Bill Correctly for Polysomnography Services

In a recent report, the Office of Inspector General (OIG) determined that CMS improperly paid practitioners for some claims associated with polysomnography services that did not meet Medicare requirements. We revised the Provider Compliance Tips for Polysomnography (Sleep Studies) (PDF) Fact Sheet to help you bill correctly. Additional resources:

• Medicare Claims Processing Manual, Chapter 15 (PDF), Section 70
• Questionable Billing for Polysomnography Services OIG Report
• Medicare Payments to Providers for Polysomnography Services Did Not Always Meet Medicare Billing Requirements OIG Report