Well, if one wants to stir the pot and risk some idiot legislators making it illegal to do so one can always contact their state legislators and ask the question. I assume all states provide their legislators w/access to a legal staff who can research the situation and offer an opinion or a quote from the state or federal law.
Personally, I see this as nothing more than an intimidation tactic on the part of far too many in the sleep "profession". A profession for which I do not have a lot of respect, altho I do have respect for SOME in the profession as individuals - but the profession as a whole - uh uh.
I have no respect for sleep "specialist" doctors who never bother to consult w/and meet w/patients face to face, who aren't willing to discuss study results w/the patient, who don't respect their patients enough to recognize them as a member of their own medical team.
I have no respect for "sleep labs" that don't provide a sleep "specialist" or "specialists" to consult w/their patients, who don't provide staff to explain study results to their patients, who don't provide clean, comfortable facilities and in a safe environment, who don't provide prompt scheduling and results consults in a timely manner, who drag their feet or refuse to provide full data reports when requested.
I have no respect for DME suppliers who don't provide access to KNOWLEDGEABLE, XPAP EXPERIENCED RTs, who refuse or give grief to clients who request a fully data capable xPAP, who don't provide proper mask fitting facilities and equipment, who don't provide the education, support and truthful advice to their clients; and who don't take advantage of the manufacturer's mask replacement policies in order to offer a lenient mask exchange policy to new clients.
........As far as someone adjusting CPAP levels without a sleep study? NO. I don't think that is a good Idea. This must be done while you are Sleeping . The machine's program is only to let the D.M.E. company About leakage, time used, and don't let me get sterted about how bad auto Cpap machines are.....they dont work at all !!!
If it is illegal for one to change THEIR own pressure -- I would like to see a copy where it states this within the law itself --meaning the actual statues. It IS illegal for a DME to change the pressure without a script -- but no ONE has been able to produce the exact context of the law about patients changing their OWN pressure. As such you, as a RTT, have to make full disclosure about changing pressure since YOU can not change pressure without a doctor's script.
If you are proactive, have the software, are prudent about your changes I see no reason why one shouldn't change THEIR own pressure.
A diabetic is allowed to monitor their therapy and adjust accordingly. This is far more dangerous than a machine blowing air. And does the law ACTUALLY state in diabetes therapy that it is okay for them to do these things or is it just "understood" that they will be proactive.