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Medicare Denial
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Kidnap Offline

Preferred Members

Posts: 20
Joined: Sep 2015

Machine: Respironics DreamStation
Mask Type: Full face mask
Mask Make & Model: Quatro Air 62703
Humidifier: DreamStation
CPAP Pressure: 5cm - 20cm
CPAP Software: SleepyHead Other Software

Other Comments: I'll try DreamMapper

Sex: Male
Location: Pittsburgh, PA USA

Post: #41
RE: Medicare Denial
Good news! I saw my Doctor's head nurse yesterday on an unrelated matter for my wife. I mentioned the lack of progress and that the DME said they didn't get either fax. She said she would call them directly. Today the DME called and my Autoset will be delivered on Friday morning.

Your Friend Kidnap
10-19-2016 05:21 PM
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Sleeprider Offline
Wiki Editor
Advisory Members

Posts: 3,400
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #42
RE: Medicare Denial
Whoo-hoo! Winner winner, chicken dinner.

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Robysue's Beginner's Guide to Sleepyhead
10-19-2016 05:38 PM
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Sleeprider Offline
Wiki Editor
Advisory Members

Posts: 3,400
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #43
RE: Medicare Denial
Now the more sobering response. Your sleep study indicates you have complex or mixed apnea. The biggest advantage of the Autoset is that it is going to give you very good data in the event you have the expected difficulty, and likely failure with CPAP. I wish the best success with the APAP, but an ASV is likely in your future. You have to start somewhere, and this is the process insurance has laid out to ensure you demonstrate a medical need for higher value / capability equipment.

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
10-19-2016 05:45 PM
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Kidnap Offline

Preferred Members

Posts: 20
Joined: Sep 2015

Machine: Respironics DreamStation
Mask Type: Full face mask
Mask Make & Model: Quatro Air 62703
Humidifier: DreamStation
CPAP Pressure: 5cm - 20cm
CPAP Software: SleepyHead Other Software

Other Comments: I'll try DreamMapper

Sex: Male
Location: Pittsburgh, PA USA

Post: #44
RE: Medicare Denial
I received my CPAP today. Surprise! it was a DreamStation. All set-up and ready to go. It comes with online DreamMapper. I tried to download SleepyHead but got an error, I guess I need SleepyHead opengl that I couldn't find. I'll try later.

Your Friend Kidnap
(This post was last modified: 10-21-2016 10:51 AM by Kidnap.)
10-21-2016 10:49 AM
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Sleeprider Offline
Wiki Editor
Advisory Members

Posts: 3,400
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #45
RE: Medicare Denial
The Sleepyhead program included both OpenGL and BrokenGL executable files. Did you download the version 1.0.0 Beta 2 of SleepyHead? If so then go to C:\Program Files X86\Sleepyhead, and select the Sleepyhead-BrokenGL.exe and give that a try. If it works, you can right-click it and Send To desktop as a shortcut. That is what you will want to run.

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
10-21-2016 11:11 AM
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Kidnap Offline

Preferred Members

Posts: 20
Joined: Sep 2015

Machine: Respironics DreamStation
Mask Type: Full face mask
Mask Make & Model: Quatro Air 62703
Humidifier: DreamStation
CPAP Pressure: 5cm - 20cm
CPAP Software: SleepyHead Other Software

Other Comments: I'll try DreamMapper

Sex: Male
Location: Pittsburgh, PA USA

Post: #46
RE: Medicare Denial
Thanks Sleeprider. I'll try it tonight.

Your Friend Kidnap
10-21-2016 11:56 AM
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Kidnap Offline

Preferred Members

Posts: 20
Joined: Sep 2015

Machine: Respironics DreamStation
Mask Type: Full face mask
Mask Make & Model: Quatro Air 62703
Humidifier: DreamStation
CPAP Pressure: 5cm - 20cm
CPAP Software: SleepyHead Other Software

Other Comments: I'll try DreamMapper

Sex: Male
Location: Pittsburgh, PA USA

Post: #47
RE: Medicare Denial
Hi all

First night out of the way I slept well woke up twice for potty stop, which is normal. The second time I felt some leekage near my mouth I tightened the lower straps and fixed it. The report said there were no leaks so it must have been small. the DreamStation info said all was good. I got SleepyHead running and it tells me so much more. the first thing it said was "You had an AHI of 8.16, which is considered not very good" but that is still better than 43.

Try again tonight.

Your Friend Kidnap
10-22-2016 07:26 PM
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suez Offline

New Members

Posts: 2
Joined: Oct 2016

Machine: Dream Station Auto w Aflex
Mask Type: Nasal pillows
Mask Make & Model: Resprironics Nuance gel pro
Humidifier: Sulllivan heated passover
CPAP Pressure: 7.5-20 auto
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: USA

Post: #48
RE: Medicare Denial
Provider told me MCare needed face to face proof, plus proof we had discussed apnea.
My family doctor gives me a printout after each visit that includes all my diagnoses (OSA listed), plus lots of text re major diagnoses. I used that printout to indicate I had seen MD face to face, and on that date she gave me printed "sleep apnea patient information."
Docs give you all this printed material to legally cover their rears, so I figured it was legal medical record as good as verbal discussion.
Medicare accepted. (Needed other stuff too--sleep study Dx report, + something else)
ALWAYS get and keep copies of medical records to save yourself from going through unnecessary repeat sleep studies or unnecessary MD visits.
10-28-2016 06:45 AM
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Kidnap Offline

Preferred Members

Posts: 20
Joined: Sep 2015

Machine: Respironics DreamStation
Mask Type: Full face mask
Mask Make & Model: Quatro Air 62703
Humidifier: DreamStation
CPAP Pressure: 5cm - 20cm
CPAP Software: SleepyHead Other Software

Other Comments: I'll try DreamMapper

Sex: Male
Location: Pittsburgh, PA USA

Post: #49
RE: Medicare Denial
Yes Suez,

I know the rules now thanks

Your Friend Kidnap
10-29-2016 01:46 PM
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