Join Our Newsletter

New? Free Sign Up

Then check our Welcome Center to a Community Caring about Sleep Apnea diagnosis and Sleep Apnea treatment:

CPAP machines, Sleep Apnea surgery and dental appliances.

CPAP Supplies

Latest Activity

Kay Day left a comment for Kay Day
"September 1, 2014 My apologies to Sleep Guide for not participating in a long time. In January 2012 I started classes at the local community college (my husband is an instructor there, and my tuition is refunded when my grades are above a C. My…"
21 hours ago
Mary Z posted a discussion

Sleep apnea increases risk of osteoporosis

Sleep apnea/osteoporosis study finds “increased” health riskA recently published study may have found a connection between obstructive sleep apnea (OSA) and osteoporosis, marking yet another health…See More
Aug 23
Mary Z replied to ZolliStar's discussion Non-invasion approach that can relieve mild sleep apnea
"Hi ZolliStar, I've heard before that speech therapy, or singing lessons can help sleep apnea.  The problem at that time was there was no way to determine which exercises help.  Getting research done, rather than anecdotal would be…"
Jul 28
ZolliStar posted a discussion

Non-invasion approach that can relieve mild sleep apnea

Some people report that singing -- singing! -- really helps their sleep apnea. Dr. Stephen Park said that myology (which are exercises to strengthen muscles around the inside of one's mouth area) helps some. I think singing would be better.  If you read all the FAQs on this (click below), I think you'll agree that it makes sense for some. Maybe you.http://www.singingforsnorers.com/index.htmSee More
Jul 28
ZolliStar posted a discussion
Jul 20
liz4cps commented on liz4cps's group Prince William Co, VA support group
"I talked to Kimberlie at the Novant Sleep lab last week (at Prince William Hospital) and she said they would not be holding any meetings this year but are planning to start holding meetings again next year.  I'll let you know when we have…"
Jul 14
richard graham posted a status
"I just have mask called the Wisp. Hope it works. Anybody have experience with it. I have an ultra mirage nasal mask and get leaks at brid"
Jul 9
Andy posted a discussion

Resmed S8 AutoSet II - No Longer Collecting Data??

Hi All,First off, my apologies for not checking in for a long time.I've been using my Resmed S8 AutoSet II for almost 3 years! I feel great, have lost almost 30 lbs, am no longer sleepy during the day, sleep through the night, and have my short-term memory back.Yay!I've told my doctors that I'm the "poster child" for Sleep Apnea and CPAPs! It's been, and continues to be, such an amazing experience that I want everyone to know!Everything has been going well in CPAP-land, but in the last few…See More
Jul 7
hifay replied to richard graham's discussion mouth breathing
"What type of chin straps?"
Jul 6
Ginny Edmundson replied to Ginny Edmundson's discussion Scheduled for evaluation and possible procedure next day
"No real improvement in sleep study.  Just not having to use cervical neck color.  What a bummer. Surgeon wants another sleep study in about a month or so (home one) Not sure if will do or not. "
Jun 22
Mary Z replied to Ginny Edmundson's discussion Scheduled for evaluation and possible procedure next day
"Ginny, how are you doing after the tongue procedure?"
Jun 22
Mary Z posted a discussion

AHI finally under five.

