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Does Medicare Require a Yearly Visit with Sleep Doctor?
#1
My sleep doc said I need to check in once a year--Medicare guidelines.  I see him next month--trying to get him to sign off on my medical release so I don't have to deal with the Dept. of Motor Vehicles anymore.  He said last year he needed to see me anyway and left my recertification at 12 months.  Need some ammunition to convince him!  I have 100% compliance for 2.5 years, last years AHI under 1.0, currently 30 day AHI 0.3, thanks to the help gained on this forum.  No more sleepy driving!
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#2
when the doctor (re)certifies you he is assuming responsibility against his medical license and financial well-being. instead of trying to convince him to do something different, talk to him and see why he does what he does.
First Diagnosed July 1990

MSgt (E-7) USAF
Retired 1968-1990
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#3
Thank you. Last year he smilingly said it was because I had to come in anyway for Medicare.we'll see this year.
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#4
Medicare does not require a yearly visit. Why would they? The machine is paid for by then. Or has just a month left. I've not seen my sleep doc in...wow, I guess 8 yrs? Ten? My GP writes my once-every-six-years script for the machine and gear. I have Medicare and Medicaid.
PaulaO2
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#5
Thanks, Paula--that's what I thought. Tried called Medicare but was on forever hold and gave up!
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#6
Your primary doctor can assume all of your CPAP care. Although this is not required for Medicare, it can be helpful to have an annual discussion as part of your wellness exam, and you can even drop a compliance report for the past year for him to add to your records. What keeps your Medicare account active is the continued ordering of supplies and mask replacements through your DME. Once you have a machine, Medicare is not going to take it away. Having copies of past sleep reports, and an ongoing medical record in the form of an annual discussion with your primary doctor is more than enough to avoid hassles when you need to replace the machine. I have not seen a sleep doctor since 2008. This sounds like someone looking to make work.
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#7
if you have a CDL license you will need to verify cpap compliance every year at your physical... but medicare doesn't care once your initial compliance is met. If this is the dr. you use for supplies then he will want to see you each year before blindly giving out prescriptions.
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