My DME Experience Today

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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Slinky
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Post by Slinky » Wed Oct 17, 2007 3:51 pm

Robbie wrote: .... As someone who works in healthcare billing/reimbursement, I'm more than willing to bet that we'll either see local DME's extending substantial discounts to healthcare payers in the future - or internet based xPAP equipment distribution by insurance companies. I rarely go to the local pharmacy anymore to have a prescription filled. My maintenance prescriptions go electronically to a fulfillment center who ships me a 90 day supply. Can xPAP be far behind? xPAP and supplies for the moment appears to be a "cash cow" with many insurers still paying under the old 80/20 model.

<End Rant Zone - Assume Normal Speed>
Oh, m'gawd, Robbie. THAT scares the h*ll outta me! Mail order, insurance paid xPAPs!!! Groan. Sob. Back we go to bare-bones, not even compliance data CPAPs!!!! Generic, bottom of the line, CPAPs!!! HORRORs! Such a suggestion should be ERASED before some insurance company sees it!!! Oh, sob. choke. sniffle. moan. whine. sob, great big giant sob, SCREAM!

N0ooooo!!!


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msheda
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Post by msheda » Wed Oct 17, 2007 4:32 pm

lilsheba wrote:I'm having issues with Two Factors delivering my card reader. Right now I think it's at the post office but I"m not sure, I ordered it a month ago and the tracking shows it's delivered but I don't have it. Usually at my complex if they deliver something and I"m not there they take it to the front office and so far the front office hasn't seen it. I don't know why this can't be more straight forward!

Check at your Mail Delivery Station (aka local post office). I had to sign for mine as well, They couldn't leave it at the apartment office. They should have left a notice on your door (which of course probably promptly go blown away, or replace by the guy from the chineese food place that left his menu).

GumbyDamit

Post by GumbyDamit » Wed Oct 17, 2007 5:25 pm

lilsheba wrote:Right now I think it's at the post office but I"m not sure, I ordered it a month ago and the tracking shows it's delivered but I don't have it.
I would have already filed a claim with the PO. Why haven't you?

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lilsheba
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Post by lilsheba » Wed Oct 17, 2007 8:05 pm

papdaddy wrote:
lilsheba wrote:I'm having issues with Two Factors delivering my card reader. Right now I think it's at the post office but I"m not sure, I ordered it a month ago and the tracking shows it's delivered but I don't have it. Usually at my complex if they deliver something and I"m not there they take it to the front office and so far the front office hasn't seen it. I don't know why this can't be more straight forward!
Lilsheba I recently received a reader from two-factor and it only took 10 days. The post lady brought it to our door and scaned it for proof of delivery. Maybe some one else picked it up. They should of scanned it when delivered.


Rich
See that's the problem when stuff is brought to the door there is usually no one home, and usually a package goes to the office. However this one didn't for some reason and now I think it's at the post office, which is actually quite far away from me and I don't have time to go get the dang thing. And I don't have time to call them between 8 and 5 to try and arrange re delivery. *sigh*.

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allergyridden
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Two Factor

Post by allergyridden » Thu Oct 18, 2007 6:27 am

The card reader was out of stock when I got my machine. I ordered it after they showed they had them again. Got an email 10 days later that it was shipped and would take 2 weeks. I'm sure wishing I had ordered it locally!
I got a bill for my co-pay from my DME, my Quattro with headgear was $630.


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msheda
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Re: Two Factor

Post by msheda » Thu Oct 18, 2007 6:31 am

[quote="allergyridden"]The card reader was out of stock when I got my machine. I ordered it after they showed they had them again. Got an email 10 days later that it was shipped and would take 2 weeks. I'm sure wishing I had ordered it locally!
I got a bill for my co-pay from my DME, my Quattro with headgear was $630.


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Snafood
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DME Experience

Post by Snafood » Thu Oct 18, 2007 8:50 am

At the risk of being banned form the forum’s, black listed from the internet, and possibly stoned and beaten as I leave my house, I will admit it….I work for a DME. Granted, I’m a little different, as I use a CPAP machine religiously and can personally relate to my patient’s what to expect and how to adjust the new experience of CPAP therapy. After reading this thread thus morning, I felt that I needed to make a few statements and reply to a few comments.


Lavendermist – sorry to hear about your troubles/doubts/concerns with your DME provider. Unfortunately, it’s a far too common experience. What a lot of patients fail to understand is that, except in a very few circumstances, you have a choice in your provider and do not have to accept the company that your doctor/insurer ordered from. Finding a good DME provider is a lot like finding a good auto mechanic. You may have to keep looking and asking around, but sooner or later you will find one that knows what they are talking about and you’ll soon become well acquainted. You should be able to feel comfortable asking questions about new product and options available to you and get honest, knowledgeable answers. A good provider may not have all the answers or know every machine/mask like the back of their hand, but they should be honest enough to admit it and willing to find out the info for you.

