The changing landscape of adult home noninvasive ventilation technology, use, and reimbursement in the united states

Bernie Y. Sunwoo*, Mary Mulholland, Ilene M. Rosen, Lisa F. Wolfe

*Corresponding author for this work

Research output: Contribution to journalArticle

10 Scopus citations

Abstract

There has been an exponential increase in the use of home noninvasive ventilation (NIV). Despite growing use, there is a paucity of evidence-based guidelines and practice standards in the United States to assist clinicians in the initiation and ongoing management of home NIV. Consequently, home NIV practices are being infl uenced by complicated local reimbursement policies and coding. This article aims to provide a practice management perspective for clinicians providing home NIV, including Local Coverage Determination reimbursement criteria for respiratory assist devices, Durable Medical Equipment coding, and Current Procedural Terminology coding to optimize clinical care and minimize lost revenue. It highlights the need for further research and development of evidence-based clinical practice standards to ensure best practice policies are in place for this rapidly evolving patient population.

Original languageEnglish (US)
Pages (from-to)1134-1140
Number of pages7
JournalCHEST
Volume145
Issue number5
DOIs
StatePublished - May 2014

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine
  • Critical Care and Intensive Care Medicine
  • Cardiology and Cardiovascular Medicine

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