For those persons using a Continuous Positive Airway Pressure Device (CPAP) or BIPAP . In order for Medicare and/or other insurers to pay they require certain things. We have copied their regulations for this continued coverage.

" Patients covered for the first three months of a KO532 or KO533 device must be re-evaluated to establish the medical necessity of continued coverage by Medicare beyond the first three months. While the patient may be needed to be evaluated at earlier intervals after this therapy is initiated, the re-evaluation upon which Medicare will base a decision to continue coverage beyond this time (i.e. the third month) must occur no sooner than 61 days and no later than 90 days after initiating therapy by the treating physician. Medicare will not continue coverage for the fourth and succeeding months of NPPRA( non invasive positive pressure respiratory assistance) until this re-evaluation has been completed."

In order to have the insurer pay for the CPAP device ( or BIPAP ) it is essential that you take the responsibility to have this re-exam between the 61st and 90th day after you start treatment.

And in order to satisfy the insurance requirements we need to have SIGNED AND DATED STATEMENT THAT YOU ARE COMPLIANTLY USING THE DEVICE AND ARE BENEFITING FROM ITS USE.

We also need a beneficiary statement completed by you - again signed between the 61st and 90th day after beginning treatment.This is a signed statement that you are using the CPAP device.

For your convenience these forms are enclosed.

Please note that unless you can obtain these completed forms we will not be able to bill your insurance and in all likelihood will have to bill you personally.

(RSI- CPAP.1)