There is no initial financial investment by the physician.  This program does not represent any financial risk.  The physician medically supervises DSM personnel within the Sleep Study Center and makes medical decisions for patients. Since many of the those decisions are made based on predetermined guidelines, they do not intrude on the physician ‘s valuable time thereby creating a headache free, hassle free program that functions effectively without altering the physician’s daily routine.  The DSM staff asks that the medical practice provide space,  Internet access and some level of access to EMR system for scheduling and patient coordination. The level of  daily involvement is flexible and at the discretion of the physician.