Hi Red... Evidently the Physician remotely changed your pressure back to the 4. Can't see any reason for the DME to change it, unless they thought that you accidently changed it. All they are going to want is the money. I'd definitely discuss this with your doc in next weeks meeting. Explain about your not getting enough air, your 90% mark.. Better feeling with a higher pressure. You and your Physician should be a "health Team".
As far as the rental fees go... The Insurance or Medicare will pay for the monthy rental for one (1) year, after which the CPAP/APAP machine is yours. They should also pay for any repairs needed during that 12 month period. Again, after 12 months, you assume full ownership and any repair costs if required.
Yesterday is history; Tomorrow is a mystery; Today is a gift; Thats why its called "The Present".
I think as a principle it is totally wrong for the doctor or DME to change your settings without consulting you. If they thought you'd changed it accidentally, at the very least they should ask you. I personally would be extremely annoyed - what ever happened to informed consent?
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08-12-2016, 11:14 PM
(This post was last modified: 08-12-2016, 11:16 PM by Mosquitobait.)
I would simply change it back to what you want it at and call the DME. Find out why it was changed and who authorized the change. They CANNOT change your settings without doctor authorization and they aren't going to check your settings unless the doctor orders a change. Could be a machine glitch. Could also be that the manager double checks everybody's settings and saw that yours was 6 instead of 4 and changed it to match the doctor order. No matter what, they should have knowledge of who authorized the settings change. You, as the patient, can change it to whatever you want.
As others mentioned, your machine is being paid for by your insurance company for 12 months and then you own it. You have to ask your insurance company what the compliance requirement is. For most insurance, if you have shown compliance for the first 30 days and then seen your doctor, you are done. They do not follow further.
Can I just put a different perspective on this?
1. Why didn't you notify you clinic/doctor/DME that you were going to change it and give them the reason why?
And inform them you were going to schedule an appointment with your doctor ASAP to discuss the changes and your current issue of not getting enough air.
2. Why didn't you call your doctor directly and discuss changing the settings and your reason as to why you where changing them?
A couple of phone calls could well have solved the situation without even seeing the doctor, he may have considered your issue and cleared the change you need directly with the DME [sorry if I'm not getting the terms for the clinic/CPAP supplier correct, we don't have quite the same system here in Australia.... but we do deal with a respiratory/sleep specialist, and a clinic that supplies the machine and controls all the settings ordered by the specialist]
I have phoned my CPAP clinic directly and asked them to change settings, and also to download and email me reports, all done remotely.
When I first started on the CPAP I had to take the whole unit back to them [specialist's orders], but once they got to know me I got the ok to take just the SD card instead of lugging the whole machine on trains and buses for two hours in each direction.
Now I just phone them up when I need anything done.
In reality your CPAP supplier has probably done the right thing in assuming you may have accidentally changed it, or that there had been a machine malfunction.
BUT.. they definitely should have called you to alert you to what they may have perceived as an inadvertent error with the machine.
Guess it would depend on the DME but neither my doctor or DME gave a darn that I changed it. When I got my replacement machine the DME said they *had* to set it to the prescribed settings but she said you can set it to whatever you had changed it to yourself. Couldn't have cared any less. My machine is in airplane mode now that I own it.
Using FlashAir W-03 SD card in machine. Access through wifi with FlashPAP or Sleep Master utilities.
I wanted to learn Binary so I enrolled in Binary 101. I seemed to have missed the first four courses.
Most DME's don't care as long as you're compliant and AHI is <5.
When I first started adjusting mine, the RT at my DME didn't clue in at all....in fact, she seemed quite pleased with herself that my AHI was down (she hadn't adjusted anything and didn't even look at the other numbers....just AHI and compliance %). Be proactive and involve your doctor...if the two of you have a good relationship and you can demonstrate you have a good clue (don't forget, the docs might get a 1/2 hour on it during med school), most will back you with your DME.