New User Compliance Question

FreeLancer74 · Post by **FreeLancer74** » Thu Nov 29, 2007 5:53 pm

Is Compliance only used to prove to the doctor and insurance that you are using the machine regularly? Does it mean you should be using it 365 times a year, or that you are "mostly" using it throughout the month?

If compliance does not have to be EVERY night, what percentage during the month do they expect you to use it?

For instance, my Resperonics M-series does not have a clock or date function, so how would they know which nights I used it and which I did not? Or is that set at the dealer before being shipped out?

DreamStalker · Post by **DreamStalker** » Thu Nov 29, 2007 6:19 pm

Not exactly sure but I think for insurance to be obligated to pay they want to see an average of 4 hours per day. I know someone will come by to provide more accurate info.

rested gal · Post by **rested gal** » Thu Nov 29, 2007 6:53 pm

I think "compliance" (for insurance to figure it's warranted to keep paying for cpap) is a minimum of 4 hours a day, 5 days a week.

Of course that's not anywhere near how much a person who has been diagnosed with OSA should be using their machine. That's just the minimum for insurance purposes. Actually, it's a good thing the minimum needed to prove "compliance" is so low. A lot of new cpap users struggle at the beginning with so many mask issues and with getting used to sleeping this crazy new way, cpaps would be yanked left and right if the requirement hours for justifying keeping a cpap were much higher.

That said, you should shoot for using your cpap EVERY sleeping moment. Including naps.

I don't want to have my air cut off anytime while I sleep. And certainly not because "4 hours/5 days a week" is the bare minimum to prove compliance. 'Cause that sure ain't enough if being able to breathe while we sleep is our goal.

bdp522 · Post by **bdp522** » Thu Nov 29, 2007 7:17 pm

My insurance wanted to see 4hours per night, 7 days a week. They did allow for 4 nights off per month the first month to allow you to adjust to treatment. They purchase the machine after the third month of compliance.

Brenda

Wulfman · Post by **Wulfman** » Thu Nov 29, 2007 10:10 pm

FreeLancer74 wrote:Is Compliance only used to prove to the doctor and insurance that you are using the machine regularly? Does it mean you should be using it 365 times a year, or that you are "mostly" using it throughout the month?

If compliance does not have to be EVERY night, what percentage during the month do they expect you to use it?

For instance, my Resperonics M-series does not have a clock or date function, so how would they know which nights I used it and which I did not? Or is that set at the dealer before being shipped out?

OH YES IT DOES! The internal clock is set to GMT at the factory. If you had the software and downloaded data you would see the times that are recorded.

There's also hours used and night's used (greater than 4 hrs.) data that should be able to be seen in the LCD menus when accessing the setup and/or user menus.

Also, if your card is in your machine and has been collecting data, it'll have compliance information on it.....by night and totals.

Den

FreeLancer74 · Post by **FreeLancer74** » Thu Nov 29, 2007 11:25 pm

Thanks for the info, guys.

glfredrick · Post by **glfredrick** » Fri Nov 30, 2007 7:52 pm

I have a question while we're on this topic...

Let's say I change my machine settings to auto. Will this throw my compliance data out the window or will it not matter?

Will I be asked to bring in the data card when I go to see the sleep doc for my 30 day review?

DreamStalker · Post by **DreamStalker** » Fri Nov 30, 2007 8:00 pm

glfredrick wrote:I have a question while we're on this topic...

Let's say I change my machine settings to auto. Will this throw my compliance data out the window or will it not matter?

Will I be asked to bring in the data card when I go to see the sleep doc for my 30 day review?

Won't matter with compliance data (actual hours used or some statistical value of use).

Some docs do ask for the data card while others wouldn't give a flying squat and still others have no idea how to interpret the data on the card.

Generally it is the DME that wants the compliance data so they can collect $$ from the insurance.

_________________

CPAPopedia Keywords Contained In This Post (Click For Definition): DME, auto

Wulfman · Post by **Wulfman** » Fri Nov 30, 2007 8:05 pm

glfredrick wrote:I have a question while we're on this topic...

Let's say I change my machine settings to auto. Will this throw my compliance data out the window or will it not matter?

Will I be asked to bring in the data card when I go to see the sleep doc for my 30 day review?

"No" to the first question. Compliance is recorded in any mode.

Don't know on the second one. Lots/most sleep doctors don't believe in the data and only care that you're using it. Also, many of them don't even have the card reader and software to read the cards. In most cases, it's the insurance providers who would probably be the ones who "care" about your compliance.....if they're paying for it (with your premium dollars).....and then it depends on whether the equipment is set up on payments to the DME. (The DMEs want to keep getting the payments)

Den

Mask

Additional Comments: Pressure = 16!!!

New User Compliance Question

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