The American Association of Sleep Technologists (AAST) has submitted formal comments to the Centers for Medicare & Medicaid Services (CMS) regarding proposed payment policies under the CY 2027 Medicare Physician Fee Schedule. Specifically, AAST provided feedback on the valuation of newly established unattended sleep testing CPT codes. This advocacy effort […]
Tag: MEDICARE
AASM Announces Inclusion of New Unattended Sleep Testing CPT Codes in CMS Proposed Rule
New Current Procedural Terminology codes for unattended sleep testing have been included by the Centers for Medicare and Medicaid Services in the Medicare physician fee schedule proposed rule. The updated CPT code set, which the American Academy of Sleep Medicine helped develop and advance, is intended to better align coding […]
Clear Chronic Care Expands Nationally, Enters Sleep Medicine Market
Clear Chronic Care announced continued national expansion of its Medicare-focused Remote Patient Monitoring (RPM) and Chronic Care Management (CCM) platform, reinforcing its position as a long-term infrastructure partner to physician practices navigating value-based reimbursement. The company also announced strategic expansion into sleep medicine, where chronic oversight and adherence management are […]
TAP Sleep Care Secures Full Medicare Portfolio Coverage: Nylon flexTAP Receives PDAC Approval under E0486
Airway Management, the innovator behind TAP Sleep Care announced that its groundbreaking Nylon flexTAP® has received Pricing, Data Analysis, and Coding (PDAC) approval for HCPCS code E0486. This final approval means Airway Management is now the only oral appliance manufacturer in the United States with its entire portfolio of custom devices fully covered […]
Inspire Medical Systems, Inc. Publishes Inspire V Data at ISSS/AAO-HNS Meetings
Inspire Medical Systems, Inc. published Inspire V clinical outcomes data from its Singapore clinical study, as well as the Company’s limited market release in the United States, including single-site experience at two leading centers. These data will be presented at the American Otolaryngology-Head and Neck Surgery (AAO-HNS) and International Surgical […]
Navigating Insurance and Reimbursement
Insurance coverage and reimbursement for home sleep testing (HST) devices have improved in leaps and bounds over the last two decades, but unfortunately, denials and delays in care remain far too common. For many providers, figuring out a way forward can feel like navigating a labyrinth of policies and red […]
Panthera D-SAD Classic Oral Appliance Now Eligible for Medicare Reimbursement
Panthera Dental has received notification from the Pricing, Data Analysis and Coding (PDAC) contractor, following their request for a coding decision for the Panthera D-SAD Classic oral appliance. PDAC, following a formal review and assessment, has classified the HCPCS code (Healthcare Common Procedure Coding System) E0486 to be used when […]
CMS Issues COVID Vaccine Mandate for Healthcare Workers
The Biden-Harris Administration is requiring COVID-19 vaccination of eligible staff at health care facilities that participate in the Medicare and Medicaid programs. The emergency regulation issued by the Centers for Medicare & Medicaid Services (CMS) today protects those fighting this virus on the front lines while also delivering assurances to […]
Medicare Ventilator Patients Benefit from Earlier Transfer to LTCHs
In a new study published in BMC Pulmonary Medicine, researchers found that earlier transfer of mechanically ventilated patients to long-term care hospitals (LTCHs) increased the likelihood of being liberated from the ventilator. The study demonstrates the crucial role served by these specialty hospitals in caring for the most severely ill […]
CMS Renews ACHC Deeming Authority for Home Health Accreditation
Accreditation Commission for Health Care (ACHC) reaffirms its status as a national leader in home health accreditation with its recent renewal as an approved accreditor for Medicare providers by the Centers for Medicare and Medicaid Services (CMS). The CMS approval extends ACHC’s authority to conduct deemed status surveys that meet or […]













