Search found 74 matches

by fidget
Wed Feb 25, 2015 2:52 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: 6 Year Old Newly Diagnosed with OSA/CSA
Replies: 44
Views: 7500

Re: 6 Year Old Newly Diagnosed with OSA/CSA

Please seek further testing. There is a condition called Central Congenital Hypoventilation Syndrome. It is in the rare disease database. My granddaughter has this. It's a genetic mutation, can be several different places on the gene, with the higher up, usually the more severe. Severe cases are usu...
by fidget
Wed Dec 14, 2011 4:46 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: DME charge to Medicare for Swift FX
Replies: 12
Views: 5576

Re: DME charge to Medicare for Swift FX

Nonsense, that it is a ripoff. Medicare sets the prices, and the replacement schedule. Medicare dictates how to bill, and what requirements need to be met. Each piece has a different HCPC code, and that's how Medicare determines billing. As far as the bloated "billing" price, that's also Medicare's ...
by fidget
Tue Dec 13, 2011 4:40 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Getting signed up with Medicare/Humana
Replies: 11
Views: 11502

Re: Getting signed up with Medicare/Humana

Humana has a national exclusive contract with Apria. The exception is if there is no Apria covering your area. You'll be charged out of network rates with a different company, about double. You'll need a Medicare qualifying sleep study. You'll need office notes from your physician stating that you'r...
by fidget
Tue Dec 07, 2010 6:14 am
Forum: CPAP and Sleep Apnea Message Board
Topic: would you accept a bi-level when you really want an autopap?
Replies: 13
Views: 5238

Re: would you accept a bi-level when you really want an autopap?

Medicare makes it very clear how to qualify you for the machine you want, which is a bilevel. I think your doctor and nurse were confused by the VPAP part, thinking you meant you wanted a servo adaptive machine. The machine you want is a bipap, which Resmed can't say, cause bipap is a Respironics ow...
by fidget
Mon Apr 26, 2010 10:25 am
Forum: CPAP and Sleep Apnea Message Board
Topic: trying to determine whether my husband's dme is honest
Replies: 14
Views: 2416

Re: trying to determine whether my husband's dme is honest

The billing code is A7033, Medicare allowable is 2/1 month REPLACEMENT PILLOWS FOR NASAL APPLICATION DEVICE, PAIR That is 2 PAIR, not 2 pillows. They don't even come packages singly, so if they're trying to bill per pillow, they're ripping you off. HOWEVER- Medicare pays per month, if they send you ...
by fidget
Fri Nov 13, 2009 10:57 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Error E41
Replies: 12
Views: 8454

Re: Error E41

Its amazing how many dealers don't know how to work with Respironics warranty program. It won't work for you, so go into your DME and while you stand there, have them call Respironics customer service line. 1-800-345-6443. Option 1, Option 3, listen to the music for a while, talk to the technician, ...
by fidget
Fri Sep 18, 2009 9:58 am
Forum: CPAP and Sleep Apnea Message Board
Topic: On the half life of the RRT at cpaptalk.com
Replies: 61
Views: 7220

Re: On the half life of the RRT at cpaptalk.com

I've not posted in a long time, and if I feel there is something I can offer a person, tend to PM for that very reason. Also cause I'm nearly always blocked at work. Most have been civil to me when I have posted, but working for that dreaded A word company puts me at a disadvantage. I do know that m...
by fidget
Sat Dec 29, 2007 7:04 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Cigna starting patients on CPAP by just sending box
Replies: 36
Views: 9685

Cigna IS the boss. We don't even know that someone has been started on CPAP unless we get a phone call from the patient. Apria is simply the equipment supplier for Cigna, which directs care. I can't even change your mask for you without an auth from the Cigna referral center, even if you're sitting ...
by fidget
Tue Dec 11, 2007 8:01 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: New ComfortSeries Mask-ComfortFusion coming in Dec.
Replies: 10
Views: 3299

PSST****

It's aimed at the low end user, designed to compete with FP 407.

It's an economy mask.

That said, the forehead piece looks pretty comfortable, and there is no gel.

I had it in my little hands the other day.
by fidget
Tue Dec 11, 2007 9:20 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Apria sucks - there I said it.
Replies: 42
Views: 9426

Slinky, they're trying to train my poor malfunctioning brain to do customer service. I haven't had time to do much of anything besides try to cram key functions into my head. Here's the problem, Apria's branches are only as good as the people working there, and there truly is not a lot of support fr...
by fidget
Mon Dec 10, 2007 7:05 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Apria/ can i keep masks that i have already tried
Replies: 16
Views: 3978

You want to keep it, because you already purchased it, when you get a different one, the manufacturer is going to reimburse Apria for the one you got, and why on Earth would you give them a demo mask? You own it, and it's single patient use. If they want a demo mask, all they need to do is contact t...
by fidget
Mon Dec 10, 2007 6:56 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Apria sucks - there I said it.
Replies: 42
Views: 9426

Masks don't legally require a prescription, but most insurance companies do, or they won't reimburse. Some require a new script for each and every mask, which is the stupidest thing ever. Doug, the reason they probably need a specific script for the Hybrid is, that they have to special order it, the...
by fidget
Mon Dec 10, 2007 6:49 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Apria/ can i keep masks that i have already tried
Replies: 16
Views: 3978

Oh yes, and this is at no cost to you. So don't let them tell you otherwise.

Just make sure it's inside that 30 day window, and you should be covered.
by fidget
Mon Dec 10, 2007 6:47 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Apria/ can i keep masks that i have already tried
Replies: 16
Views: 3978

Got Cigna, don't you? They dictate policy on how CPAP setups are handled, the branch can't do anything without Cigna approval, and your bare bones machine is Cigna dictated, unless your doctor specifically prescribes something different. If you recieved a full face mask, it's because your sleep lab ...
by fidget
Sat Sep 29, 2007 4:42 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Apria?
Replies: 8
Views: 1838

Here's the thing with Cigna. And part of the exclusive contract with Cigna, means that we Apria employees have to have Cigna as well. Cigna dictates to US what we give to YOU. Everything goes through the Cigna referral center, they issue the orders. I couldn't even get a mask for myself without goin...