Standard Protocol for Diagnosing and Treating Sleep Apnea
The first step to rendering a solid and reliable diagnosis of sleep apnea begins with ordering a baseline sleep study or PSG. Most insurance companies will deem the test medically necessary, if the patient exhibits some or all of the following symptoms:
- Loud and chronic snoring
- Choking, snorting, or gasping during sleep
- Long pauses in breathing
- Daytime sleepiness, no matter how much time you spend in bed
Other common symptoms of sleep apnea include:
- Waking up with a dry mouth or sore throat
- Morning headaches
- Restless or fitful sleep
- Insomnia or nighttime awakenings
- Going to the bathroom frequently during the night
- Waking up feeling out of breath
- Forgetfulness and difficulty concentrating
- Moodiness, irritability, or depression
Insurance companies often require pre-authorization for a baseline study. Before authorizing a baseline sleep study as medically necessary, the insurance company will require that the patient’s symptoms be properly documented in the patient’s chart and that the physician’s clinical notes be submitted for review.
Before preauthorizing a titration study, a report demonstrating the severity of the patient’s apnea is required. The severity of apnea in adults is measured by the apnea-hypopnea index (AHI), defined as the number of apnea and hypopnea events per hour of sleep. Various levels of AHI are used to define the severity of obstructive sleep apnea and include the following:
|OSA Category||Level AHI|
|Normal||Less than 5|
|Mild||5 to 14|
|Moderate||15 to 30|
|Severe||Greater than 30|
We make every effort to insure coverage for our services, and patient affordability in the event of no coverage or high deductible/co-pay plans.
Each of our six sleep labs feature beautifully decorated rooms that are comfortable, quiet and secure. Each room is handsomely furnished with queen-sized reinforced bedding to accommodate all sized patients. Our labs are equipped with private bathrooms, digital TV and WiFi. Above all, they are spotless and meticulously maintained. We surpass the rigorous standards of care set by the Joint Commission, our accrediting body. All of our labs are also equipped with video security monitoring.
Sleep Rite’s Diagnostic and Treatment Procedures
Sleep Rite uses state-of-the-art, polysomnographic equipment to record every relevant organ function and body movement. The patient’s sleep positions and sounds are likewise recorded by video and sound monitoring equipment to provide our reading physicians with an accurate and comprehensive record of the patient’s sleep activity. The data compiled by the equipment is complimented by the sleep technician’s quarter hour notations, which include independent observations of respiratory events and sleeping positions throughout the night.
All of our labs are also equipped with the very latest CPAP and Bi-level pressure devices which allow us to pinpoint the optimum and most comfortable pressure at which all apnea and hypopnea events cease. Every patient that is titrated is custom fitted with a CPAP mask prior to undergoing titration. All labs have the widest and best selection of masks available so that when the patient is cleared to receive their CPAP, our registered respiratory therapist knows precisely where to start in the selection of the type of machine and supplies.
After a study is completed, our scorers prepare a comprehensive report for review by one of our reading physicians. The physician is also given convenient remote access to all of the raw data compiled during the study, if he or she has any questions concerning the preliminary conclusions reached by the scoring technician. After the report is finalized, it is immediately sent to the referring provider. With rare exceptions, the entire process is completed within five calendar days. We are fast and thorough, and the quality of our service is impeccable.
In those cases where the patient is prescribed CPAP therapy, the patient is contacted by our registered respiratory therapist and an appointment is made to fit the patient with the appropriate mask as well as provide them with a CPAP machine. We have, bar none, the very best selection of masks and CPAP machines available. From this point on, we continue to follow up with the patient to achieve the highest compliance rate possible and insure that the patient’s supplies are replenished as needed.
In short, from start to finish, no company offers a better more comprehensive service in the sleep industry than Sleep Rite, Louisiana’s Solution to a Good Night’s Sleep.