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CPAP machines, Sleep Apnea surgery and dental appliances.

CPAP Supplies

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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…"
Sep 1
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

I have been talking to my DME off and on all day.  Here's the deal, for our purposes let's just say that a CPAP costs $1000 and an APAP costs $2000 (because they told me the APAP is "about $1000 more than the CPAP).

 

The code for a CPAP and an APAP is the same code for medical billing.  My insurance would only reimburse my DME about $800 for the CPAP.  DME loses $200.  I need an APAP.  My insurance STILL only reimburses the $800.  DME loses $1200.  This is how it was explained to me today.  The girl I spoke to in billing was VERY nice.  She just had no authority.  She turned my case over to the owner of the DME and, last I heard, "He's working on it."

 

I am nosey.  I googled "wholesale cpap".  Lookie what I found:

 

http://www.directhomemedical.com/machines-cpap-bipap/intellipap-aut...

 

That is EXACTLY what was prescribed to me.  I realize I would need the hose and the mask and headgear. 

 

This machine is about 1/4 of what she explained to me that mine will cost.

 

I'm pretty close to fired up.  Real close, in fact. 

 

They are supposed to call me in the morning. 

 

I would appreciate insights and suggestions.  I promise when I get all this taken care of I'll quit bugging the crap out of everyone and do normal posts.

 

Thanks,

 

Fired up in Bama

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Sorry, I had to delete my previous reply and fix the wording, which was incorrect...

I am sure that you provide excellent support, however, the cost simply does not justify it. When the cost of a NEW machine mail order is FOUR TIMES less than the cost of one through a local company, I could EASILY have a second machine sitting there doing NOTHING, just waiting for the first one to fail before I use it. Then, when the 1st one fails I can figure out what to do.

Even local companies only provide the support during RENTAL. Once you actually PURCHASE the machine - if something happens to it, you are responsible for the cost. The sad fact is that these machine rent for outrageous sums of money - enough such that you could easily OWN it after only FOUR MONTHS. Why then, do insurance companies insist on 12 months of rental? Why would they do that? It seems to me they could easily lower their own costs and by doing so, lower the cost to the employer and ultimately, to the employee.

What has happened is that insurance companies have all become fat - fat because they simply pass along extra costs and MARK THEM UP. That's right - when they incur extra costs, they also make EXTRA PROFIT.

This model is broken badly. REAL HEALTH CARE REFORM is needed, not that crappy obamacare that will only help guarantee that more jobs will be moved overseas.

Sheri Fellat said:
Good morning,

As the sales manager for a reputable and ACCREDITED DME company, I would like to offer this comment.

There is a place for both on line as well as brick and mortar companies. What you may fail to realize is the we as a brick and mortar DME's, are required to become accredited. That means we must spend the time and resources to ensure not only that we provide excellent service and equipment, but that we do necessary follow-ups to ensure our patients get the most benefit from their treatment as well as their dollars! We perform downloads on a consistent basis and change masks out to ensure patient comfort acceptance and successful therapy. Online operations are not held to the same standards, typically wont file insurance and don't accept mask changes or perform downloads. They also don't have anyone to fit you properly! Those marks you get on your face are typically a result of a poor fit. Wasted money and time!!!!! We talk the masks back and ensure your comfort through our mask guarantee!

The other major distinction that has never been discussed here is that the insurance companies typically follow Medicare guidelines. What does this mean?
They require that we RENT to PURCHASE over 13 months!!!! That includes all the supplies necessary, typically sent quarterly but only with the patients consent.
Not only must we wait to be paid, but we must assure the patient is compliant and by downloading reports that reflect the patient is using their machine for a minimum of 4 hours per day for a period of 30 consecutive days. Then they must have face to face follow up visits with their doctors. We, the DME are responsible to maintain these records to ensure we remain accredited or the insurance companies will NOT PAY!!! Online companies don't have to do any of this. We also keep the doctors aware of their patients treatment an to help keep them aware of technology advances and benefits for the patient. If a patient was prescribed a cpap, but fails and needs to be moved to bi-level therapy, how would the unit you bought from the online company help you there? They would not, why? You own the unit, and they will gladly seel you another bi-;pap at your expense. We on the other hand, will exchange the unit, and continue to assist you in your therapy to ensure your success.

We take alot of pride in what we do as well as being tremendous patient advocates.

When is the last time an online provider came to your house on Sunday evening because your cpap failed? I do it all the time.

Sheri

j n k said:
Ms. Hertel,

I've been reading posts on apnea boards for a while, and yours ranks right up there as one of the most beautifully worded, most informative, and bravest posts I've ever read. It actually brought a lump to my throat. Good stuff.

Personally, I don't mind the arrangements from the honest brick-and-mortar DMEs when they actually provide something to the patients that keeps the patients happy and compliant and successful. I only resent the places that lie and milk the patients and do more to make the patients unhappy, non-compliant, and unsuccessful than to help. It is obvious that you are one of the good guys and gals.

Is there any chance you would be willing to go further on record to explain the following statement and make any suggestions about how to do it? (Not for me; I already buy online and get reimbursed, but not exactly by an insurance company.) It might help those in circumstances who need to do so.

"Most insurance companies will reimburse you if you pay cash."

Thanks. Truly a VERY nice post. And I'm not easily impressed. :-)

-jeff
Carl, Well said. The worst is yet to come thanks to our corrupt governments.
Good lord you guys! Maybe some of you should go over seas with those jobs. All you guys ever do is bitch.
Did you try adjusting the Apnea and Hypopnea settings? You can set the IntelliPAP Auto to respond more aggressively to both events.



Donald R. Byrd said:
Hi,

I'm a RRT for a Home care company, DME, I also use Cpap therapy to treat my OSA.

My Company provides a fair amount of cpap and service to many patients each month. I always put the patient first in every situation. My Company believes patient care must be first and is a core value that we practice every day.

Our patient cpap compliance rate is very high (you probably wouldn't believe me if I told the %) we are successful because we realize most people need clinical support initially and ongoing in order to treat OSA successfully.

Know what you’re buying. All CPAP machines are not equal, some cpap machines will treat your apnea better than others. Please trust that I'm telling you the truth, if you spend $500 on a machine that is not going to meet your needs well this is money that has been wasted and most importantly has not meet your health care needs. In all fairness I must say a percentage of patients may benefit from this type of unit, but it is a gamble, a gamble I would choose to avoid myself.

I believe an experienced Healthcare provider must support your every step starting at the beginning of cpap therapy. Insurance reimbursement decline is definitely affecting the quality of healthcare which is unfortunate for all us. without sufficient support most people will fail CPAP therapy which will result in poor quality of life and increase healthcare cost.

I was able to try the CPAP machine you are considering purchasing its brand new technology from this Manufacturer. A Representative let me have a cpap machine, I tried it for 4 days, it did not prform well for me. My OSA symptoms returned i.e., frequent awakenings, increased AHI, daytime naps :( so I switched back to my previous CPAP machine. My life is much better now.

A lot’s been said here I hope it helps you.

P.S. a happy patient is the best.

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