DecisionHealth, DecisionHealth - 2009 Issue 4 (April)

Ask a Part B News expert

This week's question is answered by John Bishop, senior consultant for DecisionHealth Professional Services.

Q.   We are a primary care practice with a sleep lab. We are trying to determine if the primary care doctor needs an initial consult from a board-certified physician first in order for the sleep test and the continuous positive airway pressure (CPAP) to be paid. Is it OK for a primary care physician to order the sleep study as long as he performs the initial assessment (sleep scale, BMI, neck circumference, etc.)? He isn't board-certified. Is it all right if a sleep, board-certified physician reads the actual test?

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