Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

Changing Pressure and Medicare
#1
Im on Medicare and have to send the data card every month to my DME. I changed my pressures on my APAP today upon recommendations from other knowledgeable people about to improve my therapy.

How does that impact the info sent to the DME and/or Medicare pertaining to being paid for my machine rental, versus the Dr's prescription pressures?

Thanks all.
Mark
Post Reply Post Reply
#2
Medicare only cares about compliance. Days and hours used.

Most DMEs don't look beyond that. And, since they wish to be paid, any fuss will not stop you from getting the machine paid for.

Admin Note:
JustMongo passed away in August 2017
Click HERE to read his Memorial Thread

~ Rest in Peace ~
Post Reply Post Reply
#3
Medicare is most likely looking at compliance, not your pressure settings. If I remember correctly, Medicare requires that you are using the machine no less than 4 hours a night for 30 consecutive days within the first 3 months rental period.

Some DME's or Doctors may get their feathers ruffled a bit about you taking charge of your therapy, but again they may not. I think their main concern is that you are compliant, because if not, Medicare will stop paying them rent. I wouldn't worry about it, you have to do what's best for you.
OpalRose
Apnea Board Moderator
www.ApneaBoard.com

How to Organize and Post ScreenShots

http://sleep.tnet.com/resources/sleepyhead/shorganize
https://sleep.tnet.com/reference/tips/imgur

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.




Post Reply Post Reply


#4
(12-13-2015, 10:58 PM)justMongo Wrote: Medicare only cares about compliance. Days and hours used.

Most DMEs don't look beyond that. And, since they wish to be paid, any fuss will not stop you from getting the machine paid for.
Thank you, Mongo!

I read in another post elsewhere that you were an Airman? Can I assume you were USAF? I am retired Air Force MSgt.

Mark


(12-13-2015, 11:02 PM)OpalRose Wrote: Medicare is most likely looking at compliance, not your pressure settings. If I remember correctly, Medicare requires that you are using the machine no less than 4 hours a night for 30 consecutive days within the first 3 months rental period.

Some DME's or Doctors may get their feathers ruffled a bit about you taking charge of your therapy, but again they may not. I think their main concern is that you are compliant, because if not, Medicare will stop paying them rent. I wouldn't worry about it, you have to do what's best for you.
OpalRose, My Dr is a pretty decent guy. The DME I have dealt with before, but back before I turned 65 and was on an HMO and Military medical, trying to make an old BiPAP machine work for me (without success).
Thanks!
Mark

Post Reply Post Reply
#5
Medicare does not give a rats patooti what your pressure is or who set it as long as you were diagnosed by home study or sleep lab, have a prescription, do the two face to face dr meets and are compliant.
Post Reply Post Reply
#6
(12-13-2015, 11:18 PM)GTOdude Wrote: I read in another post elsewhere that you were an Airman? Can I assume you were USAF? I am retired Air Force MSgt.

Mark

USAF NKP Thailand and Da Nang RVN.

Admin Note:
JustMongo passed away in August 2017
Click HERE to read his Memorial Thread

~ Rest in Peace ~
Post Reply Post Reply


#7
(12-14-2015, 12:27 AM)justMongo Wrote:
(12-13-2015, 11:18 PM)GTOdude Wrote: I read in another post elsewhere that you were an Airman? Can I assume you were USAF? I am retired Air Force MSgt.

Mark

USAF NKP Thailand and Da Nang RVN.
And I thank you wholeheartedly for your service during a bad time in history. Thanks
I spent 4 years in Korea during peacetime. Did 20.5 years.

Mark
Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
  Isn't Resmed's Expiratory Pressure Relief really Inspiratory Pressure Support?? Reznik 33 448 1 hour ago
Last Post: Reznik
  With a face mask pressure is about 8.5. With a nasal pillow pressure was 20 at one po brojohn1611 10 445 11-04-2017, 03:05 AM
Last Post: James2017
  [Equipment] AirSense 10 for Her - changing sleep periods? jaw2004 4 222 10-31-2017, 08:46 PM
Last Post: jaw2004
  Medicare in the U.S. Question about masks CZOscar 6 270 10-24-2017, 08:56 PM
Last Post: CZOscar
  [Equipment] Alt Way of Changing Primary Machine in Dreammapper scneal 2 116 10-20-2017, 07:18 AM
Last Post: scneal
  Autoset 90 percentile pressure vs. Titration study pressure CDNHoser 12 364 10-19-2017, 09:02 PM
Last Post: Sleepster
  Pressure at altitude vs. pressure at lower elevations...? S.L. Ping Beauty 19 405 10-17-2017, 09:36 PM
Last Post: PaulaO2

Forum Jump:

New Posts   Today's Posts




About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.

For any more information, please use our contact form.