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ManageCare

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Use Case

ManageCare for Sleep-Disordered Breathing

Transform sleep-disordered breathing care with intelligent automation guiding patients from referral through diagnostic polysomnography, device titration, mask fitting, and continuous adherence monitoring — ensuring every patient achieves therapeutic compliance.

AI-driven patient orchestration from sleep study referral through CPAP optimization to long-term adherence

71%

Improvement in 90-day CPAP adherence rates

2.6min

Average referral-to-verification processing time

91%

First-call resolution for CPAP troubleshooting

98.8%

CMS compliance window monitoring coverage

The Challenge

Why Sleep-Disordered Breathing Needs a Smarter Approach

Sleep medicine practices face a chronic adherence crisis. Referrals pile up waiting for sleep study slots, patients abandon CPAP therapy within weeks, mask fitting issues go unresolved, and CMS compliance windows pass without intervention. The result: untreated obstructive sleep apnea, cardiovascular risk escalation, and DME revenue loss from non-compliant patients.

Sleep study scheduling backlogs of 4-8 weeks cause patients to disengage before ever receiving a diagnosis

CPAP abandonment rates exceed 40% within the first month, often due to unresolved mask fit or pressure comfort issues

CMS requires documented CPAP usage of 4+ hours on 70% of nights within the first 90 days — practices miss intervention windows

Mask fitting issues create a cascade of complaints that overwhelm clinical staff with repetitive troubleshooting calls

Home sleep test data arrives in varied formats requiring manual interpretation and re-entry into practice systems

Coordination between sleep labs, DME suppliers, and insurance companies delays therapy initiation by weeks

Automated Workflows

What ManageCare Automates

Every workflow purpose-built for sleep-disordered breathing operations.

Referral intake with OCR extraction of Epworth Sleepiness Scale scores, BMI data, and prior sleep study results — patient matching and insurance verification in under 3 minutes

AI-driven scheduling matching patients to optimal sleep study slots based on clinical urgency, AHI severity indicators, and home vs. in-lab testing appropriateness

Smart waitlist that fills sleep study cancellations within minutes via automated SMS and voice outreach, prioritizing patients with high pre-test probability scores

Pre-study prep automation — sleep diary distribution, medication hold instructions, sleep hygiene guidelines, and equipment orientation with compliance confirmation

Multi-channel patient engagement: study night reminders, CPAP usage encouragement, mask troubleshooting tips, and compliance milestone celebrations via SMS, voice, and portal

Real-time CPAP adherence and efficacy monitoring with AI assessment of usage patterns, leak rates, and residual AHI — escalation for non-compliance before CMS deadlines

Post-titration AI triage with 91% first-call resolution — handling mask discomfort, pressure adjustment requests, humidity settings, and machine troubleshooting

Automated long-term adherence surveillance with CMS compliance tracking and annual reassessment scheduling — zero patients lost to follow-up after device initiation

AI Employees

AI Agents for Sleep-Disordered Breathing

Specialized AI employees that handle these workflows autonomously.

Referral Intake Agent

Extracts Epworth scores, BMI data, comorbidity profiles, and prior sleep study results from referrals using OCR. Determines home vs. in-lab study appropriateness and verifies insurance coverage for diagnostic and therapeutic pathways.

Scheduling & Waitlist Agent

Optimizes sleep study scheduling based on clinical urgency and pre-test probability. Manages DME fitting appointments and follow-up titration visits. Fills cancellations within minutes, prioritizing high-AHI patients.

Patient Engagement Agent

Delivers study prep instructions, CPAP usage encouragement, and mask troubleshooting guidance across SMS, voice, and portal. Sends proactive compliance nudges aligned with CMS adherence milestones.

Care & Triage Agent

Triages mask discomfort complaints, pressure adjustment requests, and machine errors with AI-driven troubleshooting. Monitors CPAP cloud data for adherence drops and escalates non-compliance before CMS deadline windows close.

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See Measurable Outcomes

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Ready to Transform Your Sleep-Disordered Breathing Practice?

See how ManageCare's AI employees can automate your most time-consuming workflows and unlock new revenue.

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