Is there a chance the sleep center will continue under new ownership?
Yes, there are currently four separate entities that have expressed interested in buying the sleep center, but we have received no formal offers at this time, and we felt obliged to give our patients 90 days’ notice in the event we close on November 26th.
How do I get my PAP supplies moving forward?
We will continue to write prescriptions until November 26th, 2019. We will be offering blank prescriptions for our patients’ Primary Care Physicians (PCP) to complete after November 26th, 2019 to give patients time to establish with another facility and/or sleep doctor.
How do I get my prescriptions for my medications?
We will continue to write prescriptions up until November 26th, 2019. We will be offering prescriptions listing the medications (Leg jerk, and/or nasal sprays) to go to patient’s PCP so the PCP can write the prescriptions moving forward.
Who is going to continue to prescribe my Oxygen?
As insurance rules are changing, we would recommend discussing with your PCP or if you are seeing a pulmonologist or cardiologist discussing it with them. We may be able to continue to write for Oxygen pending certain circumstances by arranging a clinic with Dr. Krakow; however, this step would only guarantee Oxygen for 1 year.
Where can I get my yearly follow up for insurance?
You will either need to find a new sleep doctor or ask your PCP as it is now becoming more common for you to conduct your yearly follow up with your PCP for insurance purposes.
Will my primary doctors know about this change?
During the coming weeks we will be informing as many referring doctors, psychiatrists, therapists, nurse practitioners and physician’s assistants that we are able to contact.
Will you be referring me to another sleep center?
We can provide you with a list of other sleep centers, but we will not be referring you to other centers.
How will I know what sleep center to go to?
This change may depend on your insurance; we would recommend you call your insurance carrier and discuss who is in network for your plan. A few of the sleep centers we are aware of are as follows:
Presbyterian Sleep Center
UNM Sleep enter
OMNI Sleep Center
How can I get copies of my medical records?
To get email or fax copies of your medical records by November 26th, 2019 please call 505-998-7213 and leave a voicemail with your contact information. Hard copies can be mailed or picked up for an additional charge.
How quickly can I be set up on a PAP device once I get my sleep studies done?
We will move forward with prescriptions for PAP set-ups as expediently as possible. Unfortunately, there are numerous steps regarding insurance policies and related administrative action in this pathway that lead to snafus and other barriers. As one step to move things faster, we will now send out NEW setup scripts the next day after your titration sleep study.
Do you accept my insurance?
If you have any of the following insurances we DO accept your insurance:
- Presbyterian (includes ALL plans) - Humana - United Health Care Medicare Advantage - Most Blue Cross Blue Shield - Tricare - Medicare - All Centennial plans except Molina - New Mexico Health Connections & True Health New Mexico
If you have any of the following insurances we DO NOT accept your insurance: - Cigna (we accept but they only permit home sleep testing, which we do not use) - GEHA - Molina - Medicaid - United Health Care Commercial (we accept but they only permit home sleep testing, which we do not use) If you have questions about your insurance please call us directly.
How quickly can I get into the sleep lab?
Typically within one to two weeks depending if your insurance requires prior authorization.
If I am NEW to your center and I am only in need of supplies and I am not interested in a sleep study, what do I do? - Unfortunately, we are unable to help. You will need to speak with your PCP.
If my doctor gave me a referral but not clinic notes, will my insurance accept this? - In most cases, no. Due to recent changes most insurance are requiring that the patient has physician signed and dated clinic notes STATING THE NEED FOR A SLEEP EVALUATION in addition to the referral.
What does the clinic note from my doctor need to state?
For insurance purposes the clinic note must be from a sit down, in person clinic. It must state something along the lines of “referral for sleep evaluation and testing”, “Refer to Maimonides to R/O suspected OSA” “referred for sleep study” and be signed and dated by the physician.
What do I do if my insurance requires authorization, but your facility is closing?
Depending on your insurance, some are quicker than others in authorization decisions; some take a full 30 days, maybe longer. We expect to stop accepting some insurance that take too long in providing authorizations around late October early November- details to follow.
How many sleep studies do I need?
We typically recommend two sleep studies. First being a diagnostic, second being a titration (using PAP). However, given the time period of the next 3 months, we may recommend a split night sleep study. If you have different circumstances and are only in need of a diagnostic for an OAT, Bariatric Surgery, T&A we can in most cases get by with just one study.
Will I be able to take the results from my sleep studies and go to another facility?
Of course. We will provide any medical records needed, but please note different sleep centers have different policies and may choose to recommend further testing at their sites.
If I am an existing patient and my device is over 5 years old can I get a new device before November 26th, 2019?
Unfortunately, insurance will not allow for you to get a new device just because it is over 5 years old. The device must stop working or start malfunctioning in order for the insurance to repair or replace the device.
What If my device stops working or starts malfunctioning but Maimonides is closed?
You may see your PCP in a sit down clinic that will state “Patient’s current device is broken/malfunctioning- needs repair/replace on device.” The clinic note must be signed and dated by the physician and will then go to your DME company. You may also want to establish yourself with a new sleep doctor if necessary if you have not done so already.
What do I do if I have still not received my sleep study results?
Please call 505-998-7212 and leave a detailed message with your contact information and date of the sleep study results you are looking to discuss. We understand it is important for you to get results, but please be patient. We will call you as soon as possible.