Thursday, November 13, 2008

Objective Compliance Documentation for CPAP use

A member of the AASM discussion boards provide a link to the following info regarding the new CMS requirements for the documentation of benefit of CPAP required for continued coverage of cpap beyond the initial 3 month period:

For PAP devices with initial dates of service on or after November 1, 2008, documentation of clinical benefit is demonstrated by:
Face-to-face clinical re-evaluation by the treating physician with documentation that symptoms of obstructive sleep apnea are improved; and,
Objective evidence of adherence to use of the PAP device, reviewed by the treating physician.

I am planning on asking the durable medical equipment companies I work with to provide me with a compliance download for my Medicare patients. The Medicare patients will bring this printout to their appointments with me.

This LCD applies to most of the southern states, I believe that most other regions have similar LCD's.


Marijke Durning said...

Hi, I was hoping to contact you regarding an article I'm writing on sleep - would you be interested in emailing me at marijke (at) medhealthwriter (dot) com?

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HEROIC said...

Hmmm.. I most definitely read a couple of articles about this topic and it brings me back down memory lane :)
The question that I ask myself is what caused something like this to happen or be written??
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