Accreditation and Credentialing Requirements for Polysomnography LCD L36593

Medicare coverage of the technical component of polysomnography and related sleep testing requires that sleep centers be accredited by AASM, ACHC, or the Joint Commission and that facilities be hospital-affiliated or under the direction of an MD/DO meeting specified sleep medicine credentialing. All sleep study raw data must be reviewed and interpreted by physicians certified in Sleep Medicine or who have completed an ACGME-accredited fellowship and obtain certification within two exam cycles; documentation of accreditation, affiliation, and physician credentials must be maintained and produced on request.

"Sleep centers or laboratories performing the technical component of polysomnography or sleep testing must be accredited by AASM, ACHC, or the Joint Commission to render services to Medicare benefic..."

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