Compliance & Replacement Schedule
What you Need to Know
- Our phone number: 815-773-9028. We are available from 8:30 a.m. to 5 p.m. Central time, Monday to Friday.
- You have to use your machine over the next 90 days. For most insurance plans to cover the cost of your new PAP machine, you have to use the machine for a certain amount of time over the next 90 Days (see the chart below for details, and call Kramer if you have any questions).
- We offer a 30-Day Mask Guarantee. You have just been fitted with a new mask. If it doesn’t seem to be working out as you are getting used to sleeping with your new PAP machine, let us know and we will help you exchange it for one that works, or talk with you to determine what issues you are having so you can get the most out of your sleep therapy.
- Let us know if your insurance changes. Especially anytime in the next year as most insurances require us to bill for a machine over a 13-month rental period, instead of as a one-time purchase.
New Patient Compliance Guidelines – Patient Reference
To continue coverage of your new machine and subsequent supplies, you must adhere to the following compliance guidelines (as outlined by the Medical Review Documentation Checklist, published by CGS Administrators, LLC):
- The treating physician’s records document a clinical re-evaluation no sooner than the 31st day, but no later than the 91st day after initiating therapy and documents that the beneficiary is benefiting from PAP therapy as demonstrated by:
- Improvement in the symptoms of obstructive sleep apnea; and
- Objective evidence of adherence to use of the PAP device.
- Direct download or visual inspection of usage data verifies that the beneficiary has used PAP ≥ 4 hours per night on 70% of nights during a consecutive 30-day period anytime during the first three months of initial usage; and
- Treating physician reviewed written report of adherence data.
- The re-evaluation is documented in a detailed narrative note in the beneficiary’s chart in the format the physician uses for other entries.
This stated record of your compliance from your doctor and the download of your sleep data from your machine are requirements for Kramer as your provider to have on file, but what does this mean to you?
If you do not achieve compliance in this given time period, you have the following options:
- You can attempt to requalify – you will need an evaluation from your doctor to determine why you did not achieve compliance and a repeat diagnostic sleep test.
- Kramer Medical can bill you directly for the machine.
- Return the machine to Kramer Medical Supplies.
If you have any questions about your compliance, our team at Kramer Medical Supplies will be happy to answer them for you. We want to see you make the most of your respiratory therapy, and hope we can be a valuable resource to you throughout.
Your Continuous Positive Airway Pressure (CPAP) Therapy
CPAP Therapy is used to treat a condition known as Obstructive Sleep Apnea (OSA). OSA is a condition in which the upper airway becomes blocked or closed off during sleep. As a result, air is unable to get into your lungs. A CPAP machine gently blows air into the airway to keep it from closing. Be patient and don’t get discouraged. It takes time to get used to your equipment and feel the benefits of the therapy.
It may help you to write down your CPAP Therapy information here to have it easily accessible:
Pressure: __________ cmH20
CPAP Make & Model: ____________________ Serial #: _______________________
Humidifier Make & Model: ________________ Serial #: ______________________
Mask Make & Model: ____________________ Size: ________________________
Instructions for Setting Up Your CPAP Unit At Home:
- Place the CPAP unit on a level surface close to your bed.
- Your CPAP machine needs to be at least 12 inches away from anything that might block the vents (blankets, curtains).
- Plug the unit into a grounded outlet. It is best not to use extension cords. If you have to use an extension cord, use a heavy duty one.
- Wash your face before putting on your CPAP mask. Make sure your mask is on securely enough to prevent air leaks, but not too tight. You should be able to slide two fingers under the headgear.
- Turn your machine ON. Depending on what brand machine you have, you may have a power switch and an ON/OFF button, or just an ON/OFF button. Air will begin to flow through the tubing and into your mask. Breathe normally through your nose – if you feel any leaks, adjust your mask by pulling it off your face and re-seating the mask.
- The Ramp feature may be activated. This feature allows for a lower pressure to be delivered for a period of time to allow you to fall asleep easier. The pressure will most always start at 4 cmH2O and then gradually increase to your prescribed pressure over the time you have chosen.
- Turn your CPAP unit off when not in use.
If You Are Using a Humidifier With Your CPAP Unit
- For machines w/detachable humidifier unit – follow instructions on connecting humidifier contained in package.
