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My DME story...
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becker44a Offline

Advisory Members

Posts: 181
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus Lg
Humidifier: ResMed H5i
CPAP Pressure: Rx 10 - 20cm, Usually 10-14cm
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: NE Ohio, USA

Post: #11
RE: My DME story...
(10-17-2014 10:37 PM)Whitewabit Wrote:  I don't think a DME needs your prescription with your settings on it .. all they need is the prescription for the machine itself. It is between you and your doctor what your settings are and due to privacy laws here in the US I'm not sure if they have the right to that information . They don't need that information for insurance compliance requirements. It would be interesting to hear a legal opinion on this !!

Good job sticking up for yourself more of us need to do this and DME's would have a different attitude.

I just went thru this last December. The "Sleep Doctor" (whom I never met) recommended a CPAP at pressure 14, so my Rx was originally written that way. When the Rep from the DME called, I asked what was required to get an S9 Autoset. He said they needed a pressure range, not a single pressure. I contacted my Primary Care guy and requested the Rx with a range, and he obliged. Then the DME tried to provide a non-ResMed unit, but was willing to order what I wanted, and the rest is history.

The key was that the Rx be written with a pressure range.

Later on, a RT at the DME started to give me a lecture about changing my settings, starting with "You aren't even supposed to know how to do that . . .". I hauled her up short, and she backed off. Clearly this was about protecting their turf.

It's pretty sad when these people think that they prosper by the ignorance of their patients.

A.Becker
PAPing in NE Ohio, with a pack of Cairn terriers
10-18-2014 09:52 AM
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TorontoCPAPguy Offline

Preferred Members-2

Posts: 143
Joined: May 2012

Machine: S9 Autoset II
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro FFM
Humidifier: H5i; Control III Germicide
CPAP Pressure: 12-20
CPAP Software: ResScan SleepyHead

Other Comments: CMS50EW Oximeter; Everflo Q O2 Concentrator; O2 Analyzer; Climate Control Hose (winter)

Sex: Male
Location: Toronto; Southern USA; etc.

Post: #12
RE: My DME story...
Most DME's are in this game for the money. BIG money to be made if one is ruthless in selling and servicing.

Personally, I don't bother with the DME, read my data on a regular basis and print out the graphs, etc., into a binder, which I take to the doc every once in a while. Seems to me that he follows my instructions these days.

BUT, you MUST get yourself educated and up to speed with how all of this works. The clinician's manuals are all online somewhere. Find them and read them five times each. Ask questions from folks that have been there and have the T shirt. I was shot down on another board when I suggested that one should be aiming for ZERO leak rate asides from intentional leak rate (i.e. the chart in the back of the Mirage Quattro manual) and that effective interpretation of data was impossible until achieved. Sheeesh.

As I say... this is not medical advice but merely suggestions and experience shared. One MUST educate and digest their own data and come to their own decisions.

I surely would never deal with this DME again. Ever.

----------------------------------------------------------------------------
Educate, Advocate, Contemplate.
Herein lies personal opinion, no professional advice, which ALL are well advised to seek.
10-18-2014 10:16 AM
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Evpraxia Offline

Advisory Members

Posts: 313
Joined: Aug 2014

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift LT for Her - Nasal Pillows System
Humidifier: ResMed H5i
CPAP Pressure: 7-17
CPAP Software: ResScan SleepyHead

Other Comments: Cat Staff, bibliophile, love Classical & Byzantine music

Sex: Female
Location: Pacific Northwest USA

Post: #13
RE: My DME story...
Completely agree - nobody has to live in YOUR body except YOU. Therefore, YOU need to be knowledgeable and in control of what happens, if at all possible.

SO glad you held your ground with this DME.

Evpraxia in the Pacific Northwest USA
Diagnosed: 44 AHI when supine, O2 down to 82%
Treated since 20 Sept 2014:: 0.7 AHI, Settings 7-15, EPR on Full Time at Level 3
Better living through CPAP/APAP machines!
10-18-2014 11:46 AM
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retired_guy Offline

Preferred Members-2

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: #14
RE: My DME story...
(10-18-2014 11:46 AM)Evpraxia Wrote:  Completely agree - nobody has to live in YOUR body except YOU.

Well, sort of.... There are those other guys that live in my body with me. I asked one of them to move out the other day, but he didn't want to. So I quit talking to him again.
10-18-2014 11:49 AM
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Evpraxia Offline

Advisory Members

Posts: 313
Joined: Aug 2014

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift LT for Her - Nasal Pillows System
Humidifier: ResMed H5i
CPAP Pressure: 7-17
CPAP Software: ResScan SleepyHead

Other Comments: Cat Staff, bibliophile, love Classical & Byzantine music

Sex: Female
Location: Pacific Northwest USA

Post: #15
RE: My DME story...
(10-18-2014 11:49 AM)retired_guy Wrote:  
(10-18-2014 11:46 AM)Evpraxia Wrote:  Completely agree - nobody has to live in YOUR body except YOU.

Well, sort of.... There are those other guys that live in my body with me. I asked one of them to move out the other day, but he didn't want to. So I quit talking to him again.

Ah, that must be what happens when I talk to myself and I get snarky comments.

