They are watching

[zorki1c]

My wife recently got a new Resmed machine and to be different i got a Dreamstation to replace my five year old S9. The guy at DME pointed out that both machines send info to both the DME and the clinician so if we mess around with the settings they will know. This could cause the medicare provder to take back the machines which are “rented” for the first 13 months after which we own them. Something to think about.

[Stom]

My wife recently got a new Resmed machine and to be different i got a Dreamstation to replace my five year old S9. The guy at DME pointed out that both machines send info to both the DME and the clinician so if we mess around with the settings they will know. This could cause the medicare provder to take back the machines which are “rented” for the first 13 months after which we own them. Something to think about.

This is appears to be one of those "Citation Needed" issues. As far as I've seen posted in this forum, the only thing insurance compliance monitors is use data, not prescription settings. Are there any confirmed cases where a compliant user has had medicare yank their machine for changing the setting?

[Wulfman...]

My wife recently got a new Resmed machine and to be different i got a Dreamstation to replace my five year old S9. The guy at DME pointed out that both machines send info to both the DME and the clinician so if we mess around with the settings they will know. This could cause the medicare provder to take back the machines which are “rented” for the first 13 months after which we own them. Something to think about.

There are ways around those situations.
If you buy the equipment outright and don't get in the "rent-to-own" insurance/DME contracts, that won't happen.
The data transmission can be disconnected. Don't sign up for or approve their ability to do that.
Some people live outside of any type of communications links that would allow the data collection.

These data collection/compliance features have only been in recent models of the equipment from a few manufacturers.

But, why would anybody NOT be compliant? The therapy is a benefit to your health and needs to be taken seriously.


Den

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[Wulfman...]

My wife recently got a new Resmed machine and to be different i got a Dreamstation to replace my five year old S9. The guy at DME pointed out that both machines send info to both the DME and the clinician so if we mess around with the settings they will know. This could cause the medicare provder to take back the machines which are “rented” for the first 13 months after which we own them. Something to think about.

This is appears to be one of those "Citation Needed" issues. As far as I've seen posted in this forum, the only thing insurance compliance monitors is use data, not prescription settings. Are there any confirmed cases where a compliant user has had medicare yank their machine for changing the setting?

Another good point! I've never heard of any in 13+ years on this forum.


Den

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[palerider]

The guy at DME pointed out that both machines send info to both the DME and the clinician so if we mess around with the settings they will know. This could cause the medicare provder to take back the machines which are “rented” for the first 13 months after which we own them. Something to think about.

That's what is called "a blatant lie".

Medicare doesn't give a shit if you change your settings to make it work better

The previous blatant lie was that it is "illegal" for you to change your own settings.

[prodigyplace]

My wife recently got a new Resmed machine and to be different i got a Dreamstation to replace my five year old S9. The guy at DME pointed out that both machines send info to both the DME and the clinician so if we mess around with the settings they will know. This could cause the medicare provder to take back the machines which are “rented” for the first 13 months after which we own them. Something to think about.

I have changed my settings while within my insurance compliance & rental period (10 months, in my case). When I went to a regular sleep doctor appointment the only thing mentioned was my minimum & maximum pressures last used and what my AHI was and that it was good.

If they had checked their records or the machine records they could have easily seen the settings had been adjusted. I do not think they really cared because the treatment is working.

[LSAT]

If...you decided that you didn't want any of your data sent to the DME, you could switch to airplane mode in the settings. However, they wouldn't get your usage either. All this data goes into the cloud...not to doctor or DME. The Doctor or DME must actually ask for your data to be downloaded to them.

[Stom]

If...you decided that you didn't want any of your data sent to the DME, you could switch to airplane mode in the settings. However, they wouldn't get your usage either. All this data goes into the cloud...not to doctor or DME. The Doctor or DME must actually ask for your data to be downloaded to them.

I'd say there is no "cloud", just other people's computers connected to the internet. In this case the "cloud" is actually ResMed's computers, which DMEs and doctors can access if they have your machine's serial number and device number. The DME or Dr. does have to get the data from ResMed, but I expect ResMed just takes it on trust that they have permission to access the data if they have the machine SN and device number.

[palerider]

I'd say there is no "cloud", just other people's computers connected to the internet.

Well, this should be an interesting argument, against the common nomenclature of today's IT establishment.

Typically, "the cloud" is remote compute/storage facilities owned by a third party, not just a company with an internet connection.