- Fill the humidifier chamber using distilled water to the maximum fill line (do not overfill).
- Connect one end of your 6 foot tubing to the humidifier’s outlet and the other end of the tubing to your mask.
- If using oxygen with your CPAP, first turn off the oxygen equipment, then turn off the CPAP unit.
If Oxygen Is Prescribed
If your doctor has prescribed oxygen to use with your CPAP, instructions will be given by your oxygen provider on where to place the oxygen tubing on your CPAP circuit.
List of CPAP Products offered by Kramer Medical Supplies and
Schedule for Cleaning and Replacement of your CPAP Supplies
|Supplies||Frequency||What To Do|
|CPAP Mask or Nasal Pillows||Daily||Wash your face before putting your mask on each night. Mask should be washed daily with warm soapy water and rinsed well. Allow to air dry on towel. REPLACE EVERY 3 MONTHS|
|Humidifier Chamber||Daily||Always fill with distilled water before using. Chamber should be washed daily with warm soapy water and rinsed out well. Allow to air dry on a towel. REPLACE EVERY 6 MONTHS|
|Tubing||Weekly||Once every week wash the tube with mild soapy water, rinse well and allow to air dry. REPLACE EVERY THREE MONTHS|
|Humidifier Chamber||Weekly||Wash with warm soapy water and rinse well. Soak in 1 part white vinegar and 3 parts water for 30 min. and then rinse well. Allow to air dry on a towel.|
|Headgear||Weekly||Hand wash in warm mild soapy water, rinse well and allow to air dry|
|Exterior of machine||Weekly||Wipe with damp cloth.|
|Nasal Cushions or Nasal Pillows||Every Other Week||REPLACE WITH NEW CUSHION OR PILLOW EVERY TWO WEEKS|
|Disposable Filters||Every Other Week||REPLACE WHITE DISPOSABLE FILTER EVERY TWO WEEKS; DO NOT WASH|
|Full Face Cushion||Monthly||REPLACE FULL FACE CUSHION EVERY MONTH|
|Reusable Foam Filter||Monthly & as needed||Wash in warm soapy water, rinse well and dry with a towel. Do not place wet filter back into machine. REPLACE EVERY 6 MONTHS|
CPAP Therapy Troubleshooting Guide
|PROBLEM||POSSIBLE CAUSES||WHAT TO DO|
|No pressure/flow from machine||1) Power cord may be disconnected from machine.|
2) Power switch in the OFF position.
3) No power to outlet.
4) Equipment malfunction.
|1) Plug power cord into grounded outlet.
2) Turn power switch on.
3) Check for power outage, try another outlet, or check if your outlet is controlled by a light switch.
4) Contact Kramer Medical Supplies at 815-773-9028.
|Air from the machine is too hot.||1) Blocked vents. |
2) Temperature setting on the humidifier is too high or the temperature in the room is too hot.
3) Tubing under blanket during sleep.
4) Dirty filters.
|1) Remove the obstruction.
2) Lower temperature on humidifier or lower temperature in the room.
3) Keep the tubing above the blanket while sleeping.
4) Clean or replace filters.
|Air from machine is too cold||Room temperature is too low.||Place tubing under blankets during sleep or increase room temperature|
|Dry mouth or nose||The flow from the CPAP is drying the membranes.||Contact your Doctor and obtain or use a heated humidifier.|
|Eye Irritation||Mask may be leaking air into your eyes.||Adjust your mask or headgear to remove leak.|
|Mouth falls open during sleep||High pressure levels or a mouth breather.||Contact Doctor about Full Face Mask or Chin Strap.|
|Air leak around the delivery device.||Device or mask not fitting properly.||Re-adjust your mask and headgear.|
|Sore on the forehead or bridge of nose.||1. Inappropriate fitting mask.|
2. Wrong size mask.
3. Headgear too tight.
|1. Contact Kramer Medical Supplies at 815-773-9028.
2. Contact Kramer Medical Supplies at 815-773-9028.
3. Loosen headgear.
|Initial symptoms worsen or reappear (snoring, daytime sleepiness)||1. Weight gain.|
2. Pressure setting incorrect.
|1. Call your doctor.
2. Call your doctor.