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CPAP Supplies

Latest Activity

99 replied to 99's discussion colloidal silver
"i have purchased some silver the make my own colloidal silver"
15 hours ago
99 replied to 99's discussion colloidal silver
"just add to the distilled water it is antimicrobial eg cleans your machine and is beneficial for keeping you healthy  from bugs germs viruses you get the picture and when you need to clean the humidifier out, put water on your plants the silver…"
15 hours ago
Mary Z left a comment for richard graham
"If the heated tube works with your machine I would try that.  They also make covers for your tubing which may help some.  I think the heated tube may be your answer.  Keep us posted."
18 hours ago
Mary Z left a comment for richard graham
"Richard, some folks just use the humidifier in a Passover mode.  They just don't turn it on, but let the air pick up moisture without heat."
18 hours ago
Mary Z replied to 99's discussion colloidal silver
"99, where have you been?  Do you add the colloidal silver to your humidifier?"
19 hours ago
Mary Z replied to Andy's discussion Resmed S8 AutoSet II - No Longer Collecting Data??
"I Andy, I realize I'm months behind your post.  I have no idea why your S8 would stoop collecting data.  I'm glad to hear  you're having such improvement with your apnea.  I have made great strides since I changed…"
19 hours ago
Mary Z replied to Andy's discussion Resmed S10 AirSense - Anyone have one? Any feedback?
"Andy, just found your post.  I don't know anything about this new machine.  How are you liking your new ResMed?"
19 hours ago
Mary Z left a comment for Kay Day
"Kay, I haven't been around myself and miss the old, active forum."
19 hours ago
Mary Z left a comment for richard graham
"Hi Richard,  I don't bother with a humidifier.  Someone on the forum suggested not using it and I'm a lot less congested without it.  A good AHI is under 5.  I use the Wisp and have been since it came out.  I think…"
19 hours ago
hifay replied to Mary Z's discussion Sleep apnea increases risk of osteoporosis
"Always something. Thanks for the information."
19 hours ago
99 posted a discussion

colloidal silver

a humidifier can be used with colloidal silverthis can keep the humidifier clean for day maybe weeks or longer without the need to clean the humidifiersilver colloidal is antimicrobial and you could just top up your humidifier without cleaning and at the same time treat your bodyor you just put silver on it own into the humidifierSee More
yesterday
richard graham posted a status
"I feel like the humidifier is making me feel yucky and I'm waking up hacking and having to clear my throat a lot for a while."
Nov 3
richard graham posted a discussion

what's a good AHI?

I've been using and auto and it says my AHI HAS been between 4 and 6 and wondering what's a good range.
Nov 2
Andy posted a discussion

Resmed S10 AirSense - Anyone have one? Any feedback?

Hi All,I've just ordered a new Resmed S10 AirSense, and I was wondering if anyone here has used one?Any information or input would be appreciated!See More
Sep 29
Andy replied to Andy's discussion Resmed S8 AutoSet II - No Longer Collecting Data??
"Hi All, Well, I went to the sleep doc today, and he ordered a new S10 for me! I still don't know why my S8 is not tracking data anymore. Anyone have any ideas?"
Sep 29
Oscar Lemus updated their profile
Sep 25
liz4cps commented on liz4cps's group Prince William Co, VA support group
"Just found they have a Facebook for the REMedy event, 1st Class Sleep REMedy Wellness Health Fair."
Sep 25
liz4cps commented on liz4cps's group Prince William Co, VA support group
"Reminder: REMedy event is this Saturday, 10 am to 2pm.  Topics include: Nutrition and Weight Management with Sarah Kelly, Registered Nutritionist/Dietitian Oral Appliance Therapy for Sleep Apnea with Drs. Rena Vakay & Lara…"
Sep 25
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

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

Views: 1823

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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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