How do YOU report Resmed CPAP data for compliance

[silverchief2]

This is related to a previous post.  This relates to  annual Medicare sleep Rx renewal. My airsernse 10 has some cell modem and an SD card.  The DME and sleep RN never told me how to activate the myAir account to use the modem OR about ResScan. I uploaded the card data to the resmed cloud (I think that is where it went) using ResScan. My sleepRN is refusing to look at it for some reason.

Do you:

1. Activate the myAir account and allow the CPAP to daily upload data to the Resmed myAir and allow sleep RN/MD to view it.
2. Use Resmed ResScan SW to read the SD card and upload to Resmed cloud. Allow sleep RN/MD to read it.
3. Take machine into DME where they use ResScan SW to upload card data to Resmed cloud. (I think that is what they do?).

Some other method?

[eok361]

check with your dr. you can copy the sd card data to another one and send it to them. The myair account is easy to sign up for. they may track it via that. but they may also just be able to get it now. i'm not sure about that.

i wouldn't ask the dme first. ask your. they have to let medicare know that you're in compliance.

[silverchief2]

Is that what you do, send in your SD card?


My North Memorial Sleep RN and/or her tech are getting really pissy. The only way they understand is to have all their patients take their SD cards into the DME, who uploads them presumably using the ResMed ResScan SW to the ResMed cloud. When I tell them I did the same thing they go blank. So far they demand I drive to the DME.

If I am wrong about any of this I will make corrections and additions. I will ask Resmed for more help. Deanna was very helpful so far.

I am getting P*ssed off.

[eok361]

have you had an sd card in the machine the whole time you've been using it? if so, all the data is on that. if not, then you may indeed need to take the machine in. i think the resmed machines come with data cards in them, when bought new.

i just edited and hit the wrong button.

if yours is the card to cloud version, you will need to copy the data to another card and send it to them.

if yours has a sim card in it, myair will automatically send the data to whomever needs to see it.

[dataq1]

If your device has a cellular modem and NOT in airplane mode, your DME can interrogate your compliance data using AirView. If your Dr is approved by Resmed, he too can gather your compliance data .  

Having said that, however Resmed, your DME, or your doctor will NOT see all the information that is on your card (unless you provide the card to them).
OSCAR will give you the most complete, detailed, granular data because it is reading the complete SD card.

Oscar Rocks

BTW, MyAir communicates by Bluetooth.

[eok361]

i believe that all the insurance, dme, and drs want to see is compliance. compliance is generally 4 hours per 24 hour days. your probably renting the machine, so if you are not meeting the compliance levels the insurance won't cover the cost of supplies.

i think they can either take back the machine, or charge you full price for it at that point.

if you can't get the data to them, you will need to take the machine in for them to check it.

if you don't want to copy the data to another card, then at least get another sd card and put it in the machine and send them the current one. ask them to return it.

the as10 should have the modem/sim card in it (unless it is the card to cloud version). if it does, your easiest route is to have the myair setup to automatically send them the data.

and yes; airplane mode will eliminate any communication.

[Sleeprider]

Let's be clear about what Medicare requires. Compliance with a new machine is determined between 30 and 90 days of starting therapy and requires 21 of any 30 day period show more than 4-hours per day of use. Medicare also requires a face-to-face with the treating physician, who must determine the patient is using the therapy and is benefiting from it. The DME may coordinate the transfer of machine data to your treating physician and the results of the follow-up doctor's appointment to Medicare. Generally a replacement machine will not have compliance monitoring or a follow-up appointment requirement. There is no requirement that your machine data be provided annually to your doctor, and an annual prescription renewal is a fabrication of the DME you are working with. It is not a Medicare requirement. If and when you need a renewed prescription, that can be based on your doctor's order, usually following a patient visit. A prescription renewal will generally be needed for a replacement machine, but not annual supplies.

Your DME and doctor's offices seem to not understand the real requirements of Medicare coverage. Prescriptions are normally considered to be valid for at least 6-years to life, but are renewed for replacement devices, not equipment. Registering for MyAir does not affect if your providers have access to AirView. They actually have to pay for that. If your machine does not have a modem chip, then you can use Resmed's Card to Cloud service if your providers subscribe to that. I'll repeat however, there is no Medicare requirement that your data be reviewed annually, and this is an inconvenient fabrication of your DME. Don't take my word for it, you can call Medicare and ask. If you don't like the policies of your DME you can change providers. I wholeheartedly recommend you do. If you are using a sleep specialist for ongoing care, transfer the "treating physician" tasks to your primary doctor that sees you on an annual basis. Get away from the specialist and RN who is creating custom rules that don't exist for insurance, but serve only to inconvenience you and make them feel more powerful.

[Opus1]

To answer your title question “how do YOU report”….

Neither myself or my wife have had to provide an SD card to the doctor, the DME, or Medicare over the past 4 years. Also we have not been asked to bring our machine with us for any annual office visit.

BTW, I recently called our DME to ask a question about mask fitting (we had been trying out a new mask that we had bought online). After a few moments on the phone, the DME told me “We see that you used your machine for 6.5 hours last night”
Apparently they can see compliance data in nearly real time.

[DancesWithCats]

I've had my machine in airplane mode since the final straw with my alleged DME. Since I own the machine and don't get supplies from them, I don't want them to have access to the machine over the air. I'll probably unplug the modem when I clean all the dust their "Spirit+Medical" filters shed into the guts of the machine out. For now I just keep ignoring the nag message about staying in airplane mode, which takes an extra button push.

I've never signed up for myAir, (way too much personal information and way too little terms protecting that, for non-detailed info similar to what the control panel gives) and that never impacted the verification of compliance (needed in trial period) as the DME can access the machine over the air if the modem is on.

My PCP seems to be quite happy with my Oscar reports submitted to their electronic portal thing. If and only if I can get moved (with insurance) to a competent DME I'll consider turning upload back on. But what uploads is low-quality data anyway. If your care team actually want to see the detailed data that does take a card read by someone.

If you don't have an SD card in the machine, (but you do) put (a new, blank, non-overpriced normal SD card, not a Resmed-branded 20 times the usual price card that's exactly the same other than the price-gouging) one in even if not (presently) using Oscar. It stores much more detailed data than the over-the-air summary. As with the many things my scummy DME ripped me off about, (crappy off brand hose, crappy off-brand filters, claim of a new machine after trial period but actually just the same rental machine that had 1150 hours on it when I got it retroactively claimed to have been new) there was none in my machine and I didn't know to put one in, so I only have a year of summary data from the time before I found out about Oscar and put in a card, and that doesn't reach back to the start of my therapy.

[silverchief2]

Thank you. BTW my older machine has a cell modem. I was told the modem was too old to work with modern cell service by DME in 2022, the first time I knew it had a modem. I first learned of myAir a week ago.

My questions may be too detailed but here goes. I will try to see if the sleepRN is approved by ResMed. I believe my ResScan one year data from my card is on the ResMed cloud as I can read it.

I created a myAir account on Dec 13. I now have 2 days of data. I assume that the sleepRN can only look at the data that was uploaded day by day. I will try to learn if the sleepRN can query older data also.