They said that she used the machine for over 4 hours per night 61% of the time, over a 27-day period - so how much of a different did loosing those 3-day really make in her percentage, and it does not sound like they looked at the full 30-day period - but only 27 days?
She is going to filling out all apeals paperwork - which is a lot, now in the meantime - we need to figure out who is going to be paying the $130 a month for the machine rental and so forth.
All this happened just a fer days after we had decided to see about getting to a S9 autoset, and that would involving going to a different DME - but now we are just waiting till we get work on weather her appeal aoo goes through?
I am sure others out their have dealt with this - how much of a battle is it to get the appeal to be approved, and things OK with the insurance? We do have her regular doctor on her side, and can vouch for her being sick - so that should not be an issue?
What other documents, and so forth should we be getting together to help us out? if their are any?
Thanks for any input you all can give to help us get me wife back on her machine - we do know that if insurance will not pay for it - then she can't have it - their is just no way we can pay an extra $180 a month total for the machine and humidifier, plus masks, hoses, filters, and all the other stuff.