JQ, I skimmed this thread so forgive me if I'm repeating... If your insurance is covering the S9 Escape then it will cover the S9 Elite, which is the same machine except that it records all the important data that Pugsy mentioned. Your insurance would also cover the S9 Autoset which is an auto-adjusting CPAP -- pressures can vary as you need them to during the night. (Avoid the S9 "Escape Auto.") The Autoset can also run in straight CPAP mode (a single fixed pressure), and is a full data machine.JQLewis wrote:I only read the first post. I didn't see the strategy section. Looks like a good approach. Thanks.Pugsy wrote:Did you read this?
http://maskarrayed.wordpress.com/
Scroll down just a little ways till you see what Janknitze wrote about "Help, I have been given a brick".
So the probability is that my current pulmonologist is "in on" the scam. I have to find out what my options are with the insurance co, and get my PCP to cooperate in writing a proper prescription. Hopefully I can get things straightened out. My PCP requested that he get a copy of the sleep study, and I requested that my pulmonologist send it to him. I'll have to make sure that's been done.
The thing is that insurance pays by the billing code and it's the same billing code for all the above-mentioned machines: E0601. So your doc may or may not be aware that the DME gave you the cheapest machine they could get away with, because more than likely the doc's prescription simply identified the machine by the insurance billing code.