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What settings are submitted in prescription for ResMed AirCurve 10 VAuto?
#1
What settings are submitted in prescription for ResMed AirCurve 10 VAuto?
My gut feeling is that the DME is going to give my doctor the runaround when he submits the prescription for the new machine. 
I want to make this as hassle-free as possible for the doctor. 
I have already witnessed an hour of phone calls and call transfers and call wait times/on holds during a couple of visits when it came to dealing with the insurance company and prescribing medications that are approved for coverage.

Switching from the Dreamstation that I have to the ResMed AirCurve 10 VAuto;
What settings need to be included in the prescription so that they don't keep delaying and stating that he hasn't provided enough information.
I ask because when I was talking to the DME, it was stressed more than once that as long as the prescription was complete and accurate that they would fill it.
So this makes me think that they will make an attempt to give the doctor and myself the runaround for as long as they can.

The settings I can remember in the Dreamstation that I think pertain to it's prescription:
Flex:1
Humidity: 3
Humidification: Adaptable
EPAP: 10.0 
IPAP: 14.0 
Ramp: 8
Ramp Time: 20
Tube Type: 15
Mask Type: X2
BiLevel
Tube Temp: 3
Smart On
Flex: BiFlex
Automatic On: Off
Automatic Off: Off

I think that's everything that matters. Prolly more than matters?

What would the comparable settings for the prescription towards the ResMed AirCurve 10 VAuto be?

Thanks so much in advance for your help.
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#2
RE: What settings are submitted in prescription for ResMed AirCurve 10 VAuto?
ResMed AirCurve 10 VAuto: DAW or Dispense as Written
EPAP: 10.0
IPAP: 14.0

after that we can help you with anything
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

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#3
RE: What settings are submitted in prescription for ResMed AirCurve 10 VAuto?
The prescription simply calls for the following. Being more general except for the machine offers more flexibility.
E0470 Auto Bilevel: fill as Resmed Airsense 10 Vauto.
Mode: Vauto
EPAP min: 8.0
IPAP max: 18.0
PS: 4.0
E0562 Heated Humidifier set to patient comfort
A4604 Heated tubing set to patient comfort
A7039 Filter and replacement supplies as needed or allowed
A7034 Nasal interface and cushion(s) Size and style of patient choice and replacement supplies as needed or allowed
A7035 Headgear and replacement supplies as needed or allowed
Patient choice on comfort settings.

Edit: Fred posted while I was doing this post. This post has settings characteristic of an auto bilevel and brackets your current settings. These settings can only be met using an auto bilevel. The numbers are HCPCS billing codes and in many cases need to be specified in a prescription. The DME will use the codes in filling the order.
Sleeprider
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#4
RE: What settings are submitted in prescription for ResMed AirCurve 10 VAuto?
So it doesn't need to have DAW
EPAP: 10.0 
IPAP: 14.0 
or was it that you weren't including those settings because bonjour mentioned them?


and just make sure that the prescription looks like:
E0470 Auto Bilevel: fill as Resmed Airsense AirCurve 10 Vauto.
Mode: Vauto
EPAP min: 8.0
IPAP max: 18.0
PS: 4.0
E0562 Heated Humidifier set to patient comfort
A4604 Heated tubing set to patient comfort
A7039 Filter and replacement supplies as needed or allowed
A7034 Nasal interface and cushion(s) Size and style of patient choice and replacement supplies as needed or allowed
A7035 Headgear and replacement supplies as needed or allowed
Patient choice on comfort settings.

Can it be word for word what you've got written here or is the stuff after the codes inferred? Sorry, I'm not sure whats implied and such.
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#5
RE: What settings are submitted in prescription for ResMed AirCurve 10 VAuto?
SleepRider was more inclusive on supplies than I was.
He said fill as instead of DAW, I prefer DAW
I was setting it up as manual mode with the same settings so as not to second guess your doctor figuring we can change settings after you get the machine.  The most important part is to specifically request the VAuto.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

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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.
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#6
RE: What settings are submitted in prescription for ResMed AirCurve 10 VAuto?
Ok, I think I'll try to make sure it is similar to:

E0470 Auto Bilevel - Dispense as Written: Resmed AirCurve 10 VAuto.
Mode: VAuto
EPAP: 10.0 (not sure)
IPAP: 14.0 (not sure)
EPAP min: 8.0
IPAP max: 18.0
PS: 4.0
E0562 Heated Humidifier set to patient comfort
A4604 Heated tubing set to patient comfort
A7039 Filter and replacement supplies as needed or allowed

Leaving off the mask script stuff since my prescription on those supplies are already performed and satisfactory.
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#7
RE: What settings are submitted in prescription for ResMed AirCurve 10 VAuto?
I would include the mask stuff

Mask interface and cushion(s) Size and style of patient choice and replacement supplies as needed or allowed

simply to keep it all in one Rx (easier to track) My change above allows a full face mask and allows you the choice. I see no reason to limit this.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

Download OSCAR
New to Apnea? Helpful tips to ensure success
Soft Cervical Collar
Mask Primer
Dealing with a DME
Organize Charts
Attaching Charts

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.
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#8
RE: What settings are submitted in prescription for ResMed AirCurve 10 VAuto?
That's most excellent, thank you!

here's the revised version so that anyone that comes along this can simply copy/past/edit/print:


E0470 Auto Bilevel - Dispense as Written: Resmed AirCurve 10 VAuto.
Mode: VAuto
EPAP: 10.0 (Your prescribed #)
IPAP: 14.0 (Your prescribed #)
EPAP min: 8.0 (Forum Suggested #)
IPAP max: 18.0 (Forum Suggested #)
PS: 4.0 (Forum Suggested #)
E0562 Heated Humidifier set to patient comfort
A4604 Heated tubing set to patient comfort
A7039 Filter and replacement supplies as needed or allowed
A7034 Mask interface and cushion(s) Size and style of patient choice and replacement supplies as needed or allowed
A7035 Headgear and replacement supplies as needed or allowed
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#9
RE: What settings are submitted in prescription for ResMed AirCurve 10 VAuto?
There was a slight delay in the process. There was a setting that wasn't clear I guess on the suppliers part. 
I do not know where the confusion was but the Dr. took care of it.

So FINALLY TONIGHT!!!! I have my ResMed. WOOOOOOOOOOT!!!!!!!!!!!!!!!!!!!!!!!!!

I have a question about the tube setting. The PR DS had a 15mm tube. What is the comparable on a ResMed? It's currently set at SlimLine. I am guessing it should be set at standard for the tube size.

I'll get back to ya all with some results with my new machine.

Thank you all so much for your help!
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#10
RE: What settings are submitted in prescription for ResMed AirCurve 10 VAuto?
The machines are usually supplied with a Resmed slimline hose which is 15mm
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