Sleep Testing

Home Sleep Testing

A newer alternative to laboratory based overnight polysomnography is the home sleep test (HST). One of the biggest obstacles to treating sleep apnea is the refusal by patients to sleep overnight in a hospital sleep lab. Many patients do not feel comfortable being monitored during the night and having a tech watching them sleep (which is a requirement of the overnight polysomnogram). Patients often report difficulty sleeping in the lab, and the cost of the lab based test is often $ 4,000 - $ 5,000. For these reasons among others, patients often are reluctant to be tested.

The home sleep test process is much easier, more comfortable, convenient, and economical. Better Sunrise offers in-home sleep testing with equipment that is dropped off with the patient at home in the evening and picked up in the morning. Staff do not stay in the patient home or watch them sleep. The cost of the test is $ 295 and is covered by most health insurance plans.

Here is how Better Sunrise Home Sleep Testing works:

  • The dentist or other ordering practitioner faxes a referral form to Better Sunrise for home sleep testing.
  • A Better Sunrise staff member contacts the patient, answers their questions and schedules the study.
  • A Better Sunrise tech drops off the sleep testing device with the patient at home the evening of the test and instructs them how to use it when they go to bed.
  • The patient sleeps at home in their normal sleeping environment; a tech returns in the morning to pick up the equipment.
  • All results are interpreted by a physician board certified in sleep medicine.
  • All reports include a treatment recommendation for oral appliance therapy if indicated, and a copy of the report is sent to the ordering dentist or practitioner.
  • Better Sunrise reviews the results with the patient by phone and sends them a copy of the report. The patient is referred back to the ordering dentist for follow up.

The home sleep test process offers a number of advantages compared with overnight polysomnography. When seeking to rule out or diagnose obstructive sleep apnea, many home sleep testing devices have been shown to be equivalent to the overnight lab study. Given the lower cost and ease of testing it is understandable that home sleep testing is the first choice for many practitioners. In fact, some health insurance carriers now require a home sleep test first, before an overnight polysomnography will be authorized. However, for diagnosing other sleep disorders like restless leg syndrome, periodic limb movement, narcolepsy and others, only a full overnight polysomnogram is recommended.

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