Home Sleep Testing and the CPAP Supplier:  What is Proper and What is Improper

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medical-records-in-hospital_HYib7Im0Si.jpg

Home Sleep Testing and the CPAP Supplier:  What is Proper and What is Improper

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Home Sleep Testing and the CPAP Supplier:  What is Proper and What is Improper

Presented By: Jeff Baird, Esq., Brown & Fortunato, P.C.

July 18 2018

2-3:30 pm

1 CEU Credit from AARC is offered for this Webinar

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Awareness about obstructive sleep apnea today is similar to awareness of diabetes 20 years ago. Most physicians (not just pulmonologists) are aware that OSA leads to many health problems. The opportunity for the DME supplier is to be able to sell the CPAP to the patient as well as the supplies (mask, tubing and filter) on a regular basis thereafter. In the past, testing for OSA occurred primarily in “brick and mortar” sleep labs where the patient would spend the night. Over the last several years, testing for OSA has increasingly shifted to home sleep testing. This is more cost-effective and patient friendly. Recognizing that abuse can occur if the DME supplier has any connection with the HST, CMS has essentially said that a CPAP supplier can have nothing to do with a HST. As to whether commercial insurers impose similar restrictions is on an insurer-by-insurer basis. This program will discuss the restrictions that CMS has placed on DME suppliers, the consequences if the supplier does not adhere to the restrictions, and the type of relationship that the DME supplier can have with the HST entity. Lastly, this program will discuss whether the restrictions apply to a CPAP supplier that is owned by a hospital that also conducts the HSTs.