I have been reading the threads regarding fully data capable machines. I understand the reasons for having data capability. The questions:
 
1) Is my RemStar Plus "fully data capable?"
2) I only got my CPAP about a month ago. How / when do I convert to a capable machine so that insurance will cover? (assuming my current    
    machine is NOT capable)
3) When I asked the sleep center doctor about this option, she told me that she considered that "overkill". If they won't prescribe such an  
    option, can I override that opinion with the DME? (I kinda like the idea of overkill when my quality of life is on the line!!)
4) What software is needed and where do I get it?
5) Most important - How do I correctly interpret the data to drive my therapy?


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Respironics RemStar Plus W/humidifier
ResMed Activa mask
Pressure 15
Humidity 3

Your machine is not fully data capable.  you would need the PRO version rather than the PLUS version.  I don't think fully data capable is overkill.  You will most certainly have to be very firm if you're going to get it.  Decide that's what you need, and don't take no for an answer (doctor included).  Other posters would probably have better tips on how to deal with your DME than I, so I'll defer to them.  Good luck though.

OK, more stuff.  So much for deferring to other posters.  But I'm sure they'll weigh in as well.

First step is to get the right machine. Once you do get the PRO version (assuming you stick with Respironics), you can purchase the "EncoreViewer" software through an online DME along with a smartcard reader.  Combined, it will cost you about 175 bucks.  Once you get that, you could repost and ask for help figuring out what it is telling you.

Your doctor might think that data capable is overkill, but you could just tell your doctor that you disagree to the point that you will be seeking the services of an alternate doctor who is more open to your involvement in the process.  Then be willing to do just that if the doc doesn't come around.  Once the doc is on board, use the doc to get what you need from the DME.  If the doc doesn't come around, you really should look for a different doctor.

I agree w/Raymart. However, you might try "laying" on both the DME and the doctor that you are concerned that neither is interested in knowing what may be the cause of any problems w/CPAP therapy you might be having which obviously they aren't or they wouldn't balk at providing you w/a fully data capable CPAP. You are NOT comfortable w/changes to your therapy being made by "guess and by gosh" nor are you thrilled w/the idea of multiple titrations to determine a problem.

I'd also remind BOTH doctor and DME that YOU are the one paying for your equipment (makes no differenc whether out of pocket or via your insurance) and you are aware that a CPAP is HCPCS code E0601 and that E0601 does NOT differentiate between a bare bones CPAP such as the Plus and a fully data capable auto PAP such as the Respironics M Series Auto w/A-Flex so your request for a Pro is NOT AT ALL out of line and TOTALLY REASONABLE.

Be DIPLOMATIC but be firm. You're less than 45-60 days into this current Pro so it is still not too late to return it and go elsewhere for your CPAP equipment (assuming you've first called your insurance to ask what local DME CPAP suppliers they are contracted w/and have the option of more than this one). And if you are willing and able to purchase out of pocket there is always the option of purchasing your equipment online.

If you have to go the route of returning your equipment, first determine whether your insurance purchased the mask, hose, etc. outright and just "rented" the Pro for a set period. You sure don't want to return a mask, hose, etc. your insurance has already paid for w/o being sure that you can get new ones paid for from a different DME supplier!

I wouldn't stress the software issue at first. Just your "insecurity" w/a doctor and RT who aren't interested in the data these fully data capable xPAPs can provide when you encounter problems w/your CPAP therapy.

If you do have to get into the software issue THEN you can remind them that Respironics DELIBERATELY developed PATIENT software.

Assuming that your insurance does allow you the option of one or more other local DME suppliers you might even want to "shop" them first and see which xPAP they are willing to provide you with and if they will provide you w/the Pro as you want.


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Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.
Resmed's new VPAP Auto. Humidaire 3i, Simplicity & Micro mask, ResScan 3.4 software, SPO 7500 oximeter.

CrohnieToo wrote:

Be DIPLOMATIC but be firm.

Totally agree.  My message was direct, but with your doctor, it would be more of a polite conversation.  In the end, though, you are not being unreasonable to expect an equipment upgrade.