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Sleep Drs and DMEs
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04-28-2015, 03:13 PM
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.
Crimson Nape
Apnea Board Moderator www.ApneaBoard.com ___________________________________ Useful Links -or- When All Else Fails: The Guide to Understanding OSCAR OSCAR Chart Organization Attaching Images and Files on Apnea Board Apnea Helpful Tips INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
04-28-2015, 03:25 PM
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
Admin Note:
PaytonA passed away in September 2017 Click HERE to read his Memorial Thread ~ Rest in Peace ~
04-28-2015, 03:29 PM
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. I agree 100%. Gets rid of the conflict of interest. |
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