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CMS: Apnea is Key for Sleep Testing Coverage

Posted on 10. Mar, 2009 by in Provider News

Medicare benes who suffer from obstructive sleep apnea (OSA) — and the providers that test for this — could see some welcome relief in reimbursement. CMS announced on March 3 a new national coverage policy for sleep testing for the diagnosis of OSA. The decision allows coverage for specified sleep tests used to confirm the diagnosis in patients who have signs and symptoms of OSA.

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Apnea or just snoring? OSA is a condition characterized by periods of apnea — or a temporary pause in breathing — during sleep. People with OSA usually snore; however, not everyone who snores has OSA, CMS said in a press release. But that’s the least of doctors’ worries; people with OSA can experience daytime drowsiness that can cause accidents with motor vehicles and...

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