Getting official medical help with osa and sp02 levels?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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zoocrewphoto
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Re: Getting official medical help with osa and sp02 levels?

Post by zoocrewphoto » Thu Feb 28, 2019 9:58 pm

ravenous28 wrote:
Thu Feb 28, 2019 3:58 pm

Of course I don’t believe that. I’m just telling you what the attitude is in the medical field. No one out there in the medical field who is in the sleep business is going advocate anyone using sleepyhead. Why would they when they want you to keep paying for follow up appointments.
Actually, my sleep doctor was very impressed when I showed up for my followup with data printouts and a printout from the main page of cpaptalk.com. He asked if he could have it so that he could recommend it to others.

A few weeks later, I started helping my mother. She had an older machine (without data), and she had never had the great results that I did. After I finished my followup, I let my mom use my machine at her prescribed setting of 10 for half a night. Her ahi looked okay for doctors, but not great. 3.4 But what really caught my eye was the cluster of long events. 8 events over 30 seconds each (one over a m minute) in about 15 minutes time. I printed the report. A few nights later, she used my machine again for half a night with the machine set for 10-13 to see what it wanted to do. i printed that report too. I went with my mom to my sleep doctor. He reviewed her old sleep study (several years old) and the two reports I had printed from MY machine. He prescribed a new machine, set for 10-15. And he shook my hand.

So, yes, some doctors do approve of us using our software. He was not bothered at all that I let somebody else use my machine. And he wrote a prescription for a new machine based on an OLD sleep study and two printed reports from MY machine.


And, as I mentioned before, I asked my new PCP for a prescription for cpap supplies and got it with no problem. She did not have ANY of my sleep study info. Just my word that I use cpap, and I would like to buy supplies with insurance.

If your statements here are correct, you have a doctor who probably profits from a sleep study, so he insists you need one. Just go to a different doctor. Tell them you would like a written prescription for a cpap machine and supplies. Every cpap user should be able to get supplies any time they need. They should be able to buy a backup machine if they want to. And if they travel, it is a good idea to have a copy in case something breaks. It is a legitimate request.

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Jay Aitchsee
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Re: Getting official medical help with osa and sp02 levels?

Post by Jay Aitchsee » Fri Mar 01, 2019 7:51 am

turbo wrote:
Thu Feb 28, 2019 5:13 pm
ChicagoGranny wrote:
Thu Feb 28, 2019 7:18 am
OfftoNeverNeverland wrote:
Wed Feb 27, 2019 4:21 pm
it is clear that selling Class II medical equipment (CPAP) without being licensed to issue a prescription for such Class II equipment is a federal criminal offense.
Do you have a clue what you wrote? If you do, you might want to edit that sentence.
Selling machines and issuing prescriptions are two different things.

Doctor who writes the prescription, usually can't sell the machine (conflict of interest)
And the DME's who are licensed to sell, don't have to be licensed to issue a prescription (that's Docs job)

Please see this short thread for a little more info on CPAP "prescriptions":
viewtopic.php?f=1&t=105610&p=1000426&hi ... n#p1000426
Jay Aitchsee wrote:
Sat May 09, 2015 4:49 pm
From Googling around:

It looks to me that this prescription thing as it refers to CPAP is largely due to licensing requirements of DME providers as regulated by the Centers for Medicare and Medicaid Services (CMS) under the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 and has to do primarily with coverage of supplies by Medicare, Medicaid, and other agencies. One of the requirements for dispensing of equipment (and insurance reimbursement) is a "Doctor's Order", or statement of medical necessity, which is often referred to, I think erroneously, as a prescription.
Further, these requirements only apply to businesses which provide DME and have nothing to do with individuals who would like to personally buy, sell or advise about the use of equipment.

Edit: See additional posts below for the role of the FDA in restricting certain Medical Devices to sale only on oral or written authorization by a licensed practitioner or under conditions specified by regulation - which would appear to be the basis of the CMS regulations cited above.

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ChicagoGranny
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Re: Getting official medical help with osa and sp02 levels?

Post by ChicagoGranny » Fri Mar 01, 2019 12:18 pm

Jay Aitchsee wrote:
Fri Mar 01, 2019 7:51 am
Please see this short thread for a little more info on CPAP "prescriptions":
viewtopic.php?f=1&t=105610&p=1000426&hi ... n#p1000426
condoms, pregnancy test kits, and CPAP machines are Class II devices
I think two of those three Class II devices will come in handy before this thread has culminated.

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turbo
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Re: Getting official medical help with osa and sp02 levels?

Post by turbo » Fri Mar 01, 2019 2:22 pm

ChicagoGranny wrote:
Fri Mar 01, 2019 12:18 pm
Jay Aitchsee wrote:
Fri Mar 01, 2019 7:51 am
Please see this short thread for a little more info on CPAP "prescriptions":
viewtopic.php?f=1&t=105610&p=1000426&hi ... n#p1000426
condoms, pregnancy test kits, and CPAP machines are Class II devices
I think two of those three Class II devices will come in handy before this thread has culminated.
Now this is funny, I don't care who you are :lol:
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chunkyfrog
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Re: Getting official medical help with osa and sp02 levels?

Post by chunkyfrog » Sat Mar 02, 2019 11:58 am

"Going rouge" . . .
The phrase makes me think of the 50's color photo of a toddler
getting caught using Mommy's makeup.
:lol:

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