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THE MD HOME SLEEP PROGRAM

THE MD HOME SLEEP PROGRAM. Dr. Avi Ishaaya, M.D. Medical Director. Overview. The Concept B ehind 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

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THE MD HOME SLEEP PROGRAM

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  1. THE MD HOME SLEEP PROGRAM Dr. Avi Ishaaya, M.D. Medical Director

  2. Overview • The Concept Behind the MD Home Sleep Program • How MDHSP Works (4 Stages) • Patients Accepted • Getting Started • Q&A

  3. 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.”

  4. Objectives The 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: • Avoiding expensive and uncomfortable lab visits by using home sleep tests and state-of-the-art APAPs • Using technology to simplify diagnosis and treatment • Absorbing logistical responsibilities—shipping, billing, technical issues, scoring, interpreting, collecting—so physicians can focus on medicine and earn revenue

  5. 4 Stages of MDHSP

  6. Stage 1: MD Sign Up & Activation 2 3 1 MD emailed link to Participation Agreements (can be signed online) MD registers through www.aviisha.com/mdhsp or our national partner Merritt Hawkins through www.aviisha.com/mhamdhsp MD sent screening tools and HST Lease Agreement (for patients)

  7. A Closer Look at the Screening Tools and Lease Agreement

  8. Stage 2: Evaluation 4 2 3 1 Patient signs HST Lease Agreement at the clinic. The agreement and medical info form are uploaded or faxed to Aviisha Patient completes Patient Medical Information form at clinic pre-evaluation 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

  9. Stage 3: Diagnosis 4 2 3 1 Patient emailed link to Financial Authorization Agreementand mandatory training video Aviisha ships, bills, and administers the entire HST on MD’s behalf Results and recommendations shared with MD MD prescribes APAP online; clinic completes order online • Shipping • Scoring • Interpreting • Billing/collecting • Diagnosis recommendation • Support from 7:30am - Midnight PST

  10. Aviisha Medical Institute, LLC | Aviisha.com Stage 4: Treatment & Compliance 2 3 1 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 APAP shipped to patient’s home; insurance billed when applicable Progress reports shared with MD; MD bills for compliance

  11. 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

  12. 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

  13. 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

  14. Getting Started To 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

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