Sleep Therapy


Funding Focus

Capturing Compliance Creates More Than Cash

The time for looking closely at therapy compliance is at hand.

Heart

Could Losing Sleep Break Hearts?

The Link Between Sleep Apnea and Cardiovascular Disease

Although the link between sleep apnea and cardiovascular problems is well known, recent studies have shed light on just how harmful untreated sleep apnea can be to the heart.

ACHC Launches Sleep Lab Accreditation Program

The program was created for both freestanding and hospital-based sleep labs.

The program was created for both freestanding and hospital-based sleep labs.

HMEs Expect Sleep Revenue to Grow by 9 Percent

Q2 2009 HME Business, Wachovia study shows growth expectations for next 12 months slightly down from Q4 2008 survey.

Q2 2009 HME Business, Wachovia study shows growth expectations for next 12 months slightly down from Q4 2008 survey.

Tricks of the Trade

Seven Steps for Building a Successful Respiratory Cash Business

Running a successful cash business requires commitment on the provider's end, including proper staff training, quality products, snazzy displays and an inviting storefront. Outlined below are seven rules that industry experts suggest providers follow to set up a respiratory retail business.

Provider Perspective

Florida Provider Meets CPAP Compliance Challenges Head On

With Jenene Reid, general manager, Sweetwater Medical West

Opening Lines of Communication

Addressing the respiratory conditions of bariatric patients takes more than just a CPAP.

Addressing the respiratory conditions of bariatric patients takes more than just a CPAP.

Product Solutions: CPAPs

A roundup of some of the latest CPAP and related offerings.

A roundup of some of the latest CPAP and related offerings.



Funding Focus

Reimbursement for RAD: What to Remember

Philips Respironics Dispels Direct Sales Rumors

Philips Respironics has distributed a letter to its HME provider customers stating that it in no way plans on directly selling products to patients.

Sleep Market Poised for 10% Growth over next 12 Months

Read the results from the Q4 2008 HME Business, Wachovia sleep and wound care survey.

2009 Reimbursement Outlook

An Update on the 36-Month Oxygen Cap, Competitive Bidding Delay and CPAP LCDs

Wondering what changes are in store for respiratory providers in 2009? “I think you’re going to see providers financially struggle and some may fail, big and small,” predicts Chris Kane, COO of Pacific Pulmonary Services and spokesman for the Council for Quality Respiratory Care (CQRC). “I think you will see the impact of very sudden and very significant reimbursement changes hitting providers and patients in a delayed fashion, so that it will be several months before many providers realize they’re being paid much, much less. How they react to that and what they do will be very uncertain but is bound to create a lot of distress for the patient community. We expect for our business that 2009 will be the most challenging year we’ve ever had

Funding Focus

Interpreting the PAP LCD Revisions

Editor’s Note: Following is Part II of a three-part series on the new LCDs for PAP therapy.

Hooked on CMS?

Break the Habit with These Sleep Market Hot Spots

Fact: More than 75 percent of equipment for obstructive sleep apnea (OSA) is not reimbursed by the Centers for Medicare & Medicaid Services (CMS). So, if you’re a provider fretting about the 9.5-percent cuts to CPAPs and the uncertainty with the new local coverage determinations (LCDs), fear not. The sleep market, which continues to grow as more people are diagnosed with OSA, has ample opportunities that do not rely on CMS for reimbursement.

Funding Focus

The New PAP LCDs: Are You Ready?

With the recently published and long-awaited CPAP local coverage determinations (LCDs), the intake, billing and reimbursement departments will require some new checks and balances if providers have any expectation of payment. That’s because the LCDs, which apply to dates of service on or after Sept. 1*, include newly imposed hoops for the provider to jump through in order to file a clean claim. The following hoops, which will need to be cleared first by intake staff or customer service, include the collection of documents that must be in a provider’s files. These documents must reflect that the patient had a face-to-face evaluation prior to the sleep test.

Funding Focus

Getting Involved with HST: Why Are You Stalling?

Home sleep testing, also known as portable monitoring, has been around for years, yet the recent National Coverage Decision (NCD) memo issued by the Centers for Medicare & Medicaid Services (CMS) has many folks squirming. The NCD allows payment for CPAP devices based on unattended studies vs. traditional in-lab studies. Most HME providers want to be ready, but without a published Local Coverage Determination (LCD) from the Medicare Administrative Carriers (MAC) medical directors, they are hesitant to set company policy, communicate to referral sources or develop marketing plans.