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+--- Thread: Resmed myAir (/Thread-Resmed-myAir--11795)
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RE: Resmed myAir - eseedhouse - 12-28-2015
(12-26-2015, 01:59 PM)HowieS Wrote: I've just started using MyAir, 4 days now, and find the information to be less that useful. The weigthing of their scoring system seem to be way off, IMO. I've also been using Sleeyhead. It gives me much more information.
The MyAir site is designed to encourage you and tell you you are doing great so you will stay on their machine. Not entirely a bad thing, but still simplistic in comparison to SleepyHead.
It gives 70% of it's score to sleep hours and only 5% for your AHI with 7 hours enough to get you the full score there. A slightly odd choice, IMO, but I generally look at it every day although I ignore and delete the emails that tell me I've won my 7,256th "gold medal".
Compliance for insurance generally requires at least 4 hours sleep and an AHI under 5. That's the one that counts if it's an insurance company you want to buy you a machine.
Otherwise I use SleepyHead to try and suss out what's really going on.
RE: Resmed myAir - whmagill - 12-28-2015
(12-28-2015, 05:58 PM)eseedhouse Wrote: Compliance for insurance generally requires at least 4 hours sleep and an AHI under 5. That's the one that counts if it's an insurance company you want to buy you a machine.This is the primary purpose behind MyAir, and the automatic "push" reporting by your device to Resmed.
Resmed is prohibited by the FDA (and their own lawyers) from providing any kind of information which might be construed as "Medical Advice." I.e. they are not doctors.
In approximately 2010, CMS - Center for Medicare Services promulgated new regulations concerning reimbursement for PAP devices.
Medicare regulations are frequently used as "industry standards" by the Insurance Industry for determining and defining various rules and regulations in their own policies.
Those new CMS regulations required Durable Medical Equipment (DME) providers to certify to Medicare that the PAP devices were being used by the patient. I.e. Medicare was not about to pay simply because the DME had provided the device -- the DME had to prove that the Device was being used!
An informative (although now dated, 2012) document from Resmed is: "Reimbursement Fast Facts"
(Sorry the forum tells me I can't post a link to the document. You'll have to find it yourself.)
[indent]"The values must document that the patient is using the device for four or more hours per night for 70% of the nights in a consecutive 30-day period."[/indent]
Another document is: "Basic Medicare Coverage Guidelines for Receiving Positive Airway Pressure Devices (PAP)"
(Sorry the forum tells me I can't post a link to the document. You'll have to find it yourself.)
If you google "CMS CPAP REIMBURSEMENT" you can find lots of interesting info.