Using Manometer

SleepGeek · Post by **SleepGeek** » Sun Jun 07, 2020 8:28 pm

blueeyes wrote: ↑
Sun Jun 07, 2020 1:50 pm
I went to local DME here. They said since I had not had a sleep study in 18 years I had to have one before Medicare would pay. I have consistently used CPAP for 18 years. I took SD card to doctor and they said SD Card was empty so now I have to wait on sleep test. I have used software called sleepyhead before to read SD card. I am going to try to find that again. Maybe that will tell me something.

By all means do call Medicare but I believe Medicare requires 120 min. of diagnostic before they will cover supplies. If your last PSG did not meet that - that is the problem. As for the card being empty, inserting it into the cpap should load any data from the cpap onto the card automatically.

Goofproof · Post by **Goofproof** » Sun Jun 07, 2020 8:46 pm

The card switch must be in the unlocked position to be written to. Jim

SleepGeek · Post by **SleepGeek** » Mon Jun 08, 2020 5:59 am

Goofproof wrote: ↑
Sun Jun 07, 2020 8:46 pm
The card switch must be in the unlocked position to be written to. Jim

Certainly.

blueeyes · Post by **blueeyes** » Mon Jun 08, 2020 6:01 am

I had unlocked the card. I will download software when I get home. I have not looked at the data for a while.

ChicagoGranny · Post by **ChicagoGranny** » Mon Jun 08, 2020 6:24 am

SleepGeek wrote: ↑
Sun Jun 07, 2020 8:28 pm
I believe Medicare requires 120 min. of diagnostic before they will cover supplies.

That's not true. I hope you haven't discouraged Blueeyes.

A positive test for OSA is established if either of the following criterion using the Apnea-Hypopnea Index (AHI) or Respiratory Disturbance Index (RDI) are met:
AHI or RDI greater than or equal to 15 events per hour, or
AHI or RDI greater than or equal to 5 and less than or equal to 14 events per hour with documented symptoms of excessive daytime sleepiness, impaired cognition, mood disorders or insomnia, or documented hypertension, ischemic heart disease, or history of stroke.
The AHI is equal to the average number of episodes of apnea and hypopnea per hour. The RDI is equal to the average number of respiratory disturbances per hour.

If the AHI or RDI is calculated based on less than two hours of continuous recorded sleep, the total number of recorded events to calculate the AHI or RDI during sleep testing is at least the number of events that would have been required in a two hour period.

CMS.gov

chunkyfrog · Post by **chunkyfrog** » Mon Jun 08, 2020 10:06 am

SleepGeek wrote: ↑
Sun Jun 07, 2020 8:28 pm
. . . I believe Medicare requires 120 min. . . .

Yep, that's another 3-post "expert"--probably on the payroll of a sleep lab.
Cute, but no biscuit--bad dog!

SleepGeek · Post by **SleepGeek** » Mon Jun 08, 2020 7:06 pm

ChicagoGranny wrote: ↑
Mon Jun 08, 2020 6:24 am

SleepGeek wrote: ↑
Sun Jun 07, 2020 8:28 pm
By all means do call Medicare but I believe Medicare requires 120 min. of diagnostic

That's not true. I hope you haven't discouraged Blueeyes.

A positive test for OSA is established if either of the following criterion using the Apnea-Hypopnea Index (AHI) or Respiratory Disturbance Index (RDI) are met:
AHI or RDI greater than or equal to 15 events per hour, or
AHI or RDI greater than or equal to 5 and less than or equal to 14 events per hour with documented symptoms of excessive daytime sleepiness, impaired cognition, mood disorders or insomnia, or documented hypertension, ischemic heart disease, or history of stroke.
The AHI is equal to the average number of episodes of apnea and hypopnea per hour. The RDI is equal to the average number of respiratory disturbances per hour.

If the AHI or RDI is calculated based on less than two hours of continuous recorded sleep, the total number of recorded events to calculate the AHI or RDI during sleep testing is at least the number of events that would have been required in a two hour period.
CMS.gov

Do share how you think Blueeyes was discouraged, IF you know.

Please also share, What positive contributions you two young ladies have made today.

chunkyfrog wrote: ↑
Mon Jun 08, 2020 10:06 am

SleepGeek wrote: ↑
Sun Jun 07, 2020 8:28 pm
By all means do call Medicare but I believe Medicare requires 120 min. of diagnostic . . .
Yep, that's another 3-post "expert"--probably on the payroll of a sleep lab.
Cute, but no biscuit--bad dog!

