A FORK IN THE ROAD: NAVIGATING PAP DOCUMENTATION SCENARIOS
Host: Andrea Stark, MiraVISTA
“I have a CPAP patient that does not fit the picture-perfect ‘new patient setup’ scenario? Do I have to start over with a new face-to-face and testing?”
In addition to confusion about coverage requirements for the ideal scenario, compliance failures, supplier transition, and insurance policy changes keep this question front and center every business day.
We designed this session to provide practical tools and useful understanding so HME providers can take the guesswork out of collections when accepting CPAP patients. We invite your customer service representatives, marketing staff, and referral sources, to join us.
In addition to the basic documentation requirements for CPAP coverage, attendees this event will learn to:
· Evaluate medical records for critical elements that support coverage before patient setup.
· Adapt normal intake procedures for common problem cases (e.g. compliance failures)
· Calculate and utilize the Apnea Hypopnea Index (AHI) to determine eligibility.