CMS wants your help in revising its policy on the diagnosis of patients with OSA requiring CPAP.
-Current national coverage policy specifies that only polysomnography done in a facility-based sleep study laboratory can be used to identify patients with OSA requiring CPAP,- states the CMS in its NCA Tracking Sheet for Continuous Positive Airway Pressure (CPAP) Therapy for Obstructive Sleep Apnea (OSA) (CAG-00093R2). The American Academy of Otolaryngology-Head and Neck Surgery wants CMS to allow an at-home option. Patients who require OSA evaluation could undergo the study in the comfort of their own bed using a portable multi-channel home sleep testing device, instead of having to go to a facility-based sleep study laboratory for polysomnography.
In-lab polysomnography is an expensive test that is not widely available, writes the AAO-HNS Board of Directors in its CMS request. Home sleep testing provides patients with better access and less cost and -is a validated alternative and an important step in improving recognition and control of OSA- (327.23, Obstructive sleep apnea [adult] [pediatric]).
Act now: You have until April 13, 2007, to make your voice heard. Enter your comment after reviewing the national coverage analysis tracking sheet at www.cms.hhs.gov/mcd/viewtrackingsheet.asp?id=204.