ALS, BiPAP, Insurance and the PSG...

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OK, I was able to get clarification...

According to the ALS Association and Respironics guidelines; if a Pt has a confirmed ALS diagnosis and meets ANY ONE of the following criteria; they qualify for BiPAP under Medicare and do not need a PSG or to fail CPAP. BiPAP titration is optional and would be done only to adjust for Pt comfort. The criteria are:

FVC < 50% predicted (supine)
NIF < negative 60cm/H2 (supine)
PaCO2 =/> 45mm/Hg

Thanks!
 
Michael, I know that this is a year old post but are you still out in cyberspace advocating for PALS? Seeing your posts made me feel encouraged! THANK YOU for you compassion and willingness to fight for us!
 
Unfortunately, a couple months after my last post in this thread I was laid off, and was unable to get work in the field before the new regulations kicked in. I will likely never be able to work in Sleep again.

Given that, there isn't much I can do in this area, though I still spend time with the Pt that spurred this thread in the first place. He has become a good friend.


Indigo, if you know of others ways I can be proactive for PALS, feel free to contact me.

~M
 
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