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Medicare Compliance Question
#1
Medicare Compliance Question
I understand that Medicare compliance requires usage of a CPAP machine for a minimum of 4 hours a day for 70% of the time during the first 90 days.  I am past one year into using my CPAP machine and own the machine now.   

My question is, does Medicare continue that compliance requirement AFTER the 90 days, as far as having any impact on their continuing to pay for the masks, hoses, etc.?  I should add that my compliance is very good (thanks in large part to honing in on the right mask and other helpful tips I learned from this forum), but there are times (short trips away from home, etc.) that I would feel okay skipping some days if it wouldn't affect Medicare coverage of those items.


Do I need to worry about this??   Huh
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#2
RE: Medicare Compliance Question
No need to worry. As I understand it, the compliance requirement is just to prove you are actually using the machine that they are paying for. You now own it. Just keep on with your good compliance for your own health! Good job!
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#3
RE: Medicare Compliance Question
If you change types of machines, ie CPAP to a BiPAP, the compliance clock restarts. Going thru that with my wife.
Homer

Advisory Members serve as an "Advisory Committee" to help shape Apnea Board's rules & policies. Monitors are also Advisory Members, just with Extra Work assigned.

Membership in the Advisory Members group does not imply medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
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#4
RE: Medicare Compliance Question
Thanks for your helpful answers!
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