decisionhealth Newsletters, Part B News - 2009 Issue 7 (July)
CMS approves national sleep test coverage retroactive to March 3
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Article Overview
This article summarizes a CMS national coverage determination that changes how Medicare covers sleep testing for obstructive sleep apnea. It is relevant to sleep medicine providers, coders, and billing staff who need to understand the coverage update, the affected sleep test categories, and the timing of implementation and retroactive applicability.
Why This Topic Matters
The coverage update affects Medicare reimbursement for sleep testing services and may require attention to claim submission and resubmission processes. Readers need to know which sleep test categories are addressed and when the national policy takes effect.
What You Will Learn
- What CMS changed regarding Medicare coverage for sleep testing
- Which broad types of sleep testing are addressed by the national policy
- When the policy change is implemented and the period it applies to
- Why claims may need to be refiled rather than automatically adjusted
Who Should Read This
- Medical coders
- Billing staff
- Sleep medicine providers
- Revenue cycle staff
- Compliance staff
Codes Discussed
Code Ranges Discussed
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