I have been on CPAP since March 2008 and had a good AHI when I started therapy (under 5).Then my AHI started getting worse- for a while it stayed in the 20's, then we got it to the high teens.  Nothing we did would help.  My doctor said it was due to the meds I take.  For a couple of years I just tolerated the high AHI.  I did another sleep study and changed to an ASV machine.  For two years I still had a AHI around 11-13.  Then all of a sudden - a month ago I noticed my AHI was running five or…See More
Jun 22
ZolliStar replied to richard graham's discussion mouth breathing
"FWIW, I've been alternating between my mouth device and my APAP. I haven't used humidity at all when I use the APAP -- and don't miss it, either. "
Jun 14
richard graham replied to richard graham's discussion mouth breathing
"I still use humidity but less of it. It seems to be working OK.."
Jun 14
ZolliStar replied to richard graham's discussion mouth breathing
"I rarely use the humidifier. I think it's less necessary during the summer when there is humidity.   I also switch between my mouth device and the APAP.  I like each for different reasons. Not sure with which I sleep better, though.…"
May 21
Mary Z replied to richard graham's discussion sick again
"I've been doing well.  I think you were going to try the cpap without humidity- did that help at all?  I haven't had a cold for a couple of years."
May 14
Ginny Edmundson replied to richard graham's discussion sick again
"CPAP seems to cause stuffiness in many of us.  ANother reason I hate it so much!Do you rinse your nose with saline once a day…maybe before you go to bed for the night? "
May 5
richard graham replied to richard graham's discussion sick again
"I do wake up stuffed up most days"
May 5
richard graham replied to richard graham's discussion sick again
"I do have non allergic rhinitis. Now I'm thinking that's probably it because I only feel that way for a day or 2. Thank you"
May 4
Ginny Edmundson replied to richard graham's discussion sick again
"I have been lucky.  Not one cold past three years. Could some of your problem be allergies?"
May 4
My durable medical equipment company called the other day to check up and see whether i was using a newly prescribed machine. I kind of fudged the truth and said that i'm using it without any problems, which i'm not. My question is if they check the data card on my machine can i get into trouble or have to pay for the machine out of pocket?

Views: 48

Reply to This

Replies to This Discussion

As a health care provider that works a lot with sleep apnea I should know the billing answer but I don't I confess. But, as a provider, I STRONGLY encourage you to work with your home care co and sleep provider to find a solution that works. If you're having problems, there should hopefully be a respiratory therapist somewhere in your system, or maybe someone from the sleep lab who can make some suggestions or help you find more appropriate equipment if there are big issues. If the DME company won't work with you to find a solution, shop around fro a home care company who's focus is respiratory medicine. Last night was night 3 for me with my own CPAP, and the first night I kept it on all night. It does take time to get used to, and it's not unreasonable to work into it gradually. Keep trying!!!
Why would you fib to the person or service that is providing your equipment and to whom you SHOULD be turning to for advice and assistance in acclimating to CPAP therapy? Their RT can't help you if they don't know you are having a problem! They aren't mind readers. YOU are experiencing the problem, YOU SHOULD be contacting them AND your sleep doctor for the assistance you need. We are then here to fill in the gaps as we can.

WHY SHOULD your insurance continue to pay for expensive equipment you are NOT using? Yes, the insurance company can refuse to pay for that equipment and yes, you would have signed paperwork agreeing to be responsible for what insurance doesn't pay.

It is YOUR responsiblity to make this therapy work for you. It is THEIR responsiblity to help you out w/any problems you make them aware you are having. They can't help w/a problem they don't know exists.
This is a double-edged razor. If the DME is calling based on their concern for you as a patient, you need to be upfront with them. Why aren't you using the equipment? Is there a fitting problem? Is there an anxiety issue? What ever it is, be honest.

If they are calling and hiding the pretext for the call as concern for you, but really questioning your usage as a basis for the insurance report they will file, and they will, as it is required in order for them to receive payment for their service, you may have a problem.

If you are having issues with the equipment, you need to get them resolved quickly. The insurance company will review your compliance based on the information from the data card at some point. Your DME will file the report so they can be paid. If you have perpetuated the lie, they could actually consider criminal charges of insurance fraud (this is a worst case scenario). Not saying that that would occur, but I have seen them institute legal action to recover what they consider as a fraudulent claim.

Remember - You are the one who controls your treatment. Educate Yourself
If they check your data card -- they are going to be very aware you aren't using your machine if you aren't. No getting around it.

Call them tell them you are having problems. Insurance is paying them to help YOU.
i wasn't feeling right about not telling them the truth. i'll come clean and ask what they suggest to use the machine better.

Reply to Discussion

RSS

© 2014   Created by The SleepGuide Crew.

Badges  |  Report an Issue  |  Terms of Service