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Blog Feature

By: AAST Editor on January 31st, 2019

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AAST Monthly Musings – The Rise of Home Sleep Tests

monthly musings

As technology improves, so does a sleep technicians’ ability to help their patients. As sleep tests are getting more mobile, sleep professionals are seeing a shift in in clinic versus home sleep testing (HST). We posed a question to the AAST membership: What percentage of your sleep tests are occurring at home, and is this an increasing trend among your patients?


Elise Maher, MA, RPSGT

Manager, Sleep & Neurodiagnostics at North Shore Medical Center

Salem, Massachusetts

Home sleep tests: 45 percent

“Sleep testing increased for us in 2018, with a 5 percent increase in attended and an 11 percent increase in HST.  A picture tells the story of how HST continues to rise as the trend for attended has mostly gone down. This is due insurance policies, patient preference and physicians ordering HST on the wrong patient population (oxygen dependent, CHF, etc.) The good news is that overall volume is increasing.”

Picture Provided by Elise Maher


Dr. Robert Pope

Private Practice

Owensboro, Kentucky

Home sleep tests: 60 percent

“The home testing has increased significantly over the past few years. Some of this is mandated by the insurance in Kentucky (Anthem and WellCare (Medicaid) in particular). Some of the Medicare Advantage plans in our area also require HST as the initial study. Also, many patients are requesting HST over PSG when the choice is discussed during their initial office consultation visit.  I see every new patient before ordering sleep studies.  No direct referrals at my office.  Our group and office based sleep lab is not affiliated with a hospital system.”


Dani Hall, RPSGT

SNORE Australia

Brisbane, Australia

Home sleep tests: 100 percent

“Eighty percent of our studies used to be lab-based; however, due to Medicare changes, it has forced the closure of many in-lab level 1 sleep studies, and we have converted to solely home studies.”


Brendan Duffy, CCSH, RPSGT

St. Charles Hospital Sleep Disorders Center

Port Jefferson, New York

Home sleep tests: 10 percent

“It is on par with past volume.”