What you should know about ordering a Sleep

What you should know about ordering a Sleep Study Denise M. Minkoff, CRT Sleep Education Coordinator © 2015 Lehigh Valley Health Network

Referring a patient for a sleep study:

Always Use Ambulatory Referral to Sleep Center or REF 99

Be Certain to Request Level of Service under prompt #1 : Type of Test

Identifying Type of Test when ordering a sleep test ▪ Sleep study with post-study initiation of treatment- The patient will meet with an LVH board certified sleep physician who will both interpret and report sleep testing results to the patient and will arrange for any medical equipment (Eg. CPAP) or treatment needed. The referring physician will receive a copy of the sleep test report and plan of care for their patient records. ▪ Sleep study with interpretation only- The referring physician will receive the patient’s sleep test results that have been interpreted by an LVH board certified sleep physician. The patient will NOT consult with an LVH board certified sleep physician to go over the results. The referring physician will meet with the patient to report sleep test results and the referring physician will arrange for any medical equipment or further treatment needed for the sleep condition.

Epworth Sleepiness Scale

Epworth Sleepiness Scale (ESS) ▪ ▪ ▪ Many insurances require an Epworth Sleepiness Scale (ESS) to help determine if the patient will qualify for an Inlab or home sleep test ESS results should be documented in the patient progress notes on the date the screening was completed Example: ESS=14 (it is not necessary to scan the report)

Finding the Epworth Sleepiness Scale (ESS) in EPIC ▪ ▪ ▪ ▪ Go to patient chart Click more activities Click flow sheet (this brings you to encounter selection screen) Click search (far right side of screen) Click data base tab Type in Epworth Click IP Epworth (adults) or Peds Pulmonary (pediatrics) Click “Test” to begin screening Epworth tablets are also available for office use

Meet our Adult Sleep Specialists Francis Schwiep, MD Board Certified Pulmonologist Joseph B. Schellenberg, MD Medical Director, LVH Sleep Disorders Center, Beth Twp. Board Certified Pulmonologist C. Gerard Petersen, MD Board Certified Pulmonologist Aileen Love, MD Board Certified Pulmonologist Vicky Siegrfried, CRNP Pulmonary Medicine LVPG Pulmonary and Critical Care Medicine 1250 S. Cedar Crest Blvd, Suite 205 Allentown, PA 18103

Meet Our Pediatric Sleep Specialists Dharmesh Suratwala, MD Pediatric Sleep Disorders Center Medical Director Board Certified Sleep Specialist Pulmonologist Sameh S. W. Morkous, MD Pediatric Sleep Disorders Center Board Certified Sleep Specialist/Neurologist Pamela Prisaznik, CRNP Pediatric Sleep Disorders Center LVPG Pediatric Specialty Care 1210 S Cedar Crest Blvd Allentown, PA 18103

LVH Sleep Testing Locations Lehigh Valley Hospital- 17 th/Chew Streets 1627 West Chew Street, Allentown, PA 18103 Offering both In-lab and home sleep testing for adults Offering In-lab sleep testing for pediatric patients 15 bed capacity The Health Center at Bethlehem Township 2101 Emrick Blvd, Suite 200 Bethlehem, PA 18020 Offering both In-lab and home sleep testing for adults Offering In-lab testing for pediatric patients 6 bed capacity

LVH Adult Home Sleep Testing Locations HC at Bangor Plaza Shopping Center 1337 Blue Valley Drive, Pen Argyl, PA 18072 HC at Fogelsville 1431 Nursery Street, Fogelsville, PA 18051 HC at Hamburg 700 Hawk Ridge Road, Hamburg, PA 19526 HC at Trexlertown 6900 Hamilton Blvd, Trexlertown , PA 18087 Lehigh Valley Hospital-CC HC at Moselem Springs 14351 Kutztown Road, Fleetwood, PA 19522 Cardiac Diagnostic Center, Suite 305 1250 S Cedar Crest Blvd, Allentown, PA 18103

In order for Medicare to consider coverage for PAP therapy Medicare requires the ordering physician: ▪ ▪ ▪ Complete a face-to-face clinical evaluation in physician office within 6 mos prior to sleep testing Document the face-to-face evaluation in a narrative note in the patient chart Notes should include: Primary sleep complaints Signs and symptoms of possible sleep disorder History & Physical Physician’s recommendations for further sleep evaluation *If you are unsure of the required Medicare documentation please refer to LVPG Pulmonary Medicine at (610) 402 -9116

Contact Information: Denise Minkoff, CRT Sleep Education Coordinator Denise. minkoff@lvhn. org