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I got this from the Sleep Review Website


Posted by JCAHO LAB on January 20, 2005 at 19:31:34:

In Reply to: Re: JCAHO labs are allowed too posted by JCAHO LAB on January 20, 2005 at 19:24:29:

http://www.sleepreviewmag.com/Articles.ASP?articleid=S0403D08

On behalf of the readers of Sleep Review, you should be aware of a situation in Centers for Medicare and Medicaid Services (CMS) Region VI (Dallas office) where sleep providers who receive Medicare reimbursement are being limited to those providers accredited by the American Academy of Sleep Medicine (AASM).
CMS Region VI reimbursement policies are set by its Fiscal Intermediary for that region, Arkansas Blue Cross, which issued a Local Medical Review Policy (LMRP) (AC03-030) entitled “Outpatient Sleep Studies” (effective December 15, 2003), which requires, among other things, studies to be reimbursed only if conducted in AASM-accredited sleep centers.

This LMRP, affecting states in CMS region VI (Arkansas, New Mexico, Oklahoma, eastern Missouri, and Louisiana), is having significant negative impact on both Joint Commission on Accreditation of Healthcare Organizations (JCAHO)-accredited freestanding sleep centers, as well as hospital-based sleep centers in these areas, numbering over 100.

JCAHO is aggressively advocating on behalf of its customers with the fiscal intermediary on this issue.

—Michael Kulczycki
Executive Director
Ambulatory Accreditation/Business Development, JCAHO

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