ONeal Medical-CPAP Plus

In Partnership with Home Sleep Experts

In-Store Home Sleep Test (HST) Referral, Payment, and Data Collection Procedure

Purpose:

To provide a seamless in-store process for patients to request a Home Sleep Test (HST), select an appropriate device, complete payment, and provide key sleep-related demographic information.

ONeal Medical-CPAP Plus staff will collect intake and sleep-specific data and securely transfer it to Magic City Sleep, LLC, who will handle test administration, interpretation, and reporting.

Magic City Sleep LLC, d/b/a Home Sleep Experts is owned by John and Jamie Livingston, CRNA

1. Patient Walk-In Process

• Patients may walk into any ONeal Medical-CPAP Plus location and request a Home Sleep Test (HST).

• Rx is required and can be obtained by the patient’s PCP.

• ONeal staff will explain:

  • The HST will be performed and interpreted by Home Sleep Experts

  • The test is self-pay only (no insurance billing).

  • Payment is to be made at the time of visit using a QR code linked to Magic City Sleep’s payment portal.

  • ONeal Medical-CPAP Plus is only assisting with intake and device facilitation — Home Sleep Experts is the provider of the test.

2. Patient Intake, Consent, and Sleep-Specific Data

• The patient will complete and sign an HST Consent & Acknowledgment Form, which:

  • Authorizes sharing of patient information with Home Sleep Experts

  • Acknowledges that payment is self-pay and paid to Home Sleep Experts

  • Clarifies that Magic City Sleep is the provider of record for this test.

• Staff will complete an HST Intake & Sleep-Specific Data Form that includes:

  • Demographics:

    • Patient Name

    • Date of Birth

    • Address

    • Phone Number

    • Email Address

    • Primary Care Provider (if known)

    • Referring Provider (if applicable)

  • Sleep-Specific Data:

    • Epworth Sleepiness Scale Score

    • Height / Weight / BMI

    • Relevant comorbidities (HTN, diabetes, heart disease, etc.)

    • Previous sleep testing history (if any)

    • Sleep symptoms (snoring, gasping, witnessed apnea, daytime fatigue, etc.)

    • Reason for sleep study (referral, personal interest, suspected apnea, etc.)

• The specific data fields collected will match Home Sleep Experts specifications and any required clinical fields they designate.

3. Sleep Image Portal, Patient ID Code, and Payment

• Portal - Enter a patient following the prompts:

  • Sleep Image Portal https://clinical.sleepimage.com/login

    • Email: intake@onealmed.com

    • User: CPAPPLUS

    • password: syhxu0-siCwex-zangyz

  • Patient is sent an email with their Patient ID Code.

• Patient uses their cell phone to scan Home Sleep Expert’s QR code for Payment (see bottom of page).

  • Staff verifies payment was successfully completed and notes payment on intake form (“PAID”).

  • Staff dispenses one Sleep Image Device

4. Information Transfer

• Once payment is verified:

  • The completed HST Intake & Sleep-Specific Data Form and signed Consent Form are securely sent to Home Sleep Experts using:

    • Secure HIPAA-compliant email,

    • Secure shared portal, or

    • Fax (per Magic City Sleep’s preference).

• Home Sleep Experts will:

  • Interpret results and report back to the patient and referring provider (if applicable).

5. Tracking & Follow-Up

• Staff maintains an HST Referral Log to track:

  • Patient Name

  • Date of Referral

  • Device selected

  • Sleep-specific data collected

  • Payment status (Paid)

  • Date info sent to Home Sleep Experts

  • Test result received (optional, for patient care continuity)

6. Staff Training

All ONeal Medical-CPAP Plus front-line staff will be trained on:

• Process flow

• How to present and explain the program to patients

• How to assist with QR code payment

• How to properly collect required intake and sleep-specific data

• How to securely handle and transfer information per HIPAA compliance

• How the Setup Code is generated and sent to the patient.

7. Pre-Test Checklist

1. Enter patient in ONeal’s Marketing tracker found here

2. Patient signs Home Sleep Experts Consent & Acknowledgment Form (will be linked here)

3. Scan and save #2 above into Brightree

4. Perform Home Sleep Expert’s Payment via QR Code at the bottom of this page

5. Dispense the Sleep Image device (found on the bottom of each box) and note the serial number on the zero dollar CPAP Plus Sales Order

8. Testing

Visit the Sleep Image website for QuickStart Guide, Videos and Troubleshooting: https://sleepimage.com/sleepimage-mobile-app/

1. Charge each device approximately 1 1/2 hours before testing via the supplied Mini USB cable in the box

2. Sleep Image Instruction Sheet is found as a a package insert instruction sheet is in each box, also found here

3. CREATE BRANDED QuickStart Guide

4. Patient Installs the Sleep Image App on their smartphone

   • Apple App Store: https://apps.apple.com/us/app/sleepimage/id1504760736

   • Google Play Store: https://play.google.com/store/apps/details?id=com.sleepimage.simobileapp&pcampaignid=web_share

   • QR code to each app is also in the box

5. Patient obtains Patient ID Code from email sent to them after their info is entered in the Portal

6. Patient conducts test with the data uploading to SleepImage.com

9. Post Testing

• Omavi Bailey, MD - Houston Texas provides the interp. This information will be provided to the patient.

• If the patient desires to start APAP, Dr. Bailey is available for a post test consult, including Rx, for a fee of $50.00

• Otherwise, the patient can present their HST findings to their local MD or NP for consult and Rx