Medicare Coverage for an Fully Data Capable CPap

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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avi123
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Re: Medicare Coverage for an Fully Data Capable CPap

Post by avi123 » Fri Sep 13, 2013 12:05 pm

I would start on that Respironics Remstar SE, and get going with the treatment. That machine is most likely an oldie that was used before with other patients. At this point I would not waste my time being aggressive. You can do it later. You can see here what the better machines are:

https://www.cpap.com/cpap-machines/phil ... creative=p

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nanwilson
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Re: Medicare Coverage for an Fully Data Capable CPap

Post by nanwilson » Fri Sep 13, 2013 12:16 pm

avi123 wrote:I would start on that Respironics Remstar SE, and get going with the treatment. That machine is most likely an oldie that was used before with other patients. At this point I would not waste my time being aggressive. You can do it later. You can see here what the better machines are:

https://www.cpap.com/cpap-machines/phil ... creative=p
For crying out loud Avi, would you accept a used machine, I expect not no matter what brand, used is not acceptable.
Luke, I would just take the machine back to the DME and demand a data capable one, if they refuse to allow it, I would just walk out and go elsewhere.
Good Luck
Started cpap in 2010.. still at it with great results.

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49er
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Re: Medicare Coverage for an Fully Data Capable CPap

Post by 49er » Fri Sep 13, 2013 12:17 pm

luke1985 wrote:Okay I registered. If anyone knows nice DME around Athens, Ohio 45740, let me know. I have already called twice to DME. Should I go ahead and call later today after 2:15 p.m.? This way I can talk to her again. She said she would talk to him today when he came in later today? I know brothering to much, will be bad. But I also don't want them to think I will forget about this major problem. I need to check my leak loss often so I know I get an good session. If I can't look at that then I don't know how much sessions are going, which means the machine will not be helping me. This is some of the stuff I am thinking of mentioning if they want to try to play dumb. I can't belive DME can do this. Its not fun for anyone, including others out there, to have to go through this much hassle to get a machine that have leak loss or fully datable capable.
Hi Luke1985,

With all due respect to Hyperlexia and Avi, I would not settle for the brick if I were in your situation. And if they don't call you back by a certain time today, I would call again. And if you're worried about calling too much, simply apologize and then say but you are concerned about your health and need the data capable machine to monitor the leaks. Follow Pugsy's excellent advice.

Personally, I wouldn't use the machine and would take it back to the DME. I fear if you continue to use it, it will make it harder to get the exchange.

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luke1985
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Re: Medicare Coverage for an Fully Data Capable CPap

Post by luke1985 » Fri Sep 13, 2013 12:26 pm

Okay just got back with the DME. Said they would swap it out for Resmed Elite. There even coming to my house to set I up, today. I don't know if it is the S9 or S8, but I believe either one is fully data capable. Can anyone tell me some good software to use with this? I have heard of sleephead. Also, what are the differences in the software?

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hyperlexis
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Re: Medicare Coverage for an Fully Data Capable CPap

Post by hyperlexis » Fri Sep 13, 2013 12:31 pm

49er wrote:
luke1985 wrote:Okay I registered. If anyone knows nice DME around Athens, Ohio 45740, let me know. I have already called twice to DME. Should I go ahead and call later today after 2:15 p.m.? This way I can talk to her again. She said she would talk to him today when he came in later today? I know brothering to much, will be bad. But I also don't want them to think I will forget about this major problem. I need to check my leak loss often so I know I get an good session. If I can't look at that then I don't know how much sessions are going, which means the machine will not be helping me. This is some of the stuff I am thinking of mentioning if they want to try to play dumb. I can't belive DME can do this. Its not fun for anyone, including others out there, to have to go through this much hassle to get a machine that have leak loss or fully datable capable.
Hi Luke1985,

With all due respect to Hyperlexia and Avi, I would not settle for the brick if I were in your situation. And if they don't call you back by a certain time today, I would call again. And if you're worried about calling too much, simply apologize and then say but you are concerned about your health and need the data capable machine to monitor the leaks. Follow Pugsy's excellent advice.

Personally, I wouldn't use the machine and would take it back to the DME. I fear if you continue to use it, it will make it harder to get the exchange.

49er

I didn't tell her not to take it back -- I just told her they had no obligation to take it and exchange it for her, and that it could be very difficult to do so. I want to play doctor isn't going to be good enough reason for a stubborn DME to accept a machine back and eat the cost, plus the cost of a new unit. It's the you take it, you bought it model. It sucks, but that's the way it is.

Yes the sooner she complains, the better the chance of the DME taking it back. Hopefully it gets done.

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49er
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Re: Medicare Coverage for an Fully Data Capable CPap

Post by 49er » Fri Sep 13, 2013 12:41 pm

luke1985 wrote:Okay just got back with the DME. Said they would swap it out for Resmed Elite. There even coming to my house to set I up, today. I don't know if it is the S9 or S8, but I believe either one is fully data capable. Can anyone tell me some good software to use with this? I have heard of sleephead. Also, what are the differences in the software?
Make sure it is the S9 Elite and not the S8. Well, you're not getting an autoset but as Pugsy rightfully said, that isn't the worst thing in the world. And it is data capable which is the most important thing

Here is the link to download sleepyhead:

http://sourceforge.net/projects/sleepyh ... rce=navbar

Not an expert in rescan software which is used with the Elite but perhaps someone who has used it can tell you the differences between the two programs.

