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I just hate incompetence!
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mjbearit Offline

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Machine: REMstar Auto AFlex DS550
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CPAP Pressure: 12.5-20
CPAP Software: SleepyHead EncoreBasic

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Sex: Male
Location: So Cal

Post: #1
Angry I just hate incompetence!
So I have an HMO. They have a DME department whose sole function is to approve DME devices and/or supplies for devices. I assume they also do the vendor management between the HMO and the Provider DMEs (who are outside companies). About a year and a half ago, maybe 2 years... I don't know now, I went to the offices of the Provider DME for a new mask setup. The technician there was so very rude and unprofessional I was just appalled. He then told me I could not have a new machine and that was that. He also told me at that time that I was only allotted 1 mask per year. So here I have been calling to get refills annually and paying for the in between stuff out of my pocket. You know, we do what we have to. So I called just a little bit ago and they had put in a new order desk since last year that is not affiliated with a specific shop (they are a national DME company). As I am talking to the gal on the phone we started just talking about stuff in general and I told her about how rude the guy was, and she said she had heard this story before from folks in my area. She then told me how often I am supposed to receive supplies... WHAT?! Huhsign Needless to say, I have a huge care package coming! Big Grin She was also nice enough to accept the fact that I had purchased my own machine that was different from the one provided me and so she switched that in the system so I would get the filters for the machine I use instead of the one in the closet. Thanks The only thing I couldn't get was 15mm hose. Apparently all they carry is 22mm. I had her ship it any way and I figure it never hurts to have an extra and I'll just continue to buy my own hoses.
Ya know, it's just always something! Oh-jeez I've been doing this for a long time and I still run into these type issues dealing with insurance and DME and stuff, so all you new folks out there, don't get discouraged. Dont-know It's just part of the game!

Mike

As always, YMMV! You do not have to agree or disagree, I am not a professional so my mental meanderings are simply recollections of things from my own life.

PRS1 - Auto - A-Flex x2 - 12.50 - 20 - Humid x2 - Swift FX
02-28-2014 04:20 PM
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Shastzi Offline

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Joined: Dec 2012

Machine: ResMed S9 Autoset
Mask Type: Full face mask
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CPAP Pressure: 15cm-20cm H2O (auto)
CPAP Software: SleepyHead Other Software

Other Comments: CMS50-F wearable Oximeter; Software: SPO2 Assistant

Sex: Undisclosed
Location: Florida, USA.

Post: #2
RE: I just hate incompetence!
Mmmhmm.
Boneheads.

"With ordinary talent and extraordinary perseverance, all things are attainable." - Thomas Foxwell Buxton

Cool
02-28-2014 04:25 PM
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GrammaBear Offline

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Posts: 381
Joined: May 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Air Fit P10
Humidifier: ResMed H5i heated humidifier
CPAP Pressure: 12.2 - 16.2
CPAP Software: SleepyHead

Other Comments: Type 1 diabetes - using Tandem T-slim insulin pump, Dexcom G4 CGM

Sex: Female
Location: northern Illinois

Post: #3
RE: I just hate incompetence!
Reading your account of your experience with the person at your DME reminds me of a comment I heard on a television show recently. It was the program "Judge Judy" and the comment I heard was "you can't fix stupid". I'm sorry you had to deal with a rude and ignorant person and ended up paying for your own stuff. I've had the same exact thing happen to me until I changed DME to a supplier closer to my home. Best wishes with your new DME.
02-28-2014 04:27 PM
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justMongo Offline

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Posts: 3,854
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
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CPAP Software: Other Software

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Sex: Male
Location: Калифорния

Post: #4
RE: I just hate incompetence!
IMHO -- some of this "incompetence" is actually people who are incentivized monetarily to not deliver supplies. It saves the insurer money.

A DME only makes money by selling supplies -- generally they are more accommodating.

