Editorial questions use of the Epworth Sleepiness Scale for insurance authorization
American Academy of Sleep Medicine
Thursday, October 17, 2013
An editorial in the Oct. 15 issue of the Journal of Clinical Sleep Medicine points out that insurers may be abusing the Epworth Sleepiness Scale by using it as part of a prior authorization process for diagnostic sleep testing. According to the editorial, the ESS has inadequate sensitivity and specificity as a screening tool for obstructive sleep apnea.