![]() Additionally, the government alleged Sleep Solutions billed for these same sleep studies when TRICARE and the Federal Health Employees Benefit Program did not permit reimbursement for in-home sleep studies. McFarland of the Office of Personnel Management - Inspector General and Special Agent in Charge Robert Craig of the Defense Criminal Investigative Service - Mid-Atlantic Field Office.Īccording to the settlement agreement, the government alleged that in order to increase its reimbursement, Sleep Solutions falsely billed in-home, self-administered sleep studies as if the sleep studies were attended by a sleep technologist. The settlement was announced by United States Attorney for the District of Maryland Rod J. So I'll certainly be reporting this.Baltimore, Maryland - Sleep Solutions, Inc., a diagnostic service provider located in Glen Burnie, Maryland that provides in-home, self-administered sleep study kits to evaluate sleep-disordered breathing, has paid the United States $500,000 to settle claims that it violated the False Claims Act by submitting false claims to TRICARE and the Federal Employees Health Benefit Program for in-home sleep studies. Might make for a good daytime drama miniseries =)Įdit: All the reading I've done on the MD MVA says that a "diagnosis" needs to be reported, and indeed I was diagnosed with OSA (as well as Nocturnal Hypoxemia). Assuming they acquired the individual's machine data, would they hang the person out to dry over a single missing night? I wouldn't put it past the realm of possibility. I'm thinking of worst-case edge scenarios like an individual with a severe diagnosis who actually never had daytime sleepiness (before or after treatment) had a controlled treated AHI but then skipped a night on the machine for one reason or another (or worse yet: corrupted/lost data!) and then got into a legitimate accident without any sleepiness (presumably not that person's fault, according to the worst-case scenario). I wonder how far lawyers might take such a thing in an accident case, regardless of the state's reporting requirements. I'll have to dig around.Įveryone's giving a lot of interesting feedback here. My diagnosis was severe, but they don't specify any criteria for it. My study AHI was 60.2, though under treatment my average is around 3. Simply put you could have sleep apnea from a personnel heath perspective and not have "reportable sleep apnea" from a legal perspective (07-12-2016, 01:04 PM)0rangebear Wrote: I would not report it without finding out what is Maryland's Department of transportation definition of sleep apnea. (Actually, I think my SA started after I retired for a variety of unrelated reasons.) Luckily, I am retired and do not drive much anyway although I never had a sleep/driving issue ever happen when I was driving more often. How did you find it? With those tight restrictions one would think that it would be well known to all SA patients in Texas, but it has never been mentioned to me. With mild OSA may drive with any license type if the AHI is <10 and the EDS score is <10.Ĭeasing therapy should be accompanied by driving cessation if the OSA is still present.Īn individual with moderate to severe OSA who meets these requirements should be recertified annually." "A diagnosis of severe OSA (apnea-hypopnea index AHI>20) precludes certification to drive a motor vehicle (class A, B and C license) until the sleep disorder is effectively treated and the person demonstrates satisfactory ongoing compliance with therapy.Ī person with moderate OSA (apnea-hypopnea index between 10 and 20) may drive passenger vehicles (class C license) if he has minimal daytime sleepiness (Excessive Daytime Sleepiness Study (EDSS) score is <10) and the OSA is being effectively treated and he is compliant with therapy. "Get Up to Speed on New Driving Rules, Medical Restrictions" (07-12-2016, 12:31 PM)justMongo Wrote: new for Texas:įrom The Texas Medical Association, May 12 2016
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