This is the welcome sleep deprived people give to the new people who try to help. Quite charming dontcha think

chunkyfrog · Post by **chunkyfrog** » Mon Jun 08, 2020 7:55 pm

Excuse me, but "help" is not composed of wild-a$$ guesses.

palerider · Post by **palerider** » Mon Jun 08, 2020 11:10 pm

SleepGeek wrote: ↑
Mon Jun 08, 2020 7:06 pm
This is the welcome sleep deprived people give to the new people who try to help. Quite charming dontcha think

New people should just sit on the sidelines until they've actually learned something, and can provide *ACCURATE* information, don'cha think?

It cuts down on the need for posting corrections.

SleepGeek · Post by **SleepGeek** » Tue Jun 09, 2020 6:32 pm

blueeyes wrote: ↑
Sun Jun 07, 2020 3:35 pm
Thanks! I will definetly call Medicare tomorrow. They should be able to tell me. When I get home I am going to download sleepyhead to my pc and see what it shows on the SD card. Never thought I would be stuck with cost of sleep study.

Do let us know what you found out. ie. did your old PSG not meet some part of their new guidelines since your last PSG?

Here's hoping the welcome party here didn't scare you off.

zonker · Post by **zonker** » Tue Jun 09, 2020 6:58 pm

SleepGeek wrote: ↑
Tue Jun 09, 2020 6:32 pm

blueeyes wrote: ↑
Sun Jun 07, 2020 3:35 pm
Thanks! I will definetly call Medicare tomorrow. They should be able to tell me. When I get home I am going to download sleepyhead to my pc and see what it shows on the SD card. Never thought I would be stuck with cost of sleep study.
Do let us know what you found out. ie. did your old PSG not meet some part of their new guidelines since your last PSG?

Here's hoping the welcome party here didn't scare you off.

huh. interesting. blueeyes thanks chunkyfrog for help and YOU somehow want to take credit for it?

you know, the poster YOU blew off because you are so concerned with tone of voice and such.

bless your heart.

blueeyes · Post by **blueeyes** » Tue Jun 09, 2020 8:14 pm

Thanks Sleepgeek. Finally got a sleep study scheduled for next week. We will see how things go

Whale Road · Post by **Whale Road** » Wed Jun 10, 2020 6:21 am

SleepGeek wrote: ↑
Tue Jun 09, 2020 6:32 pm
did your old PSG not meet some part of their new guidelines since your last PSG?

This sounds so hopeful in the negative. I suspect you've been praying it did not meet new guidelines while thinking it would save face for you in the forum.

BTW, Medicare has tended to loosen requirements, e.g., HSTs are now approved.

Pugsy · Post by **Pugsy** » Wed Jun 10, 2020 6:30 am

Were you on Medicare when you got the current machine 7 years ago?
If so....Medicare doesn't/wouldn't require a new sleep study. They already have all the information they need from whatever was submitted when they paid for the machine 7 years ago.
Anyone telling you that Medicare now needs a new sleep study when they already paid for a machine 7 years ago is full of BS.

Now if you turned 65 or went on Medicare after you got the machine 7 years ago there are some potential hoops to get Medicare to pay for a machine now. Medicare has certain requirements for those situations but most are easily met in this day and time. I think CG posted those requirements. Medicare has indeed loosened the requirements in the last few years. Home studies done are now approved as long as certain data points are collected in the home study. So it depends on the level of sleep study done.

SleepGeek · Post by **SleepGeek** » Thu Jun 11, 2020 8:05 am

Whale Road wrote: ↑
Wed Jun 10, 2020 6:21 am

SleepGeek wrote: ↑
Tue Jun 09, 2020 6:32 pm
Do let us know what you found out. ie. did your old PSG not meet some part of their new guidelines since your last PSG?
This sounds so hopeful in the negative. I suspect you've been praying it did not meet new guidelines while thinking it would save face for you in the forum.

BTW, Medicare has tended to loosen requirements, e.g., HSTs are now approved.

Talk about negative ...

FTR I do not wish a PSG on anyone, unfortunately it is how we get dx'd, titrated, and begin our journey.
Also FTR I have had 5 PSG's. The first 4 did not meet Medicare requirements when I was eligible. AND the 5th found things the first 4 did not ie. bruxism which should have been dx'd at each.

While Medicare has adjusted their requirements over the years apparently they have yet to relax the 2hr dx requirement. I do agree Medicare should not want to pay for a (another) PSG if they do NOT have to. I guess it is their way of weeding out some people.

I have never had an HST but a friend just did one and is now waiting to get in for the "in lab" titration portion and yes he is on Medicare.

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