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why can't my primary care physician order a sleep study ? Am I being gouged ?

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dmypub +0 points · 13 days ago Original Poster

My PCP did order a sleep study, but I had to make an appointment with a specialist - a nurse practitioner to actually set up a sleep study. Therefore, I had to make a copay that seems to me an extra charge that was not really needed. So could someone enlighten me and tell me why I had to make an appointment with a "middle-man" to actually get a sleep study ? Although the nurse was very professional, it feels to me like I'm getting gouged by the health care system. and now, I have to go back to this specialist - nurse to follow up. Why can't I just follow up with my PCP ? Thanks in advance for help explaining this to me.

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Sierra +0 points · 13 days ago Sleep Enthusiast

Are you in the US? I am not aware of such a process in Canada.

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dmypub +0 points · 13 days ago Original Poster

Yes. Nevada

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SleepDent +0 points · 13 days ago Sleep Commentator

I am a dentist working in dental sleep medicine. From a medical insurance perspective in the U.S.A., they usually will only pay for a sleep study if it is initiated AFTER an initial consultation with a physician certified in sleep medicine and the results are reported and interpreted by a physician certified in sleep medicine. As a practical matter, most family physicians have little or no knowledge about sleep disorders anyway, so it is sort of a moot point because most don't even want to get into it. If your family practitioner does, that would be unusual. Arthur B. Luisi, Jr., D.M.D.

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Turquoiseturtle +0 points · 12 days ago

My PCP referred me to Kaiser's sleep clinic, after 6 months of trying to figure out why my heart was acting up. It was her cardiologist husband that suggested I be checked for SA, after all heart exams showed no reason for the near constant PVCs. She admits to being pretty clueless about sleep disorders, and was shocked at my diagnosis. So, yeah, she referred me along to the sleep clinic people, who determined a sleep study was in order.

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dmypub +0 points · 12 days ago Original Poster

Thanks for your feedback. I understand this now.

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