About getting my new APAP machine . . .
Just got a call from Dr's office that DME wants a statement from them that CPAP is benefitting me.
MD is new -- only saw him once, so nurse said DME says it's OK for me to say that CPAP is benefitting me.
Nurse said this is because of Medicare rules.
If the MD writes the prescription, that's not enough. He also has to certify that the therapy I've been using for 6 years every night is benefitting me?
My first response was to say "well, I'm still alive."
Has anyone else had this required from Medicare for a second machine after 5+ years?
Medicare is pulling out the medical necessity card to the detriment of beneficiaries.
After over 10 years of testing blood glucose 5 times a day, they just denied my order.
I appealed -- they denied. CMS is run by a private contractor, Noridian Systems.
Medicare is immune from legal action -- Noridian is not.
Noridian and their employees can all be sued.
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