Post Reply 
What happens to Medicare if DME supplier discovers you've changed settings yourself?
Author Message
MobileBasset Offline

Advisory Members

Posts: 198
Joined: May 2015

Machine: ResMed AIRCURVE 10 V Auto
Mask Type: Nasal mask
Mask Make & Model: Fisher Paykel Zest
Humidifier: Integrated
CPAP Pressure: 10 (minE 6,maxI 12, PS 3)
CPAP Software: ResScan SleepyHead Other Software

Other Comments:

Sex: Female
Location: Florida

Post: #21
RE: What happens to Medicare if DME supplier discovers you've changed settings yourself?
I don't give a darn what my sleep doctor, or the DME think about my XPAP adjustments. I have no problem with the Medicare regulations. The Dr and DME have proved their incomptance with respect to meeting the Medicare requirements and putting my therapy in place so I don't apply any weight to their opinions of my settings. I would be astounded if they even took the time to check the settings! Medicare does not care about our settings they just want to control fraud by minimizing the purchase of equipment that isn't actually going to be used or is planned for resale.

if you can't decide then you don't have enough data.
05-24-2015 07:45 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
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: #22
RE: What happens to Medicare if DME supplier discovers you've changed settings yourself?
Hmmm, let me thing: "Hello Mr. Medicare? This is Mrs. DME calling. I want, nay demand you stop paying us immediately for Retired_Guys stuff. I just found out he turned off his ramp setting! So quit sending us those reimbursement checks. Yeah, that'll show him."
05-24-2015 04:14 PM
Find all posts by this user Post Reply Quote this message in a reply
macbob Offline

Preferred Members

Posts: 25
Joined: Mar 2015

Machine: AirSense™ 10 AutoSet For Her
Mask Type: Nasal pillows
Mask Make & Model: Nuance Pro Nasal Pillow Mask with Gel Nasal Pillow
Humidifier: HumidAir™ Heated Humidifier
CPAP Pressure: 7-15
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Hampton Roads, VA

Post: #23
RE: What happens to Medicare if DME supplier discovers you've changed settings yourself?
My DME doesn't care. They just care if I'm compliant so they'll get paid. The modem may send additional data to Respironics, but my DME only paid to get the same data that MyAir provides--Hours, AHI, mask on/off, etc--at least, that's what the DME told me when they provided me the machine. So, if that's true they're not getting anything that tells them what the settings are.
05-24-2015 09:48 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Gulfbreezey Offline

Preferred Members

Posts: 23
Joined: Jan 2015

Machine: PR System One REMstar Auto 560
Mask Type: Nasal pillows
Mask Make & Model: PR Nuance
Humidifier: PR heated matches CPAP
CPAP Pressure: 4 - 8
CPAP Software: SleepyHead Other Software

Other Comments:

Sex: Female
Location: North Florida

Post: #24
RE: What happens to Medicare if DME supplier discovers you've changed settings yourself?
As an update from a "now experienced" APAP user Smile ... From a couple of discussions with "techs" at my DME, once I passed the 90 day verification and Medicare was happy they don't care what I do since they aren't looking. Actually one of them told me I could throw away the modem if I wanted to but they don't have the original cover for that slot. In fact I use the modem every day to "report in" to PR since I have their DreamMapper program on my iPhone. PR has just recently made changes to this software and it's much more informative for a quick look each day. Nothing as good as SleepyHead but nice for a quick look.

So in conclusion, once you pass the 90 days get yourself a manual and help yourself. Use self control and do things slowly.

IMHO & happy dreams!
11-07-2015 04:38 PM
Find all posts by this user Post Reply Quote this message in a reply
AlanE Offline

Advisory Members

Posts: 1,491
Joined: Mar 2015

Machine: ResMed AirSense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: P10 & Mirage Liberty backup
Humidifier: Built-in
CPAP Pressure: 10-14
CPAP Software: ResScan SleepyHead

Other Comments: ʕ•ᴥ•ʔ So Long, and Thanks for All the Fish

Sex: Male
Location: Southwest Florida

Post: #25
RE: What happens to Medicare if DME supplier discovers you've changed settings yourself?
My doc ^5 me the other day for taking an active role in my therapy. She could care less that I changed everything she prescribed. I guess as long as it works, why should she care. Doing well enough that I don't need to see her for another year.



Using FlashAir W-03 SD card in machine. Access through wifi with FlashPAP or Sleep Master utilities.

I wanted to learn Binary so I enrolled in Binary 101. I seemed to have missed the first four courses. Big Grinnie
11-07-2015 05:23 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  Newbie - need advice on settings and machine tmc712 11 169 Yesterday 09:54 PM
Last Post: Sleeprider
  Dream Station Ramp and Pressure Settings knowoneuno 15 319 12-02-2016 06:50 PM
Last Post: Sleeprider
  Medicare Advantage Coverage for APAP Evie 3 184 11-30-2016 08:22 PM
Last Post: Mike1953
  Dream Station Settings Autumnseer 15 490 11-26-2016 07:01 AM
Last Post: Weird Tolkienish Figure
  Who generally is in charge of your CPAP settings? Mezzrow 9 463 11-12-2016 01:47 AM
Last Post: blueelement2016
  do I have the right machine (and settings) JaminV 4 369 10-31-2016 10:05 PM
Last Post: trish6hundred
  Medicare Denial Kidnap 48 4,213 10-29-2016 01:46 PM
Last Post: Kidnap

Forum Jump:

Who's Online (Complete List)