Articles
CMS Proposes Clarification to CPAP Reimbursement
In the July 7 Federal Register, the Centers for Medicare & Medicaid Services (CMS) included a proposal that would prohibit reimbursement for CPAP devices if the supplier or its affiliate performed the diagnostic sleep test. The proposed rule would have implications for providers given the recent ruling on home sleep testing.
According to the National Sleep Foundation, the rule takes the existing regulations, which restrict only suppliers from performing the test, a step further.
CMS states in the proposed rule that it believes that "the interests of beneficiaries and the Medicare program can be harmed if the provider of a diagnostic test has a vested interest in the outcome of the test itself."
CMS will accept comments on the rule for 60 days.
To view the Federal Register, visit www.cms.hhs.gov/QuarterlyProviderUpdates.
