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Are two phone numbers in chart
Is the e-mail in chart
Is the sleep study/MSLT reminder PROFILE attached to the appointment
Does the patient have Medicare, Medicare Advantage Plan or Medicaid
Insurance/Preauthorization/Deductibel
Deductible
If Medicaid - do we have case manager information
If NON-Medicaid - do we have a Credit Card on File
Is there a Sleep Tech Scheduled for the night of test
If this is MSLT/PAP-NAP is there a Day. Sleep Tech Scheduled for that day
Medicaid Patients - No other Medicaid scheduled for the night
Location of MSLT/PAP-NAP is the SAME as Day. Sleep Tech location
BMI documented in patient Vitals
Neck Cicumference documented in patient Vitals
Epworth Sleepiness Scale documented in patient charts
Upper airway examination documented in patient charts
Sleep History documented in patient charts
Follow-up appointment in two weeks after the study given to the patient
For MSLT - 2 weeks sleep logs e-mailed and reminded to fill out
For MSLT - reminded to stop all stimulants 2 weeks prior
For MSLT - Did MD wanted to stop ANTIDEPREESANT 2 weeks prior
If answer to above is yes, For MSLT - reminded to stop antidepressants 2 weeks prior
For MSLT - Instructions Sent- Patient aware will be here for 20 hours

SLEEP SCHEDULER SECOND CHECK - 2 WEEKS PRIOR Medical Form

Pulmonologist

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Published: April 29, 2019, 9:06 a.m.
Doctor: Dr. History Physical
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