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
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Changing Pressure and Medicare
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12-13-2015, 10:54 PM
Changing Pressure and Medicare
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
12-13-2015, 10:58 PM
RE: Changing Pressure and Medicare
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 ~
12-13-2015, 11:02 PM
RE: Changing Pressure and Medicare
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 Administrator www.apneaboard.com _______________________ OSCAR Chart Organization How to Attach Images and Files. OSCAR - The Guide Soft Cervical Collar Optimizing therapy OSCAR supported machines Mask Primer 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.
RE: Changing Pressure and Medicare
(12-13-2015, 10:58 PM)justMongo Wrote: Medicare only cares about compliance. Days and hours used.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.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
12-13-2015, 11:34 PM
RE: Changing Pressure and Medicare
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.
12-14-2015, 12:27 AM
RE: Changing Pressure and Medicare
(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. 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 ~
12-14-2015, 08:36 PM
RE: Changing Pressure and Medicare
(12-14-2015, 12:27 AM)justMongo Wrote:And I thank you wholeheartedly for your service during a bad time in history.(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. I spent 4 years in Korea during peacetime. Did 20.5 years. Mark |
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