Search found 48 matches

by vic
Wed Jan 07, 2015 7:48 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Highmark Blue Cross opens their own DME.
Replies: 13
Views: 5227

Re: Highmark Blue Cross opens their own DME.

Be interesting to hear from some Medicare contracted suppliers in the Pittsburgh area.
by vic
Wed Jan 07, 2015 9:04 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Highmark Blue Cross opens their own DME.
Replies: 13
Views: 5227

Highmark Blue Cross opens their own DME.

Is having a Blue Cross insurance Company opening a DME a good thing ?

Looks like they have the support of the major manufacturers.

What are your thoughts............?
by vic
Mon Sep 15, 2014 8:16 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Classic Sleepcare DME charges
Replies: 23
Views: 10018

Re: Classic Sleepcare DME charges

Could the $35 be for compliance documentation ? Some ins comp require you to use the cpap over 4 hours each night - others will monitor for first year.
by vic
Mon Sep 15, 2014 7:49 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Classic Sleepcare DME charges
Replies: 23
Views: 10018

Re: Classic Sleepcare DME charges

This DME should have reviewed the price structure prior to or at least at the initial startup of cpap. Also, I would think that the DME company (Classic Sleepcare) would have also disclosed that you are out of network. Your concern is the $35 'service charge'. Could this be some service you requeste...
by vic
Mon Dec 23, 2013 7:00 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Changed masks 5 times
Replies: 19
Views: 3590

Re: Changed masks 5 times

Could it be that when you start cpap, the ramp is active, thus no leak at 4 cm. As the pressure gradually increases to the prescribed pressure the mask leaks........say at about 8cm. Try placing your mask on and note the pressure. A ramp will be active for about 20 minutes. If you wear the mask for ...
by vic
Sat Oct 26, 2013 8:50 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Contracted Medicare Suppliers - Do they use the same equip ?
Replies: 6
Views: 974

Contracted Medicare Suppliers - Do they use the same equip ?

Do the companies that are Contracted Medicare Suppliers all use the same type of PAP Equipment ? Are they providing machines that are of lesser quality or that don't provide the needed compliance recorder ? A 40% decrease in reimbursement - how do they provide the same quality machines ? Or, were we...
by vic
Thu Sep 19, 2013 6:12 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: 90 day checkup with DME
Replies: 33
Views: 6401

Re: 90 day checkup with DME

Medicare does not require a copy of your sleep test. They do require that the DME maintains in your file a copy of everything they state within the Medical Policy for CPAP.
by vic
Thu Sep 12, 2013 8:17 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: 90 day checkup with DME
Replies: 33
Views: 6401

Re: 90 day checkup with DME

Just about all insurance companies now have, in some form, a medical policy that should explain the requirements needed by your Medical Doc.(PCP), Sleep lab, Sleep Doc., DME, then follow-ups. Each must maintain records showing COMPLIANCE with the CPAP. Private insurance companies, for the most part,...
by vic
Sun Jun 30, 2013 11:33 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Good Luck Medicare and Medicare Beneficiaries
Replies: 17
Views: 2255

Re: Good Luck Medicare and Medicare Beneficiaries

July 1st starts medicares Rd 2 for contracted suppliers. Seems like a mess to me. Was a sincere gesture.
by vic
Sun Jun 30, 2013 10:37 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Good Luck Medicare and Medicare Beneficiaries
Replies: 17
Views: 2255

Good Luck Medicare and Medicare Beneficiaries

Medicare Beneficiaries Good Luck………..Problems with service call Medicare or new contracted provider. 1-800-medicare
by vic
Tue Jun 25, 2013 8:18 am
Forum: CPAP and Sleep Apnea Message Board
Topic: I have a meeting with my DME...
Replies: 19
Views: 2289

Re: I have a meeting with my DME...

You may need that information going forward. Insurance requires it. Get a copy if you change machines.

If you pap unit was an antibiotic..............would you go from the generic to the name brand.
My point is.........you seem to be doing fine on the Icon. Why play with success.
by vic
Mon Jun 24, 2013 6:51 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: New user- Why does CPAP make me feel sick?
Replies: 17
Views: 6766

Re: New user- Why does CPAP make me feel sick?

Do you have a large copay ? That can make you sick.

Kidding aside, positional therapy seems like a good suggestion.
by vic
Mon Jun 24, 2013 6:47 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: I have a meeting with my DME...
Replies: 19
Views: 2289

Re: I have a meeting with my DME...

Just curious, what pressures are you set at ? Will the Icon tubing fit the S9 ?
You may want to get some type of read out on your compliance You have had the Icon 3 weeks.
by vic
Fri May 31, 2013 8:48 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Attorney-urges-Congress-end-sleep-apnea-claims-abuse
Replies: 95
Views: 12091

Re: Attorney-urges-Congress-end-sleep-apnea-claims-abuse

Well, let's make sure those free-loading vets don't get a dime from the tax payers! They should be grateful we gave them the chance to get shot at. One day post Memorial Day. The very Day our Fathers, Brothers, Sons and Daughters gave their all so we can bitch about paying for a chin strap. How cou...
by vic
Fri May 31, 2013 7:54 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Totally Fed Up Vent
Replies: 37
Views: 4065

Re: Totally Fed Up Vent

Call your sleep center, your sleep Doc or look in the yellow pages. rent a machine like your husbands. Have your prescribed settings placed in the machine. Have the sleep doc look at report. Forget the sleep study for now, it may be a machine or mask problem. May even be a YOU problem (increased ahi...