dr. avi ishaaya, m.d. medical director the md home sleep program

Dr. Avi Ishaaya, M.D.

Medical Director

THE MD HOME SLEEP PROGRAM

Introduction to the MD Home Sleep Program Aviisha Medical Institute, LLC | www.aviisha.comThe MD Home Sleep Program

Overview• The Concept Behind the MD Home Sleep Program

• How MDHSP Works (4 Stages)• Patients Accepted• Getting Started• Q&A


Background• 1 out of 8 Americans suffers from for sleep apnea• 24% of middle age men and 9% of middle age women are

at high risk for OSA• Highly correlated with obesity (70%)• 93% of women and 82% of men with moderate to

severe OSA are undiagnosed and need treatment• 38 million Americans are currently undiagnosed and

should be tested for OSA

Conclusion: There is a strong need to make physicians aware of the ongoing sleep apnea epidemic and give them

the tools to treat it “in-house.”


ObjectivesThe MD Home Sleep Program aims to:

• Give physicians the tools to identify, diagnose, and treat OSA so they can treat more patients

• Streamline the process as much as possible by:1. Avoiding expensive and uncomfortable lab visits by using home

sleep tests and state-of-the-art APAPs

2. Using technology to simplify diagnosis and treatment

3. Absorbing logistical responsibilities—shipping, billing, technical issues, scoring, interpreting, collecting—so physicians can focus on medicine and earn revenue


4 Stages of MDHSP

MD Sign Up & Activation Evaluation Diagnosis Treatment &

Compliance


Stage 1: MD Sign Up & Activation

2

MD registers through www.aviisha.com/mdhsp or our national partner Merritt Hawkins through www.aviisha.com/mhamdhsp

31

MD emailed link to Participation Agreements (can be signed online)

MD sent screening tools and HST Lease Agreement (for patients)

http://www.aviisha.com/mdhsp

http://www.aviisha.com/mdhsp

http://www.aviisha.com/mhamdhsp

http://www.aviisha.com/mhamdhsp


A Closer Look at the Screening Tools and Lease Agreement

OSA SYMPTOMS GUIDE•A quick guide to help MDs evaluate patients for OSA

PATIENT MEDICAL INFORMATION FORM

•Given to patients as they walk in•Incorporates Epworth Sleepiness Scale and Berlin Questionnaire•Used to justify medical necessity

PATIENT HST LEASE AGREEMENT•Agreement between patients and Aviisha for HST•Given to patients at the clinic when HST is prescribed

SCORING KEY FOR BERLIN QUESTIONNAIRE•Used to quickly score the Berlin Questionnaire in the PATIENT MEDICAL INFORMATION form•Sent by mail


Stage 2: Evaluation

2

Patient completes PATIENT MEDICAL INFORMATION form at clinic pre-evaluation

31

MD evaluates patient using completed PATIENT MEDICAL INFORMATION form (and OSA SYMPTOMS GUIDE)

MD generates prescription for HST using smartphone or computer (patient’s first and last names only); clinic emailed link to complete order information online

4

Patient signs HST LEASE AGREEMENT at the clinic. The agreement and medical info form are uploaded or faxed to Aviisha


Stage 3: Diagnosis

2

Aviisha ships, bills, and administers the entire HST on MD’s behalf

31

Results and recommendations shared with MD

MD prescribes APAP online; clinic completes order online

4

Patient emailed link to FINANCIAL AUTHORIZATION AGREEMENT and mandatory training video Shipping

Scoring

Interpreting

Billing/collecting

Diagnosis recommendation

Support from 7:30am - Midnight PST


Stage 4: Treatment & Compliance

Aviisha Medical Institute, LLC | Aviisha.com

2

APAP shipped to patient’s home; insurance billed when applicable

31

APAP connected to Aviisha compliance system via modem; Aviisha manages treatment compliance and generates progress reports; APAP records data on SD card in case modem unavailable

Progress reports shared with MD; MD bills for compliance


Key Features• MD can choose to bill on their own or have Aviisha bill the

insurance on their behalf (for out-of-network)• MDs primary duty is to evaluate for OSA; the rest of the

process is handled by Aviisha, but MD still earns income as the prescribing provider

• No cost, investment, or expense to MD


Which patients are accepted?• In-network & Out-of-network*

• MD reimbursement may vary by state, insurance plan, and insurance company

• Medicare• HST only• MD receives sleep test detailing scoring results; MD interprets the

test and bills for professional component; Aviisha’s sleep-boarded doctor reviews MD’s diagnosis

• Cash• Uninsured, high deductible or out-of-network deposit can all be

financed starting June 2011 (approximately)

* Aviisha-Bill available


MD Possible Reimbursement• Reimbursement schedules vary by state, insurance plan,

and insurance company• Anticipated monthly prescription rate per physician

• HST: 10-15/month• APAP: 4-7/month


Getting StartedTo sign up or learn more about the MD Home Sleep Program:• Call an MDHSP administrator at 877-634-7748 or contact

Taylor Bonham from Merritt Hawkins at 469-524-1462• Get set up and trained to evaluate and prescribe• Access our OSA newsletter, screening tools, and OSA

webinars

Questions? Contact an MDHSP Administrator:

(877) 634-774818730 Oxnard St. Suite 413

Tarzana, CA 91356

More webinars available at:www.aviisha.com/webinars

http://www.aviisha.com/webinars

http://www.facebook.com/pages/Aviisha-Medical-Wellness-Institute/216308530857

http://twitter.com/aviisha

dr. avi ishaaya, m.d. medical director the md home sleep program

Documents

md home sleep program

md home sleep program

online md

home sleep tests

activation md registers

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clinic pre evaluation

mhamdhsp md emailed