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[Equipment] Consequences of Pulling SD Card
#11
RE: Consequences of Pulling SD Card
(10-14-2020, 05:45 PM)Sleeprider Wrote: Small clarification to what OpalRose posted.  The DME tracks your use and efficacy using a program called AirView. MyAir is the consumer side of wireless data transfer, and offers less detail.  AirView does not report use of the SD card, so viewing the detailed data is not detected.  If you make changes to settings, the DME may be aware of that, however "compliance" under Medicare is established by using the machine more than 4-hours per day more than 70% of the time in any 30 day period.  That works out to 21 of 30 days.  Meet compliance and use the machine, and Medicare is happy. Settings and even efficacy makes no difference in establishing compliance.

Cool! Thanks!!
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#12
RE: Consequences of Pulling SD Card
Be sure to follow the Compliance guidelines that Medicare sets, especially the part about having a face-to-face doctor appointment.  I know of a few that bypassed that, and were labeled non-compliant by Medicare.  

It doesn't seem to matter to Medicare if you were on Cpap prior or for how long, once you get a new machine and want them to pay, you start over with compliance.  I know, they treat you like you are clueless... it's just a game you play to receive coverage. So make your follow up appointment ahead of time.


Compliance:
Medicare requires that a patient use CPAP for more than 4 hours per night on 70% of nights (21 nights) during a 30-day consecutive period any time in the first three months (90 days) of use.

Patient must also have a face to face appointment with their doctor any time after the first 30 days, but before the 90 days expires.
OpalRose
Apnea Board Administrator
www.apneaboard.com

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