In June, the AASM informed members of the Centers for Medicare & Medicaid Services (CMS) providing Comparative Billing Reports (CBR) nationally to the highest frequency billers of sleep medicine services to educate providers regarding proper billing practices. Later, the AASM sent a letter to CMS outlining several concerns about how the CBR analysis was performed and requesting a new CBR analysis be performed two years following the establishment of the sleep medicine designation by CMS.
This week, the AASM received a response from CMS that provides additional information and clarification regarding provider billing, peer groupings, and future design and methodology development based on the sleep medicine specialty designation. It is worthwhile to note the One PI Program reported that 90 percent of providers in the study billed 192 or less services.
