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Sleep Drs and DMEs
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Crimson Nape Offline

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Machine: ResMed S9 Autoset
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Mask Make & Model: P-10 / F&P Simplus / DreamWear
Humidifier: H5i w/Climateline
CPAP Pressure: 8 - EPR 3
CPAP Software: SleepyHead

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Sex: Male
Location: Georgia

Post: #11
RE: Sleep Drs and DMEs
My sleep doc was also acting as my DME. That worked fine until I went from a commercial insurance policy to a medicare replacement. Medicare has a rule that the doctor can't act as a DME under their rules. So after 3 months of rental, the doc had to write off my CPAP because my replacement policy denied any payment under the medicare rule and claimed that I wasn't liable for the balance.

Statistics prove that people who have more birthdays live longer.
04-28-2015 03:13 PM
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PaytonA Offline
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Machine: ResMed S9 VPAP Auto
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CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

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Sex: Male
Location: Orange County,California

Post: #12
RE: Sleep Drs and DMEs
(04-28-2015 03:13 PM)sgearhart Wrote:  Medicare has a rule that the doctor can't act as a DME under their rules.

That made for a hardship for you but I like that Medicare rule. They ought to have another one, if they do not already, that the doctor can not be part of the group doing the polysomnography and that the PSG group can not act as DME for a patient they tested.

Just my thoughts.

Best Regards,

PaytonA
04-28-2015 03:25 PM
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truetopath Offline

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Posts: 421
Joined: Feb 2015

Machine: PR system one 560p auto with a flex
Mask Type: Full face mask
Mask Make & Model: Resumed F10
Humidifier: PR system one
CPAP Pressure: 11
CPAP Software: SleepyHead

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Sex: Male
Location: Lake View, NY

Post: #13
RE: Sleep Drs and DMEs
(04-28-2015 03:25 PM)PaytonA Wrote:  
(04-28-2015 03:13 PM)sgearhart Wrote:  Medicare has a rule that the doctor can't act as a DME under their rules.

That made for a hardship for you but I like that Medicare rule. They ought to have another one, if they do not already, that the doctor can not be part of the group doing the polysomnography and that the PSG group can not act as DME for a patient they tested.

Just my thoughts.

Best Regards,

PaytonA

I agree 100%. Gets rid of the conflict of interest.
04-28-2015 03:29 PM
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