Guest - stated that DME’s are business people. Well, yes, we are business people. Believe me, it’s not easy staying current with ever advancing technology while trying to provide equipment for insurers who still think there is only one type of CPAP machine and one level of CPAP therapy. A lot of insurers are still paying the same allowables that they did 10 years ago. DME’s are forced to either give up revenue (measly to begin with) to provide advanced equipment such as APAP’s, or collect upgrade charges from the beneficiary’s to make up the difference. Those that complain that they can’t get an APAP without a substantial out of pocket expense should contact their provider and ask them why they don’t allow for advanced equipment which will better treat their condition.

Robbie – looking forward to internet based distribution for APAP’s? How about doing without equipment for 2-4 weeks while you ship it back for service? Most local DME’s will provide you with loaner equipment, ship yours back to the factory for authorized repair, and return yours to you when repaired. A lot of local (mom & pop) DME’s have already fallen victim to internet based competition, and it’s a sad thing. I personally would rather patronize a local business man or woman who is there for answers and service when needed.

Sorry if all this sounds like a rant, but I get frustrated when all I see mentioned are bad experiences with the “evil DME”. It’s like everything else, folks…we’re not all bad…just keep looking.


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Wulfman
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Re: DME Experience

Post by Wulfman » Thu Oct 18, 2007 9:13 am

Snafood wrote:At the risk of being banned form the forum’s, black listed from the internet, and possibly stoned and beaten as I leave my house, I will admit it….I work for a DME. Granted, I’m a little different, as I use a CPAP machine religiously and can personally relate to my patient’s what to expect and how to adjust the new experience of CPAP therapy. After reading this thread thus morning, I felt that I needed to make a few statements and reply to a few comments.


Lavendermist – sorry to hear about your troubles/doubts/concerns with your DME provider. Unfortunately, it’s a far too common experience. What a lot of patients fail to understand is that, except in a very few circumstances, you have a choice in your provider and do not have to accept the company that your doctor/insurer ordered from. Finding a good DME provider is a lot like finding a good auto mechanic. You may have to keep looking and asking around, but sooner or later you will find one that knows what they are talking about and you’ll soon become well acquainted. You should be able to feel comfortable asking questions about new product and options available to you and get honest, knowledgeable answers. A good provider may not have all the answers or know every machine/mask like the back of their hand, but they should be honest enough to admit it and willing to find out the info for you.

Guest - stated that DME’s are business people. Well, yes, we are business people. Believe me, it’s not easy staying current with ever advancing technology while trying to provide equipment for insurers who still think there is only one type of CPAP machine and one level of CPAP therapy. A lot of insurers are still paying the same allowables that they did 10 years ago. DME’s are forced to either give up revenue (measly to begin with) to provide advanced equipment such as APAP’s, or collect upgrade charges from the beneficiary’s to make up the difference. Those that complain that they can’t get an APAP without a substantial out of pocket expense should contact their provider and ask them why they don’t allow for advanced equipment which will better treat their condition.

Robbie – looking forward to internet based distribution for APAP’s? How about doing without equipment for 2-4 weeks while you ship it back for service? Most local DME’s will provide you with loaner equipment, ship yours back to the factory for authorized repair, and return yours to you when repaired. A lot of local (mom & pop) DME’s have already fallen victim to internet based competition, and it’s a sad thing. I personally would rather patronize a local business man or woman who is there for answers and service when needed.

Sorry if all this sounds like a rant, but I get frustrated when all I see mentioned are bad experiences with the “evil DME”. It’s like everything else, folks…we’re not all bad…just keep looking.
We have quite a few RTs and DME personnel that frequent this place.....welcome to the forum. We really DO appreciate the input from "the far side".

When I was about to purchase my equipment from CPAP.COM, the local DMEs put that scenario to me.....about what I would do if something happened to my machine and I would have to send it in.......
My reply was that for the price they were asking, I could afford to purchase at least one or two backup machines......which I eventually did. The first machine and mask my insurance reimbursed me for 80% of my out-of-pocket costs, and the other machines, masks, etc. were purchased totally out-of-pocket.

I've never used a local DME to purchase anything.

Den

Last edited by Wulfman on Thu Oct 18, 2007 9:15 am, edited 1 time in total.
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Guest

Post by Guest » Thu Oct 18, 2007 9:13 am

Snafood, I'm not saying all DMEs are bad. I just have heard horror stories and had some bad experiences myself and am leary. The guy was nice enough, but I didn't like having a mask thrown on me which I'm worried that the insurance won't cover since it hasn't been three months since my last mask. What's worse, I wore the thing last night and it leaked horribly and cut into the side of my nose. He told me the mask was over $200. I wouldn't give you 2 cents for it. First thing this morning I boxed it back up and called their office and told them to tell him to come pick the mask up. I'll stick with my almost brand new full face mask that has been working just fine. This is partly my problem, because I should have refused the mask in the first place. I guess I need lessons in assertiveness. Oh well, I haven't heard back from them yet, so I guess I'll just have to see what happens. I hope I don't get stuck with a second (both same name brand) mask for my ever growing collection that I absolutely hate and will not use.

