policies, as well as between CMS [...]

2022-07-08T10:04:59-05:00July 8th, 2022|Featured, Payer Advocacy|

AASM successfully advocates for changes to Medicare local coverage articles for home sleep apnea tests

Multiple Medicare Administrative Contractors (MACs) have made modifications to local coverage articles (LCAs) after the AASM advocated for the MACs to allow Current Procedural Terminology (CPT) codes 95800, 95801, and 95806 to be reported when home sleep apnea tests are performed in the home. [...]

2022-02-07T09:46:27-06:00January 21st, 2022|Advocacy, Clinical Resources, Payer Advocacy|
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