Sleep Medicine Information for Health Care Providers
Referring a Patient to the Division of Sleep Medicine
For referrals, please call 617-724-7426.
For a sleep study, we require a completed Sleep Study Requisition form (PDF). Please print, complete and fax to 617-724-6513.
For referring MDs, we require the following to be submitted with the requisition:
- Recent clinic note, typed (please note, hand written records are not accepted)
- All prior sleep study reports (include home sleep tests)
- CPAP compliance report, if applicable
- Epworth Sleepiness Scale (ESS)
For consultations, fax requests to 617-724-0412.
Prior Authorization for Sleep Lab Testing
We are pleased to help physicians obtain prior authorization for in-lab clinical sleep studies at the Mass General (Wyndham) sleep laboratory.
How it Works
Participation is simple: just order the polysomnography (PSG) in Epic, and we’ll use your clinic notes to perform the Prior Authorization service. The more information you place in your clinic note, the more likely we are to get the PSG approved without needing you to perform a peer-to-peer call.
What happens after you order the test
The Mass General Sleep Lab will work directly with your patient to schedule their PSG. Scheduling triggers our staff to apply for prior authorization if the patient’s insurance requires one.
If our request is denied or is approved for home sleep testing instead, our Finance Coordinator will reach out to you. At that point, you can either decide to pursue home sleep apnea testing (HSAT) or you can pursue a peer-to-peer phone call to appeal. If you already know you want to appeal if PSG is denied (or that you would allow HSAT), you can indicate that at the time of Epic ordering (in free text).