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Slinky
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Re: DME Experience

Post by Slinky » Thu Oct 18, 2007 11:09 am

[quote="Snafood"]At the risk of being banned form the forum’s, black listed from the internet, and possibly stoned and beaten as I leave my house, I will admit it….I work for a DME. Granted, I’m a little different, as I use a CPAP machine religiously and can personally relate to my patient’s what to expect and how to adjust the new experience of CPAP therapy. After reading this thread thus morning, I felt that I needed to make a few statements and reply to a few comments.


Lavendermist – sorry to hear about your troubles/doubts/concerns with your DME provider. Unfortunately, it’s a far too common experience. What a lot of patients fail to understand is that, except in a very few circumstances, you have a choice in your provider and do not have to accept the company that your doctor/insurer ordered from. Finding a good DME provider is a lot like finding a good auto mechanic. You may have to keep looking and asking around, but sooner or later you will find one that knows what they are talking about and you’ll soon become well acquainted. You should be able to feel comfortable asking questions about new product and options available to you and get honest, knowledgeable answers. A good provider may not have all the answers or know every machine/mask like the back of their hand, but they should be honest enough to admit it and willing to find out the info for you.

Guest - stated that DME’s are business people. Well, yes, we are business people. Believe me, it’s not easy staying current with ever advancing technology while trying to provide equipment for insurers who still think there is only one type of CPAP machine and one level of CPAP therapy. A lot of insurers are still paying the same allowables that they did 10 years ago. DME’s are forced to either give up revenue (measly to begin with) to provide advanced equipment such as APAP’s, or collect upgrade charges from the beneficiary’s to make up the difference. Those that complain that they can’t get an APAP without a substantial out of pocket expense should contact their provider and ask them why they don’t allow for advanced equipment which will better treat their condition.

Robbie – looking forward to internet based distribution for APAP’s? How about doing without equipment for 2-4 weeks while you ship it back for service? Most local DME’s will provide you with loaner equipment, ship yours back to the factory for authorized repair, and return yours to you when repaired. A lot of local (mom & pop) DME’s have already fallen victim to internet based competition, and it’s a sad thing. I personally would rather patronize a local business man or woman who is there for answers and service when needed.

Sorry if all this sounds like a rant, but I get frustrated when all I see mentioned are bad experiences with the “evil DME”. It’s like everything else, folks…we’re not all bad…just keep looking.


_________________
Mask: Quattro™ FX Full Face CPAP Mask with Headgear
Additional Comments: PR SystemOne BPAP Auto w/Bi-Flex & Humidifier - EncorePro 2.2 Software - Contec CMS-50D+ Oximeter - Respironics EverFlo Q Concentrator
Women are Angels. And when someone breaks our wings, we simply continue to fly.....on a broomstick. We are flexible like that.
My computer says I need to upgrade my brain to be compatible with its new software.

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LavenderMist
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Post by LavenderMist » Sun Oct 21, 2007 12:56 am

At my DME's request, I tried the UMFF mask another night. I readjusted the forehead adjustment and didn't have the nose soreness problem, but leaks were a big problem. It sealed well at first, but apparently started leaking badly during sleep. I sleep on my side and sometimes toss and turn. I guess it just wasn't meant to be. I woke up breathless with my heart pounding. I had the same experience the first time I tried the mask.

I'm pleased to report that he brought me a new mask this morning. He told me he would be in my area and just to call him if it didn't work out. I was surprised he was working on Saturday morning. He is a very nice guy and I appreciate him going the extra mile. So, a bad situation turned out well. I look forward to working with him in the future.
I'm looking forward to much better sleep tonight.


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Nightwatcher
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Post by Nightwatcher » Sun Oct 21, 2007 4:17 am

Wow, a DME person right here in front of us. And, I am up late looking for a snack!

Truthfully, I appreciate you being here and telling your side of it both as a professional and a consumer of these devices. I would not mind paying a fellow cpap patient. You might have invaluable advice from your own experience.

However, my DME costs a lot, and won't answer hardly any questions. That bothers me, since I don't think the machines and masks should cost anything like what they do.

In our area these machines are being prescribed faster than the DMEs can deliver them. Companies are crying for RTs.

CPAPs are poorly designed, expensive air pumps. I know lots of people A scuba gear mfg could make a much better one. There is a lot of voodoo marketing on these things. If there is a Sleep Ap Epidemic then we should look at how to get these into people's hands as cheaply as possible.

Thank you for being here - and being open about your work. Like I wrote, it would be great to have another cpap patient as my RT. I could learn a lot. Maybe over time more folks will go into the profession or come out of the closet.



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GumbyCT
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Re: Desktop USB Smart Card Reader

Post by GumbyCT » Sun May 10, 2009 5:58 pm

Just a flashback to when I bought my card reader.
Looks like two-factors is completely out of business now. I can't access their website any more.
What was the other site? Secure-Tech?
The driver is avail thru MS now. Just let the installer search the web.
GumbyCT wrote:I recently ordered a reader from here-
Desktop USB Smart Card Reader
Price: US $24.00
shipping cost: USD 7.80
Total: USD 31.80
http://www.two-factor.com/shop/index.php?productID=115

The drivers are also at the above link for anyone who needs them.

I used Paypal. It took 2 days to get an email confirmation - 7 days after that I was using it.

I think you want the USB Reader?

Good Luck,
GumbyCT

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