WHOOPS – TEMPORARY TECHNICAL DIFFICULTIES! Please do not attempt to fill out the patient forms using this page – We are having temporary technical difficulties. Your technician will provide you with paper forms to fill out at the time of your service. Thank you! . . . . . . . .
See a full list of commercial health plans, government insurances and medical groups that we are contracted with to provide sleep studies, CPAP set-ups and replacement CPAP supplies.
Does your practice use diagnosis codes for obstructive sleep apnea, central sleep apnea, narcolepsy, or insomnia? This tool clearly explains which diagnosis codes correspond to common sleep-related condtions. It offers a side-by-side comparison of sleep medicine codes in ICD9 and ICD10 to help your practice transition smoothly to ICD10 by October 1, 2015.
This Service Rquest Form (SRF) or prescription form, can be used by referring physicians to refer PPO, Medicare or cash patients for Home Sleep Apnea Testing (HST), In-Center Sleep Testing, CPAP Set-Ups and CPAP Resupply.
The Epworth Sleepiness Scale is used to measure daytime sleepiness. Many physicians will ask their patients to complete this simple scale. It is also increasing required by insurance companies to authorize the medical neccessity of sleep studies. This simple one-pager is in both English and Spanish.