Anniversary-airsense10

[Marke]

Good morning all,
Celebrating 10 years on cpap. So as per 5 year insurance
rules I ordered a new machine. Airsense10. I've been using S9 autoset for the last 10 years
and love the machine.(thanks to this site and all your users help I wouldn't have known about that machine back then)
Anyways I received the new machine Saturday and Sunday opened her up and went into clinical menu and set up all my parameters.
Been using it for 4 days and did some tweaking as i seems not quite the same as my S9. So I was scheduled a phone call yesterday
morning with the medical service provide and he called right on schedule and said he was going to remotely set up my machine, and I told him I already set it up and been
using it for 4 days. He said per the prescription that I am not allowed by law to mess with any settings and he cleared everything and rest it to my doc's script numbers.
Stating that messing with the pressure settings is against the law, and could nullify any insurance payments, etc., etc. I know that its cellular and that someone is watching me. probably for a compliance period, and I have no problems with that as I do use it and average 7.5 to 8.0 hrs per night. He stated that if I want a pressure change
that I need to call my doc and have a new script sent over and they will remotely change it. I feel it may possibly take a few weeks of playing with settings to find
my sweet spot. (maybe not) I called my insurance carrier and explained and they said they don't monitor or get involved in this stuff. So who' besides resmed and my med provider is monitoring me and is there any truth to what this man said about getting into trouble for tweaking settings. Also before my insurance paid for both machines aand now its on some type of 12 month rental before insurance pays or something of that nature. I don't want to bother my doc everytime I feel I want to experiment with a .5 or a
.7 tweak plus or minus to a pressure settings. for now I will try machine and follow my results with re rescan software I have. Anyways have any of you experienced this type
of situation and did you tweak things while under compliance and or rental period and find someone contacting you and warning you about making changes to machine.
Don't like this big brother stuff if you know what I mean, and I will turn on airplaine mode as soon as I know insurance and compliance is met. Not going to sign up for the MYair app either, Just using the rescan and thats all I need. Sorry for the long post and as always thank you to all the users and members out there. This site really saved me 10 years ago.
Blessings to you all.
Marke

[LSAT]

Good morning all,
Celebrating 10 years on cpap. So as per 5 year insurance
rules I ordered a new machine. Airsense10. I've been using S9 autoset for the last 10 years
and love the machine.(thanks to this site and all your users help I wouldn't have known about that machine back then)
Anyways I received the new machine Saturday and Sunday opened her up and went into clinical menu and set up all my parameters.
Been using it for 4 days and did some tweaking as i seems not quite the same as my S9. So I was scheduled a phone call yesterday
morning with the medical service provide and he called right on schedule and said he was going to remotely set up my machine, and I told him I already set it up and been
using it for 4 days. He said per the prescription that I am not allowed by law to mess with any settings and he cleared everything and rest it to my doc's script numbers.
Stating that messing with the pressure settings is against the law, and could nullify any insurance payments, etc., etc. I know that its cellular and that someone is watching me. probably for a compliance period, and I have no problems with that as I do use it and average 7.5 to 8.0 hrs per night. He stated that if I want a pressure change
that I need to call my doc and have a new script sent over and they will remotely change it. I feel it may possibly take a few weeks of playing with settings to find
my sweet spot. (maybe not) I called my insurance carrier and explained and they said they don't monitor or get involved in this stuff. So who' besides resmed and my med provider is monitoring me and is there any truth to what this man said about getting into trouble for tweaking settings. Also before my insurance paid for both machines aand now its on some type of 12 month rental before insurance pays or something of that nature. I don't want to bother my doc everytime I feel I want to experiment with a .5 or a
.7 tweak plus or minus to a pressure settings. for now I will try machine and follow my results with re rescan software I have. Anyways have any of you experienced this type
of situation and did you tweak things while under compliance and or rental period and find someone contacting you and warning you about making changes to machine.
Don't like this big brother stuff if you know what I mean, and I will turn on airplaine mode as soon as I know insurance and compliance is met. Not going to sign up for the MYair app either, Just using the rescan and thats all I need. Sorry for the long post and as always thank you to all the users and members out there. This site really saved me 10 years ago.
Blessings to you all.
Marke

Your doctor is feeding you a line of BS. Your insurance is only concerned that you use the machine during the compliance period. There is now "law"that prevents you from adjusting pressures to improve your therapy. most insurance will have you rent for 12 months and then you own the machine with no further payments. It sounds like the doctor wants you dependent on him..maybe for $$$$$ purposes. The HIPAA laws prevent anyone from seeing your medical records except for your doctor. You should download the Oscar software..you will find it much more user friendly than Rescan.. https://www.sleepfiles.com/OSCAR/

If you need it..Here is the Clinical Manual for your machine... https://www.respshop.com/manuals/ResMed ... %20her.pdf

[Julie]

We all play with our settings a lot! It is Your therapy (and insce/money) and to remain ignorant about your settings or anything else is wrong. Listen to LSAT!

