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 AASM’s Clinical Practice Guideline for Diagnostic Testing for Adult Obstructive Sleep Apnea.

AASM scorecards evaluate how effective payer policies are at establishing appropriate coverage for diagnostic sleep testing services and encourage insurers to adopt evidence-based policies that support patient safety and delivery of high-quality care.

All guideline scorecards are available for review and download on the Private Payers page of the AASM website.  AASM members can send payer policy-related questions to coding@aasm.org.