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CMS-1403-FC
After reviewing the public comments, we are finalizing
the prohibition in §424.57 as proposed but with an
exception for attended facility-based PSG. Excepting
facility-based PSG from the prohibition on providing CPAP
would not except HST performed by the same entity, that is,
the exception is at the test level not the facility level.
We plan to solicit public input on accreditation models
that might support future exceptions to this prohibition.
We add additional definitions for “affiliate”, “attended
facility-based polysomnogram,” and clarify the definitions
of “Continuous positive airway pressure (CPAP)” and “Sleep
test”.
3. Beneficiary Signature for Nonemergency Ambulance
Transport Services
In the CY 2008 PFS final rule with comment period
(72 FR 66406), we created an additional exception to the
beneficiary signature requirements, applicable for
emergency ambulance transports, in §424.36(b)(6). The
exception allows ambulance providers and suppliers to sign
on behalf of the beneficiary, at the time of transport
(that is, the time during which the beneficiary is picked
up and dropped off at the receiving facility), provided
that certain documentation requirements are met. To take
advantage of the exception at §424.36(b)(6), an ambulance
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