Provider Office Home Sleep Study Program
(Provider Office Based HST Program)
PRIMARY PROVIDER
Screens patients for sleep apnea.
Is HST indicated?
Is HST indicated?
Sends HST order to
MGR via platform
MGR via platform
Schedules patient for HST
(HST setup and pick up at ordering facility)
(HST setup and pick up at ordering facility)
Equipment return and
data download
data download
Discuss HST results and order
appropriate treatment
(weight loss, oral appliance, oronasal surgery, neuromodulator)
(may request MGR/Interpretation Service to explain preliminary report to patient)
(weight loss, oral appliance, oronasal surgery, neuromodulator)
(may request MGR/Interpretation Service to explain preliminary report to patient)
Primary Provider bills
for the Global Fee
for the Global Fee
HST PROGRAM
Verifies insurance and obtains
prior authorization if needed
Informs ordering facility on patient
eligibility and coverage
Retrieves raw data for scoring and sends overscored data to the sleep specialist
Receives final HST report and sends a copy to the ordering facility
Refer to DME service, Dental Sleep Medicine, Otolaryngology, Maxillofacial Surgery,
Cardiology, Bariatric Surgery, Behavioral and Medical Weight Loss Program
Bills Primary Provider for
Interpretation Fee and Equipment Use/Technical Support Fee
SLEEP SPECIALIST
HST data analysis and
interpretation
interpretation
Manages treatment of sleep apnea
(if referred by Primary Provider)
(if referred by Primary Provider)