Evpraxia in the Pacific Northwest USA
Diagnosed: 44 AHI when supine, O2 down to 82%
Treated since 20 Sept 2014:: 0.7 AHI, Settings 7-15, EPR on Full Time at Level 3
Better living through CPAP/APAP machines!
10-18-2014 12:46 PM
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ogeo Offline

New Members

Posts: 1
Joined: Aug 2014

Machine: PR System One BiPAP AutoSV Adv
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro FX for Her
Humidifier: PR System One Heated Humidifier
CPAP Pressure: PS 7/11 EPAP 14/18 Rise X2
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Idaho

Post: #16
RE: My DME story...
(10-18-2014 08:16 AM)me50 Wrote:  
(10-17-2014 10:37 PM)Whitewabit Wrote:  I don't think a DME needs your prescription with your settings on it .. all they need is the prescription for the machine itself. It is between you and your doctor what your settings are and due to privacy laws here in the US I'm not sure if they have the right to that information . They don't need that information for insurance compliance requirements. It would be interesting to hear a legal opinion on this !!

Good job sticking up for yourself more of us need to do this and DME's would have a different attitude.

they would need a prescription or at the minimum the information on the pressure setting/s in order to complete the set up on the machine. After that, it is none of their business what happens to the pressure settings unless the client expects the DME personnel to change the settings. The DME only has to report compliance to the insurance company if the insurance company requires it. I wonder how many insurance companies actually get proof that the insured is compliant. Does the DME have to send them a print out of compliance or do they just verbally report to the insurance company that there is compliance. At any rate, that is all the DME needs to be concerned with as far as the insurance is concerned UNLESS the client expects the DME to change the pressure settings for them.

When the DME submits the claim to the insurance, they state on a line that the patient was compliant and the percentage. The DME is required to keep the actual paperwork on file in their office to support what they claim on the form. If they are ever audited, they then have to show that paperwork. It is not submitted with the claim though.
10-18-2014 01:14 PM
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Shastzi Offline

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Posts: 1,174
Joined: Dec 2012

Machine: ResMed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: FitLife Total face mask
Humidifier: F&P HC150 with Hybernite heated hose.
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: #17
RE: My DME story...
From what I have seen, a lot of RTs working for DMEs aren't even qualified to be
flipping burgers or dipping fries at Mickey D's.
I sure don't want anyone like that adjusting my equipment remotely.
That is between me, my machine and my Pulmonary Doc.
Everyone else can BUTT OUT!!
If fact I will avoid using a machine that can be adjusted via internet!
That is overuse of technology that is not needed.

'nuff said

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

Cool
(This post was last modified: 10-18-2014 08:53 PM by Shastzi.)
10-18-2014 08:52 PM
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Whitewabit Offline

Preferred Members-2

Posts: 158
Joined: Sep 2014

Machine: ResMed V9 VPAP Adapt S9 (36067), ASV mode
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX, AirFit P10, AirFit F10
Humidifier: ResMed H5i
CPAP Pressure: 5/4/9
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Undisclosed
Location: Somewhere in the midwest

Post: #18
RE: My DME story...
(10-18-2014 08:52 PM)Shastzi Wrote:  From what I have seen, a lot of RTs working for DMEs aren't even qualified to be
flipping burgers or dipping fries at Mickey D's.
I sure don't want anyone like that adjusting my equipment remotely.
That is between me, my machine and my Pulmonary Doc.
Everyone else can BUTT OUT!!
If fact I will avoid using a machine that can be adjusted via internet!
That is overuse of technology that is not needed.

'nuff said

I'm afraid in the future we won't have a choice when getting a new machine. It appears all the new models will have a modem of some sorts for remote data recovery!
10-18-2014 09:31 PM
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bwexler Offline

Advisory Members

Posts: 563
Joined: Mar 2012

Machine: PRS 1 BiPAP autoSV Advanced, with Heated Tube humidifier
Mask Type: Nasal mask
Mask Make & Model: Sleepweaver √Član
Humidifier: Resperonics Heated Tube humidifier
CPAP Pressure: Max pressure 25.0 cm H20, Max
CPAP Software: SleepyHead EncorePro

Other Comments: CMS 50i with Software for SpO2

Sex: Male
Location: San Marcos, CA, USA

Post: #19
RE: My DME story...
I'm afraid in the future we won't have a choice when getting a new machine. It appears all the new models will have a modem of some sorts for remote data recovery!

What do you think aluminum foil hats are for? Tehy are no just for people.
10-18-2014 09:47 PM
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Evpraxia Offline

Advisory Members

Posts: 313
Joined: Aug 2014

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift LT for Her - Nasal Pillows System
Humidifier: ResMed H5i
CPAP Pressure: 7-17
CPAP Software: ResScan SleepyHead

Other Comments: Cat Staff, bibliophile, love Classical & Byzantine music

Sex: Female
Location: Pacific Northwest USA

Post: #20
RE: My DME story...
My modem is removable, and I am thinking about removing it once my Compliance time is complete.

Evpraxia in the Pacific Northwest USA
Diagnosed: 44 AHI when supine, O2 down to 82%
Treated since 20 Sept 2014:: 0.7 AHI, Settings 7-15, EPR on Full Time at Level 3
Better living through CPAP/APAP machines!
10-18-2014 10:29 PM
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