UTSS Newsletter – 1st Quarter 2013

Newsletter 1 image 2013

Medicare Part A Physician/Technician Requirements

Medicare Part A Physician and Technician Requirements

Be certain to review your Medicare LCD. 

! Notice: Medicare Part A local coverage determination requires the following credentials for physicians and technologists:

F. Physician and technician Requirements for Sleep studies and polysomnography testing
The physician performing the service must meet one of the following:
– The physician is a diplomate of the American Board of Sleep Medicine (ABSM), Pulmonologist, Neurologist or 
– has a Sleep Certification issued by one of the following Boards: 
American Board of Internal Medicine (ABIM), American Board of Family Medicine (ABFM), the American Board of Pediatrics (ABP), the American Board of Psychiatry and Neurology (ABPN), and the American Board of Otolaryngology (ABOto) or 

The physician is an active staff member of a sleep center or laboratory accredited by the American Academy of Sleep Medicine (AASM) or The Joint Commission (formerly the Joint Commission on Accreditation of Healthcare Organizations (JCAHO).

Technician Credentials
American Board of Sleep Medicine (ABSM)
Registered Sleep Technologist (RST)

Board of Registered Polysomnographic Technologists (BRPT): 
Registered Polysomnographic Technologist (RPSGT)

National Board for Respiratory Care (NBRC) 
Certified Pulmonary Function Technologist (CPFT)
Registered Pulmonary Function Technologist (RPFT)
Certified Respiratory Therapist (CRT)
Registered Respiratory Therapist (RRT)

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Exerpt from: www.cms.gov , direct link: Medicare Part A and B LCD
Posted by: Ken Durrant, Communications Chair


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