Part of the problem is that so many MDs, ignorant themselves about how the machines work, tell DMEs and pts to use the machine default settings of 4 min and 20 max... the max parts ok, but almost all of us cannot breathe (or get useful therapy from) the min. setting of 4, so use at least 6 (usually higher) to start and then see how things go, tweaking when necessary - so often according to how Oscar behaves. No one's watching you (or cares enough to) and most of us also stopped using Ramp settings years ago too.

[Marke]

THANKS, But itsnot my doctor who is requiring me to report changes in my settings.
My doctor is fine with me taking control of my therapy.
Its the service company who I use to get supplies and the machine.
It was their sleep/respiratory therapist who I believe is feeding me all the nonsense.
He said I need to contact my doctor with any changes who would then have to write a new pressure script
and send it to service company who would then remote in to my machine and make changes.
I think its all nonsense
Marke

[DreamDiver]

Marke,

There is NO such law. Your DME is trying to remain relevant in an era when people are learning they can titrate for themselves.

In fact, the law protects you from this kind of garbage. Here's an article from Vice.com that appeared a couple years ago talking about how SleepyHead (Now OSCAR) has revolutionized sleep apnea care. https://www.vice.com/en_us/article/xwjd ... ine-hacker

Want to take back control? Put your DME on notice. Take your machine into airplane mode. This keeps your machine from dialing in. Change the settings to your preferred settings. Tell your DME that they can only have access to your myAir data again if they promise not to touch your pressure or other settings. If they squawk, tell them you're shopping for a new DME or just drop them altogether. Find out from your insurance what compliance data they need and send it in. It's likely the OSCAR data you have accumulated just from the last year alone prior to your acquisition of this machine will satisfy their compliance needs and you can just send them a pdf of your OSCAR stats page with your general profile data filled in (Name, address, etc.) A full past year of good compliance data in a single sheet will more than satisfy any insurance company and push the claim through.

You don't have to be rude to them, but don't let the DME push you around either. They still don't understand that they're supposed to be collaborating with you, not hindering you. The sooner they understand that you're in control of your own therapy, the less flak you'll get from them.

Chris

[Pugsy]

the medical service provide and he called right on schedule

This would be the people/person who supplied you the machine...is that correct?

We call them the DME and while it is correct that they cannot change any settings on your machine that might alter the RX without a doctor's say so...there is no such law that states the patient can't change the settings.
It is a typical power trip comment from DMEs who don't like it when patients go changing things.

Ask him to point you to the law that says patients can't change the settings....he can't because there is no such law. There's just the law that says he can't change it without the doctor okaying it and that doesn't apply to you. It's no different than the law that says the pharmacist can't go changing the dosage on a RX for a medication that your doctor might have ordered.

He's feeding you a load of bull crap. No one cares but him and he really has no say so in the matter. Tell him to keep his remote hands off your machine because your doctor doesn't care and if he has a problem with that tell him to contact your doctor.

[Marke]

You are correct. Its the DME feeding me the crap.
Thats why I love this site so much. I get quick no nonsense answers from intelligent indivuals like yourselves.
I can't tell you how many people I've helped in the last ten years who were diagnosed and didn't know where to go.
And I advised them all on best machine as well as pointing them here for an abundance of wealth and knowledge.
I salute you all!.
Marke

[zonker]

gonnastealthat.png

[DreamDiver]

gonnastealthat.png

[chunkyfrog]

When I picked up my first Airsense 10, I had already read the manual;
and set the machine myself before leaving the DME.
The tech asked, "So what do I do?"
I answered, "Help the other patients, who can't do this."

[DreamDiver]

When I picked up my first Airsense 10, I had already read the manual;
and set the machine myself before leaving the DME.
The tech asked, "So what do I do?"
I answered, "Help the other patients, who can't do this."

+1

Chunkyfrog... Saving the day!

[chunkyfrog]

How did you know about my flying unicorn?
I thought she was a secret.

[DreamDiver]

How did you know about my flying unicorn?
I thought she was a secret.

We pretend not to know when you want us not to know, but... unicorns are hard to hide, eh?

[palerider]

THANKS, But itsnot my doctor who is requiring me to report changes in my settings.
My doctor is fine with me taking control of my therapy.
Its the service company who I use to get supplies and the machine.
It was their sleep/respiratory therapist who I believe is feeding me all the nonsense.
He said I need to contact my doctor with any changes who would then have to write a new pressure script
and send it to service company who would then remote in to my machine and make changes.
I think its all nonsense
Marke

Tell your service company that you are officially refusing to let them make any changes because their representative lied to you.