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Dealing with a DME

1,340 bytes added, 16:24, 12 January 2018
Handling the DME
Masks are extremely important. So much so that they are at times called “Interfaces” because they interface between the machine and your face. Masks are typically the hardest to get right. That is because your face is unique. Visits to the DME are opportunities to try masks. Take advantage of these visits. Oh and read the [[Mask_Primer|Mask Primer]].
 
== Medicare and DME (for CPAP) ==
Go to this site (official Medicare Site). [https://www.medicare.gov/supplierdirectory/search.html Medicare Supplier Directory]
Enter your zip code then select "Continuous Positive Airway Pressure (CPAP) Devices"
I can't post the results here but is a list of DMEs that you must use for Medicare coverage.
'''Medicare CPAP Qualifications'''
CPAP Qualifications (E0601) Patient must meet all the following criteria to qualify for an E0601 device (CPAP)
Patient has had a face-to-face clinical evaluation by treating physician prior to sleep test.
Patient has had a sleep test which meets Medicare Requirements that meets either of the following criteria:
* AHI/RDI3 is ≥ 15 events per hour with minimum of 30 events; or,
* AHI/RDI is ≥ 5 and ≤ 14 events per hour with minimum of 10 events and documentation of excessive daytime sleepiness, impaired cognition, mood disorders, insomnia, hypertension, ischemic heart disease or history of stroke.
 
Resulting in
* Diagnosed with OSA (ICD-9 code of 327.23)
* Patient and/or caregiver has received instruction from the supplier of the CPAP device and accessories in the proper use and care of the equipment.
And then there is compliance, min of 4 hrs use for 21 of 30 days, easy since you are going to use this every day for a number of years.
== Obtaining disposable supplies ==
692
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