Does your dme do this?

newname · Post by **newname** » Wed Dec 05, 2012 3:24 pm

If I order something on Dec.1, they ship it around Dec 10. Then they bill medicare on
Dec.10. When I go to re-order my 30 days later, they tell me I can't order until the 10th becasue that's when they billed insurance. Shouldn't my 30 day re-order date be 30 days from when I ordered it previously? It's not my fault if they don't ship right away. I've missed out on filter orders because of this. They keep dragging the re-order dates out when they delay shipments. This doesn't seem right to me!!!!!

jencat824 · Post by **jencat824** » Wed Dec 05, 2012 3:28 pm

I agree with you, but you need to have a serious discussion with their billing department. It seems to me they should bill when you order, but they may make the case of billing when shipped. If they do, ask why? Your logic is sound, but when dealing with medicare sometimes logic does not enter the equation.
Jen

LSAT · Post by **LSAT** » Wed Dec 05, 2012 3:37 pm

newname wrote:If I order something on Dec.1, they ship it around Dec 10. Then they bill medicare on
Dec.10. When I go to re-order my 30 days later, they tell me I can't order until the 10th becasue that's when they billed insurance. Shouldn't my 30 day re-order date be 30 days from when I ordered it previously? It's not my fault if they don't ship right away. I've missed out on filter orders because of this. They keep dragging the re-order dates out when they delay shipments. This doesn't seem right to me!!!!!

What is soooo important that it needs to be ordered at exactly 30 days. You should re-order when something needs replacing...not when the insurance allows a replacement.

chunkyfrog · Post by **chunkyfrog** » Wed Dec 05, 2012 4:08 pm

Medicare is eliminating the time constraints, and requiring statements of "need". (maybe someday even "proof")
--If they ask if you already have an unopened ___, you can't get a new one, until it's unusable.
I guess if you can't wait, you can buy OOP.

Uncle_Bob · Post by **Uncle_Bob** » Thu Dec 06, 2012 1:33 pm

LSAT wrote:What is soooo important that it needs to be ordered at exactly 30 days.

Some people run ebay businesses

rabidcoconut · Post by **rabidcoconut** » Fri Dec 07, 2012 5:52 pm

What is soooo important that it needs to be ordered at exactly 30 days. You should re-order when something needs replacing...not when the insurance allows a replacement.

Usually around 2 1/2 months my masks start leaking and gradually getting worse. By the time that 3 months roll around I'm so ready for a new mask and delaying that even longer due to the dme's funky billing policies would be excruciatingly annoying to say the least.

chunkyfrog · Post by **chunkyfrog** » Fri Dec 07, 2012 6:22 pm

That is probably the plan,

Lizistired · Post by **Lizistired** » Fri Dec 07, 2012 6:28 pm

My supplies don't implode after 30 days so I don't worry too much about it. My DME is probably more concerned that I don't come in for mask fittings or call them for assistance. That's what cuts into their business model. That said, they have enough sheep to support them.

StuUnderPressure · Post by **StuUnderPressure** » Sun Dec 09, 2012 10:28 am

rabidcoconut wrote:Usually around 2 1/2 months my masks start leaking and gradually getting worse. By the time that 3 months roll around I'm so ready for a new mask and delaying that even longer due to the dme's funky billing policies would be excruciatingly annoying to say the least.

What mask do you use?

You do know that you can buy just the cushions (say of a nasal mask) much more often?
You do NOT have to replace the entire mask just to get new cushions.

retrodave15 · Post by **retrodave15** » Sun Dec 09, 2012 11:31 am

I use the auto order system for my supplies. I get a box of supplies every 3 months. This way they bill my insurance company at the proper interval and I do not have to worry about remembering to order. If something changes - I just need to call, like when I had my cervical fusion I had them add a large headger to my order to accommodate sleeping in my C-Collar.

rabidcoconut · Post by **rabidcoconut** » Mon Dec 10, 2012 11:27 am

StuUnderPressure wrote: What mask do you use?

You do know that you can buy just the cushions (say of a nasal mask) much more often?
You do NOT have to replace the entire mask just to get new cushions.

With Blue Cross I used a mirage, with Kaiser I had the Quattro until just recently they started shipping me Quattro FX's. It's so stupid but they don't cover just replacing the cushions because I don't need a new mask every 3 months, or headgear. And they would save so much money just sending out parts that I need. But they'll only cover the entire mask, which sadly is cheaper to get through the insurance than getting new cushions out of pocket and $$ is an important concern.

Changing back to blue cross in Jan though so I'm looking forward to that.

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