All 50 states
Licensed, ready to credential
Your IT rules
VPN, encrypted, insured
All study types
MSLT, MWT, titration, pediatric
Same rates
No hospital premium
Where hospital sleep programs get stuck
Hospital and academic sleep labs rarely have a volume problem. They have a physician problem, and it usually arrives in one of a few forms.
The sleep physician left, retired, or went to half time. Recruiting a board-certified sleep physician to a specific city can take a year or more. Meanwhile studies accumulate, throughput falls, and the lab cannot bill work it has not completed.
The physician is still there but stretched across too much. In academic systems especially, faculty are pulled toward clinic, teaching, and research, and reading is what gets deferred. The backlog is a scheduling problem, not a competence problem.
Outsourcing looked closed off. Most reading services cannot clear hospital credentialing, are not licensed in your state, or cannot meet your IT security requirements. After two of those conversations, systems reasonably conclude the option does not exist.
Accreditation or oversight requirements are unmet. A vacant or nominal medical director role puts accreditation and compliance at risk well before it affects patient care.
Credentialing is the part we have already solved
This is the difference between us and most reading services, so it is worth being specific.
Our physicians are U.S.-based, board-certified in sleep medicine, and hold licensure in all 50 states. There is no license application to wait on and no state where we cannot practice. When you begin credentialing, we start from a complete file rather than from scratch.
Our physicians have been through hospital credentialing before and will complete your full process — primary source verification, privileging, medical staff requirements, and whatever else your bylaws call for. Full CVs, board certificates, and licensure documentation are provided with the packet.
Malpractice coverage. Every physician carries a minimum of $1 million per occurrence and $3 million aggregate, which meets the requirement at most medical staff offices. Certificates are provided with the credentialing packet.
We work inside your security requirements
We remote into your system rather than pulling data out of it. Connections run over VPN with encryption in transit, and our technologists and physicians work from controlled offices rather than from home over whatever connection they happen to have.
Studies stay in your environment. Nothing is copied onto personal machines and nothing moves across home networks. We work with every sleep software platform, so there is no migration, no portal to buy, and no export step inserted into your workflow.
Most importantly: we work on your IT department’s terms. Hospital access requirements are stricter than those for independent labs, as they should be, and we meet your policy rather than asking you to make an exception.
Cyber liability coverage. Opus offers a cyber liability policy tailored to hospital vendor requirements, and we can provide a certificate for your vendor risk review. It is worth asking any scoring or reading vendor about this early — most small operations in this field do not carry it, and it stops a procurement process cold at exactly the point where you have already invested weeks in the conversation.
We execute a business associate agreement. We have our own BAA, and we are equally happy to sign yours — hospital systems usually prefer their own form, and that is never a problem.
What we provide
| Service | What it covers | Turnaround |
|---|---|---|
| Interpretation | Board-certified sleep physicians read and sign | 5 working days or less |
| Scoring | RPSGT teams working in your software | Under 3 working days |
| Scoring and interpretation | Both, coordinated on the same study | 7 working days or less |
| Medical direction | Oversight roles, considered case by case | By arrangement |
Services can be taken separately. Many systems start with interpretation only, add scoring later, or use us for coverage during a vacancy and continue afterward.
Same rates as everyone else. Interpretation is $110 per in-lab study (including pediatric) and $49.50 per home sleep test. Scoring runs $35 to $39 per adult in-lab study, depending on volume; $55 for pediatric; $29 for home sleep test. Using both results in a 5% discount on the combined per-study cost.
There is no hospital premium. A university health system pays exactly what a two-bed independent lab pays, and our rates are published rather than quoted.
Pediatric and specialized studies
We read and score the full range, not just routine diagnostic studies: MSLT, MWT, split-night studies, PAP titrations, and pediatric polysomnography.
Pediatrics deserves its own mention. Several of our physicians have worked at children’s hospitals specializing in pediatric sleep medicine, and our scoring teams include technologists experienced with pediatric records. Pediatric sleep is a genuinely scarce subspecialty — systems with a pediatric sleep program often struggle to find qualified readers at all, and struggle again to find scorers who do not need redoing.
Interpretation is $110 per in-lab study whether it is a routine adult diagnostic or a pediatric case. Pediatric scoring is $55.
Medical direction, if your system needs it
Most systems already have a medical director in place and simply need reading capacity. Where that is not the case — the position is vacant, accreditation requires it, or your current director is covering too much — we will consider taking on a medical director or supervisory role.
We do not accept every request, and we will not commit before understanding what the role involves. Medical direction carries real responsibilities: policy and protocol review, quality oversight, staff supervision, involvement in the lab's clinical operations, and availability for clinical questions. We only take it on where we can genuinely do the work, and scope, duties, time commitment, and compensation are defined in writing before anything begins.
Compensation depends on how your lab is set up — independent, part of a medical group, or hospital-based — and on what the role actually requires. It will be competitive, and it is quoted per engagement rather than published. If this is part of what you need, raise it early, and we will give you a straight answer.
Turnaround, and what happens if we miss it
Interpretation will come back within 5 working days or less. Scoring is under three. Both together, coordinated on the same study, is seven working days or less start to finish.
If we run past the stated window, you receive a 50% credit of the fee for that study, applied to your next invoice. It is written into your agreement rather than left as a promise on a website.
When the clock starts. The business day we receive the study or request. Anything that arrives during normal business hours, Monday through Friday, goes into the queue that same day.
Working days are Monday through Friday. Our physicians and scoring teams are off weekends and federal holidays.
What you sign
A short letter of agreement covering fees, payment terms, turnaround, and the credit, non-exclusivity, volume terms, and operating logistics. There is no minimum, no maximum, no exclusivity, no monthly fee, and no term commitment.
Use us for a three-week vacancy or a ten-year program. Nothing in the agreement makes leaving difficult.
How this usually starts
A conversation. Tell us what is happening — a vacancy, a backlog, an accreditation deadline, or a program you are planning. We will tell you honestly whether we can help.
Scope and terms. Which services, what volume, and the letter of agreement.
Credentialing and IT. We submit to your medical staff office and work with your IT department on secure access. These run in parallel.
First studies. We start reading, and you see the turnaround and report quality on your own cases.
Common questions
Let’s talk
Whether you are covering a vacancy, clearing a backlog, or building a sleep program, tell us the situation and we will give you a straight answer about whether we are the right fit.