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Wisconsin Sleep Society Fall Conference 2018
CBT for OSA and Surgical Updates for Snoring and Sleep Apnea: Approximately 20 million Americans suffer from Obstructive Sleep Apnea (OSA) creating risks for major health problems, including dementia, heart attack, and stroke. Obesity, a growing problem for Americans is the greatest risk factor for the development of OSA. Male gender and smoking are other OSA risk factors. Given the high comorbidity of these risk factors, OSA presents a significant health burden. OSA is easily treated; however, 15-75% of OSA patients are non-compliant with continuous positive airway pressure (CPAP), the standard OSA treatment. CBT-OSA is a new cognitive behavioral therapy which focuses on changing behaviors and thoughts to help individuals adjust to using a CPAP machine. Group-based cognitive behavioral therapy (CBT) markedly increased acceptance and adherence to continuous positive airway pressure, according to a study in the May 2007 issue of the journal Sleep. At one month, 77 percent of participants exposed to the intervention used CPAP for at least four hours a night, compared with 31 percent in the control group. Yet, it is rarely used in sleep medicine practice.
Patients that are unable or unwilling to use CPAP may have the option of surgery. In addition, patients that are found to be negative for sleep apnea, thus not qualifying for CPAP treatment, may have surgical options to treat snoring.
Best Practices Business Model for Sleep Medicine Practices: Sleep centers and durable medical equipment suppliers are struggling financially due to reduction in reimbursement so proven business practices will be presented to increase profits while maintaining high standards of care.
Home Sleep Testing: Many payors will not cover in lab polysomnography, instead Home Sleep Testing is covered. “The top benefit of home sleep study is the inverse of the biggest drawback for in-lab studies: The in-home study usually costs less than $600. This affordability is why payers are increasingly moving toward covering in-home sleep tests before covering in-lab tests.
Target Audience
Physicians, NP, APNP, RPSGT, RST, CCSH, Sleep Techs
Learning Objectives
Several sessions will be provided as outlined below:
Objectives: Building a Successful Home Sleep Apnea Testing Program
1. Describe three different types of home sleep apnea testing units
2. Select a home sleep apnea testing system based on a cost effectiveness analysis
3. Outline current business models of home sleep apnea testing deployment
Objectives: The Ins and Outs of Being Adequately Reimbursed for Treatment of the Dental Sleep Medicine Patient (Oral Appliance Therapy)
1. Introduce basic concepts and differences between filing for reimbursement utilizing medical healthcare insurance as compared to dental insurance
2. Inform the attendee of what current Diagnosis (ICD-10) and Treatment (CPT) Codes
3. To help maximize reimbursement for DSM by abandoning the Dental paradigm of global billing vs the Medical paradigm of billing for each service including medical co-pay collection
4. WHEN and HOW of maximizing and expediting obtaining Prior Authorization (PA)for DSM services
Objectives: Cognitive Behavior Therapy for OSA
1. Understand what CBT for OSA is
2. Determine which patients are appropriate and would benefit from CBT for OSA
3. Implement CBT for OSA in practice
Objectives: The Business End of Sleep Medicine
1. Understand the financial costs of a sleep medicine practice
2. Describe the process of generating referrals to the sleep program
3. Forecast where the broader field of sleep medicine is evolving
Objectives: Accreditation of Sleep Centers
1. Understand the benefits of accreditation
2. Determine the most appropriate organization
3. Understand how to apply for accreditation
Objectives: Updates on Surgical Options for snoring and Sleep Apnea
1. Review the recent updates in surgical options for snoring and sleep apnea
2. Discuss the limitations to these procedures
3. Understand how to choose the appropriate treatment for the individual patient
Planning Committee:
Alex Villareal, MD (Activity Director)
David Kohls, APNP
Sue Hoefs, RPSGT, RST, CCSH
Marla Van Lanen
Conference Speakers:
Ray Anthonijsz, AASM
Scott Barth, Resmed
Jamie Downing
Cathy Loomis, PhD, CBSM
Michael Oldenburg, MD
Alexander Villareal, MD
All persons in control of content have NO relevant financial relationships to disclose except the following person(s):
| Name | Company | Role |
Gary Hamilton, BS, RRT (Conference Speaker) | ResMed Corp | Employee |
Hank Hart (Conference Speaker) | Philips Respironics Inc. | Employee |
In accordance with the ACME Standards for Commercial Support Number 6, all in control of content disclosed any relevant financial relationships. These relationships were reviewed via the MCW conflict of interest resolution process and resolved.
Accreditation Statement:
This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education through the joint providership of The Medical College of Wisconsin and Wisconsin Sleep Society. The Medical College of Wisconsin is accredited by the ACCME to provide continuing medical education for physicians.
AMA Credit Designation Statement:
The Medical College of Wisconsin designates this live activity for a maximum of 7.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Hours of Participation for Allied Health Care Professionals:
The Medical College of Wisconsin designates this activity for up to 7.0 hours of participation for continuing education for allied health professionals.
Available Credit
- 7.00 AMA PRA Category 1 Credit(s)™AMA PRA Category 1 Credit(s)™
- 7.00 Hours of ParticipationHours of Participation credit.