Archive for the 'Sleep Apnea Equipment' Category

Insurance: How often can you get supplies?

Written by Ter on Sunday, September 30th, 2007 in Sleep Apnea Equipment.

Little more info that I’ve posted a few times for the Medicare folks:

Here are the billing codes (HCPC’s) and an idea of Medicare allowable which varies from state to state. Allowables shown are 2004 Washington State allowables They will vary state to state and year to year.
CPAP- Purchased CPAPs (billing code E0601 paid at @ $111.71/mo for up to 15 months-capped rental) (5 years for replacement)

Heated Humidifier- (K0531 @ $301.22)

Mask Frame- 1 per 3 months (A7030 @ $188.64 for a Full Face and A7034 @ $117.64 for a regular mask)

Replacement Mask Cushion- 2 per month (A7031 @ $69.77 for full face & A7032 @ 40.53 for a regular mask cushion)

Head Gear- 1 per 6 months (A7035 @ $39.75)

Chin Strap- 1 per 6 months (A7036 @ $18.20)

Nasal Pillows- 2 pairs per month (A7033 @ 28.41)

Tubing- 1 per month (A7037 @ $41.02)

Filters- 2 disposible per month (A7038 @ $5.39) and 1 reuseable every 6 months (A7039 @ $15.33)

Medicare guidelines are very confusing to many DME personnel. I myself had to read it several times and study hard on my own to understand all the information.

Most insurances are following Medicare guidelines for CPAP supplies so it’s a good base to start with in determining what supplies you are allowed and how often and the “Allowable” amount your portion of the bill will be based on.

Humidifier Rain Out Remedies

Written by Ter on Saturday, September 29th, 2007 in Sleep Apnea Equipment.

Now that winter is coming “Rain Out” from your humidifier is almost inevitable. With most doctors and suppliers now providing heated humidifiers with every CPAP or Bi-Level machine out there, “Rain Out” is a problem that most sleep apnea sufferers will experience at least once. There are several easy solutions to this problem.

  • Always keep your humidifier lower than your head. This will keep the condensation from getting trapped in your tube and you won’t get that lovely gurgling sound that we all despise.
  • If you must sleep with the window open, you must heat or insulate your tube. Some insurance companies now will pay for a heated tube for your CPAP. There is however a cheaper solution; make a sock for your tube. You can use anything that will help to insulate your tube, generally one of the easiest things is to use part of an old blanket. If you’re not handy with the sewing machine, there’s always the redneck way to wrap it around your tubing… Duct Tape!

These are some common tricks for the new CPAP user to help keep you from experience the dripping, gurgling, and annoyance of “Rain Out” this winter.

ResMed’s New Full Face Masks

Written by Ter on Saturday, September 29th, 2007 in Sleep Apnea Equipment.

Check out the new Mirage Quattro and Mirage Liberty mini product websites

Check out the new Mirage Quattro™ and Mirage Liberty™ mini product websites

The Mirage Quattro™ and Mirage Liberty™ are the latest additions to ResMed’s Mirage™ line of full face masks. With the launch of the new mini product websites, everything you need to know about these novel masks is just a few clicks away.

Click the following links to access detailed product information through video cleaning guides, videos of enhanced features, product galleries and more. Contact your local ResMed representative or 800-424-0737 for more information.



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