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.
02-28-2014 04:29 PM
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retired_guy Offline

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Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #5
RE: I just hate incompetence!
Gosh you guys.... Every time I read one of these stories about DME's, or insurance companies or whatever I become once again so grateful that my stuff is provided by the VA. They have been so accommodating to me, and I'm sure to all their clients. The physical workup I got from the MD in charge of the sleep lab was the best I've had done in years. The sleep test was as pleasant as it could be under the circumstances of all that sort of thing.

If I need anything I just have to give them a call, or an email even. It'll show up in the mail in about two days.

They're a pretty small department so they don't have room for lots of different supplies, so if I want some oddball mask or something I would need to get it on my own, and that's fine with me. Also they're being small encourages me and I hope all their clients, to be careful with their time and their supplies.

If I could, I'd take all you guys in with me. There attitude is always you are the patient, you are the client, you are the person with a problem that they can help solve.

When I signed up for VA benefits, I wasn't sure. But I am now!
02-28-2014 06:53 PM
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mjbearit Offline

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Posts: 605
Joined: May 2012

Machine: REMstar Auto AFlex DS550
Mask Type: Nasal pillows
Mask Make & Model: RESMed Swift FX
Humidifier: Heated humidifier - 2
CPAP Pressure: 12.5-20
CPAP Software: SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: So Cal

Post: #6
RE: I just hate incompetence!
No Thanks Retired_Guy! I've seen the VA in San Diego at work! I'd rather give myself a frontal lobotomy with a soup spoon! Just because the VA in Oregon may be good, don't make the mistake of judging all VAs by that rule! Trust me! I'm a veteran from a long line of veterans!

Mike

As always, YMMV! You do not have to agree or disagree, I am not a professional so my mental meanderings are simply recollections of things from my own life.

PRS1 - Auto - A-Flex x2 - 12.50 - 20 - Humid x2 - Swift FX
02-28-2014 07:18 PM
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retired_guy Offline

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Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #7
RE: I just hate incompetence!
Sorry to hear that Mike. I just know that since I've gone with the VA I've had better care for my emphysema and other problems, including the sleep thing, than I ever did on the economy even with Medicare coverages. Whether private, hmo, VA, or whatever, I just wish everyone could have the success rate I have had with my providers.
03-01-2014 01:34 AM
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PaulaO2 Offline
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Posts: 8,067
Joined: Feb 2012

Machine: S9 Autoset
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Mask Make & Model: F&P Simplus
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CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

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Location: western NC, USA

Post: #8
RE: I just hate incompetence!
Moving this thread to the Off Topic since it is more about handling stupid DMEs than handling CPAP itself.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.
03-01-2014 02:47 PM
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nsheaffer Offline

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Posts: 1
Joined: Mar 2014

Machine: Phillips System One
Mask Type: Nasal pillows
Mask Make & Model: Nuance
Humidifier: Phillips Heated Tube
CPAP Pressure: 10 to 20
CPAP Software: EncoreBasic

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Sex: Male
Location: Oak Grove, MO

Post: #9
RE: I just hate incompetence!
Nice. I have one too.

My Local Ap***(Not sure if I am allowed to say exactly who it was) Healthcare office took 19 days to get me my new CPAP machine. Paid for it Feb 27th and received it March 18th. Was told that they simply overlooked the order. Branch manager apologized and delivered it in person to me at work yesterday. I had called the local office many times and could never get past the waiting for rep message. Several emails to corporate and I finally got a call from the branch manager. LOL. I was beginning to think that they took my money and closed the branch down or something.
(This post was last modified: 03-19-2014 12:08 PM by nsheaffer.)
03-19-2014 12:06 PM
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me50 Offline

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Sex: Undisclosed
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Post: #10
RE: I just hate incompetence!
(02-28-2014 04:25 PM)Shastzi Wrote:  Mmmhmm.
Boneheads.

you are way too nice Shastzi Laugh-a-lot
03-19-2014 07:37 PM
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