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Positive Airway Pressure (PAP) Devices

Positive Airway Pressure (PAP) Devices

Presented By: Kari O’Hara and Paula Berriche from the Noridian DME MAC Jurisdiction A Provider Outreach and Education

June 26, 2018

10:00 – 11:30 am ET

This webinar is Free 

In the PAP webinar, the following agenda items will be covered:

Affordable Care Act Requirements

  • Suppliers will understand the statutory requirements and Face to Face requirements necessary for claim payment.

Comprehensive Error Rate Testing (CERT)

  • Suppliers will understand the CERT program and how it is used to measure and improve the quality and accuracy of Medicare claims submission, processing, and payment.

Coverage Criteria

  • Suppliers will learn about the coverage requirements for positive airway pressure devices and accessories.


  • Suppliers will learn about the appropriate coding for equipment throughout the rental period as well as coding for accessories.


  • Topics such as apnea, hypopnea, apnea hypopnea index, respiratory disturbance index, sleep tests, and adherence to therapy will be discussed.


  • Suppliers will learn what documentation is needed to provide items from this policy, including medical records, orders, beneficiary authorization and proof of delivery.



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