Coding Support

The AASM provides members with support related specifically to coding for Medicare. Information provided in the FAQs and links as well as any responses to questions to AASM staff do not provide medical, legal, financial or other professional advice. Members are encouraged to consult a professional advisor for such advice. 

Coding Links

Coding FAQ

Medicare Physician Fee Schedule Search

Medicare Policy Search Instructions

Sleep and Private Payers

AASM members have experienced significant change in the way private payers cover sleep services over the past year. Through preauthorization requirements and utilization management review, many private payers are requiring the use of home sleep testing for many patients suspected of obstructive sleep apnea. The AASM is aware that members need new resources to understand, and in some cases fight these new policies.

Key Definitions

Descriptions for important terms such as OCST, Utilization Management and Preauthorization

Private Payer Policy Background

The key shifts in private payer coverage for in-lab sleep testing for obstructive sleep apnea to home sleep testing and treatment for the sleep disorder. 

AASM Actions

The steps the AASM has taken in response to new private payer requirements for preauthorization and utilization management review. Actions include:

• Summary of the AASM's priorities for private payer policies
• Letters submitted to private payers, utilization management firms and national OCST providers

Member Resources

Resources members can use when contacting payers on this important issue:

• Template letters to payers
• Links to key AASM Practice Parameters and Clinical Guidelines
• Submit your practice management questions to the AASM at coding@aasmnet.org.