CPAPs and/or documentation requirements

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04/23/2010

There was a nugget of encouraging news at this week's MED Group Respiratory Summit in Jacksonville. There's a rumor floating around that CMS could take another look at its most recent set of rules for CPAP.
Patients who need an upgrade from a CPAP machine to a bi-level device must meet four--all four, the way it is written--of a set of metrics. That of course, must be documented by physicians.
"There is some movement to get CMS to (back away from this)," said Dan Brown, a healthcare attorney with Greenburg Traurig in Atlanta. "I think it will be revisited."
Simply re-evaluating the use of the word "and" with the use of the word "or" could make a big difference, providers say.
You can be sure the issue is top of the list for member of AAHomecare's new CPAP taskforce. Taskforce members are currently working to enlist the help of stakeholders among various industry groups as well as patients and physicians.
The taskforce plans to present its strategy at Medtrade Spring in Las Vegas.

Theresa Flaherty