49er

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49er
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Re: Medicare Coverage for an Fully Data Capable CPap

Post by 49er » Fri Sep 13, 2013 12:44 pm

hyperlexis wrote:
49er wrote:
luke1985 wrote:Okay I registered. If anyone knows nice DME around Athens, Ohio 45740, let me know. I have already called twice to DME. Should I go ahead and call later today after 2:15 p.m.? This way I can talk to her again. She said she would talk to him today when he came in later today? I know brothering to much, will be bad. But I also don't want them to think I will forget about this major problem. I need to check my leak loss often so I know I get an good session. If I can't look at that then I don't know how much sessions are going, which means the machine will not be helping me. This is some of the stuff I am thinking of mentioning if they want to try to play dumb. I can't belive DME can do this. Its not fun for anyone, including others out there, to have to go through this much hassle to get a machine that have leak loss or fully datable capable.
Hi Luke1985,

With all due respect to Hyperlexia and Avi, I would not settle for the brick if I were in your situation. And if they don't call you back by a certain time today, I would call again. And if you're worried about calling too much, simply apologize and then say but you are concerned about your health and need the data capable machine to monitor the leaks. Follow Pugsy's excellent advice.

Personally, I wouldn't use the machine and would take it back to the DME. I fear if you continue to use it, it will make it harder to get the exchange.

49er

I didn't tell her not to take it back -- I just told her they had no obligation to take it and exchange it for her, and that it could be very difficult to do so. I want to play doctor isn't going to be good enough reason for a stubborn DME to accept a machine back and eat the cost, plus the cost of a new unit. It's the you take it, you bought it model. It sucks, but that's the way it is.

Yes the sooner she complains, the better the chance of the DME taking it back. Hopefully it gets done.
Fair points Hyperlexia. I think I was concerned because you seemed to feel Luke could do very well on a brick when so many people struggle greatly with therapy initially. Without data, he would have been been in big trouble.

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avi123
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Re: Medicare Coverage for an Fully Data Capable CPap

Post by avi123 » Fri Sep 13, 2013 12:52 pm

luke, so you got your resmed Elitile. Lets see you now treating yourself on it beautifully.

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Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments:  S9 Autoset machine; Ruby chinstrap under the mask straps; ResScan 5.6
Last edited by avi123 on Fri Sep 13, 2013 11:07 pm, edited 1 time in total.
see my recent set-up and Statistics:
http://i.imgur.com/TewT8G9.png
see my recent ResScan treatment results:
http://i.imgur.com/3oia0EY.png
http://i.imgur.com/QEjvlVY.png

luke1985
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Re: Medicare Coverage for an Fully Data Capable CPap

Post by luke1985 » Fri Sep 13, 2013 12:57 pm

As long as its fully data capable with a humtifier that will just be fine. I will let you know if its the s7 s8 or s9 elite later when I get it. Should be around 4:00 p.m. today. If I don't get it today, I will not use the brick, I will just fine another company, unless I can pick the fully data capable unit at the store. I think they are trying there best. So, lets keep our fingers crossed. When I get my first reading I will post the results. Thanks for everyone reading, and helping me out. I really appreciate the time you guys took out of your day to help me.

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Re: Medicare Coverage for an Fully Data Capable CPap

Post by 49er » Fri Sep 13, 2013 1:04 pm

luke1985 wrote:As long as its fully data capable with a humtifier that will just be fine. I will let you know if its the s7 s8 or s9 elite later when I get it. Should be around 4:00 p.m. today. If I don't get it today, I will not use the brick, I will just fine another company, unless I can pick the fully data capable unit at the store. I think they are trying there best. So, lets keep our fingers crossed. When I get my first reading I will post the results. Thanks for everyone reading, and helping me out. I really appreciate the time you guys took out of your day to help me.
Luke,

You want the s9 Elite which is the latest model. Please do not settle for anything older.

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luke1985
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Re: Medicare Coverage for an Fully Data Capable CPap

Post by luke1985 » Fri Sep 13, 2013 1:10 pm

I would do that but, they told me a doctor will usally have to write in the prescription fully data capable, but they are going to give me an fully data capable. They told me it would be the resmed Elitile but did not tell me what one(eg... s7,s8,s9) Is there a reason I can tell them I need this. I think I am pushing to my limit as it is. I can always call the doctor though.

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Re: Medicare Coverage for an Fully Data Capable CPap

Post by 49er » Fri Sep 13, 2013 1:18 pm

luke1985 wrote:I would do that but, they told me a doctor will usally have to write in the prescription fully data capable, but they are going to give me an fully data capable. They told me it would be the resmed Elitile but did not tell me what one(eg... s7,s8,s9) Is there a reason I can tell them I need this. I think I am pushing to my limit as it is. I can always call the doctor though.
Uh no, you're not pushing your limit as you are entitled to have the latest model machine. Don't need to give them any reason as I would simply call and verify that you are getting the S9 Elite.

If they start playing games or refuse to tell you, tell them you will return your machine and find another DME who can provide what you need.

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Re: Medicare Coverage for an Fully Data Capable CPap

Post by 49er » Fri Sep 13, 2013 1:20 pm

When you have time, you might want to read the thread about Lincare ethics that for now, is below your thread. Since most DMEs could care less about being ethical, you shouldn't be worried about pushing too hard and should get exactly what you deserve which is the latest machine model that is data capable.

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luke1985
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Re: Medicare Coverage for an Fully Data Capable CPap

Post by luke1985 » Fri Sep 13, 2013 1:29 pm

I have check the lincare out. I can not believe it. Even though I do. I am not going lincae. It is another provider. If they do me good I will tell you the name, if they do me bad, again I will tell you the name. If I have to drive all the way to Columbus, ohio, which is an 2 hour drive a way; I will do that to get the machine I want. Lets just see what they deliver.

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luke1985
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Re: Medicare Coverage for an Fully Data Capable CPap

Post by luke1985 » Fri Sep 13, 2013 2:14 pm

Just got my s9 elite. Please lead me to guides on sleepyhead. Thanks

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