Sleep study claims under the microscope: Are you audit-ready?

Auditors continue to uncover widespread documentation errors in sleep study claims related to polysomnography. Recent findings associated with Remote Patient Monitoring (RPM) add to the continued trends of incomplete or missing medical records to misaligned diagnoses and improper CPT coding of diagnostic sleep study and associated procedures.  These common pitfalls are placing providers at serious risk for denials, clawbacks, and even accusations of noncompliance. In some cases, external auditors have found that the attending technologist didn’t even meet the minimum credentialing requirements for attended sleep study.  These aren’t just technical mistakes—they’re costly vulnerabilities.

Join us for an essential webcast, led by Robin Miller Zweifel, BS, MT(ASCP), that arms you with practical guidance to protect your sleep study reimbursements and ensure audit readiness. Robin will walk you through the key documentation and coding requirements for polysomnography, the Multiple Sleep Latency Test (MSLT), and overnight desaturation studies—giving you the tools to identify and correct errors before they become a problem.  She will highlight the most recent findings that focus on RPM and promise to place additional focus on medical necessity documentation and billing compliance. You’ll learn how to answer the critical questions that matter most to auditors:

What CPT and ICD-10 codes should be reported?
What documentation must be available at the time of service—and what must follow to support billing?
What documents do payers expect you to provide during an audit?

Why This is Relevant:

Sleep studies—Remote Patient Monitoring—are under increasing scrutiny from both government and commercial payers. Audits frequently reveal overpayments driven by missing, incomplete, or noncompliant documentation. In many cases, services are billed without sufficient evidence to support medical necessity, correct CPT/ICD-10 coding, or required technologist qualifications. These errors can result in denied claims, recoupments, and heightened compliance risk.

You’ll also gain actionable strategies to:

• Communicate documentation requirements clearly to ordering providers
• Confirm staff credentialing meets payer expectations
• Establish compliant workflows that support both technical and professional components
• Build an internal audit program that catches issues early

Who Should Attend:

Respiratory Therapy or Sleep/Polysomnography Departments, Billing and Billing Compliance, Medical Records / Documentation Improvement, Revenue Cycle Management Compliance.

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