I've no idea whether the data is going to resmed directly, ir to Amazon, Google, Joyent, or others.

[clenchingtobreathe]

If...you decided that you didn't want any of your data sent to the DME, you could switch to airplane mode in the settings. However, they wouldn't get your usage either. All this data goes into the cloud...not to doctor or DME. The Doctor or DME must actually ask for your data to be downloaded to them.

I'd say there is no "cloud", just other people's computers connected to the internet. In this case the "cloud" is actually ResMed's computers, which DMEs and doctors can access if they have your machine's serial number and device number. The DME or Dr. does have to get the data from ResMed, but I expect ResMed just takes it on trust that they have permission to access the data if they have the machine SN and device number.

I'm on the 13 month rental with Medicare as well and have carefully read all the info from Healthspring regarding their requirements. They just want proof that you are 70% compliant with 4 hrs use per day. The DME informs them of compliancy. It makes sense...Medicare doesn't want to pay for equipment that people aren't taking seriously. Interestingly, I called my Drs office the other day regarding some of my issues and talked with the respiratory therapist who told me to keep at it because she could see the decrease in my events. They are getting info from somewhere....probably ResMed. No problem for me.

[Goofproof]

I'd say there is no "cloud", just other people's computers connected to the internet.

Well, this should be an interesting argument, against the common nomenclature of today's IT establishment.

Typically, "the cloud" is remote compute/storage facilities owned by a third party, not just a company with an internet connection.

I've no idea whether the data is going to resmed directly, ir to Amazon, Google, Joyent, or others.

In other words, your data is going into someones cloud, maybe or maybe the cloud your data is in has been sold, or maybe it's just vaporized. That's why I don't use a "Cloud", I have drives and devices that store my data, all my data that I use and need. Jim

If by chance some of it escapes to the Cloud, anywhere it end up doesn't matter, I still have it.

[Stom]

I'd say there is no "cloud", just other people's computers connected to the internet.

Well, this should be an interesting argument, against the common nomenclature of today's IT establishment.

Typically, "the cloud" is remote compute/storage facilities owned by a third party, not just a company with an internet connection.

I'd say it's entirely consistent with the use of the term. "other people" == "third party" and "computers on the internet" == "remote compute/storage facilities".

The problem with the term "cloud" computing, I think, is that it is nebulous, and people think their data is going to some mysterious place where all the "cloud computing" happens, but in reality it is going to specific places paid for by specific companies, not, say, the cloud dimension. But you are right, of course, that ResMed may be renting cloud services from various HIPPA compliant vendors to store and process the data. But it in terms of custody, the data goes to ResMed, on computers they control, rather than some nebulous, unknown cloud place where data co-mingles.

[greatunclebill]

if you don't want to send your data thru the air to someone else, simply disable or put it on airplane mode. if your doctor or dme want to see your data for compliance, simply copy your sd card and bring them the copy. changing your settings is between you and the doctor, not the dme or insurance. the dme can change nothing on your machine without the doctor's permission.

[palerider]

The problem with the term "cloud" computing, I think, is that it is nebulous, and people think their data is going to some mysterious place where all the "cloud computing" happens, but in reality it is going to specific places paid for by specific companies, not, say, the cloud dimension.

I'm not sure one could call Amazon AWS a 'specific place', or google, or even Joyent... maybe some of the smaller places, but it gets pretty nebulous with the big systems, and moves around.

Even my linodes are only vaguely specific, yes, it's on a specific piece of hardware today, but tomorrow, it may be somewhere else, though usually in the same facility.

But you are right, of course, that ResMed may be renting cloud services from various HIPPA compliant vendors to store and process the data.

Interesting thought, is the data even subject to HIPPA? what's sent is anonymous, no personal identifiers... until your doctor pulls down
device ID: 278F4944-60E0-6A05-7B12-5967D4548BF6, nobody knows that data belongs to you...

[kteague]

In the past I've changed my settings, went in for a visit at the DME and they checked my data, and they didn't even notice. Same at one doctor's visit. Other times it could become an issue. An unlikely but possible scenario I can think of where changing settings could affect authorization for payment is if the prescribing doctor takes offense and terms you as non compliant with their treatment plan and withdraws authorization (is that even a thing?) or fires you as a patient. I'd be interested in hearing if that exteme situation has ever happened to anyone on here. I remember stories on here of getting fired by a physician, but don't remember anything about it affecting their CPAP treatment.