United Oxygen and Medical Equipment
has the latest models of PAP equipment and a large variety of masks and supplies to ensure a quality fit every time.
Choosing and fitting you with the right CPAP, BiPAP and mask is our top priority. However, we do not stop at just providing the right equipment. We ensure that you are getting the most from your therapy by tracking your progress with our state of the art technology.
Our technology allows you, as the user, to get e-mail or text notification of how you are doing while using the equipment. If you need help in achieving the goal, we are here to assist you. Our trained technicians and respiratory therapists will monitor your progress and contact you if the goals are not being met and assist you in meeting the goal.
Ready to get your supplies?
Please call us at (585) 360-4900 or stop in to see us at 1590 Ridge Rd. West in Greece, NY. We work hard to ensure that you have the right equipment and supplies.
Coverage and Reimbursement Requirements
Following a positive diagnosis of OSA a patient is covered for an initial 3 months. Patients covered for the first 3 months of a PAP device must be then re-evaluated to establish the medical necessity of the continued coverage by insurance beyond the first 3 months:
The re-evaluation that insurance will base a decision to continue coverage can only be undertaken at a minimum of 31 days after initiating the therapy and no later than 91 days after initiation therapy
Adherence to therapy is defined as use of PAP > 4 hours per night on 70% of nights during a consecutive 30 day period anytime during the first 3 months of initial usage.
Documentation of clinical benefit must be demonstrated by both:
Face-to-face clinical re-evaluation by the treating physician with documentation that symptoms of OSA are improved; and objective evidence of adherence to use of the PAP device reviewed by the treating physician.
Not meeting the above requirements would represent non-compliance for the intended purposes and expectations of benefit for treatment and constitute reason for denial of coverage by insurance “as not medically necessary”.
According to NIH
CPAP, or continuous positive airway pressure, is a treatment that uses mild air pressure to keep the airways open. CPAP typically is used by people who have breathing problems, such as sleep apnea
Sleep apnea (AP-ne-ah) is a common disorder in which you have one or more pauses in breathing or shallow breaths while you sleep.
Breathing pauses can last from a few seconds to minutes. They may occur 30 times or more an hour. Typically, normal breathing then starts again, sometimes with a loud snort or choking sound.
Sleep apnea usually is a chronic (ongoing) condition that disrupts your sleep. When your breathing pauses or becomes shallow, you’ll often move out of deep sleep and into light sleep.
As a result, the quality of your sleep is poor, which makes you tired during the day. Sleep apnea is a leading cause of excessive daytime sleepiness.
CPAP treatment involves a CPAP machine, which has three main parts:
- A mask or other device that fits over your nose or your nose and mouth. Straps keep the mask in place while you’re wearing it.
- A tube that connects the mask to the machine’s motor.
- A motor that blows air into the tube.
Some CPAP machines have other features as well, such as heated humidifiers. CPAP machines are small, lightweight, and fairly quiet. The noise that they make is soft and rhythmic.
CPAP often is the best treatment for obstructive sleep apnea. Sleep apnea is a common disorder that causes pauses in breathing or shallow breaths while you sleep. As a result, not enough air reaches your lungs.
In obstructive sleep apnea, your airway collapses or is blocked during sleep. When you try to breathe, any air that squeezes past the blockage can cause loud snoring. Your snoring may wake other people in the house.
The mild pressure from CPAP can prevent your airway from collapsing or becoming blocked.
CPAP has many benefits. It can:
- Keep your airway open while you sleep
- Correct snoring so others in your household can sleep
- Improve your quality of sleep
- Relieve sleep apnea symptoms, such as excessive daytime sleepiness
- Decrease or prevent high blood pressure
Many people who use CPAP report feeling better once they begin treatment. They feel more attentive and better able to work during the day. They also report fewer complaints from bed partners about snoring and sleep disruption.
Your doctor will work with you to make sure the settings that he or she prescribes for your CPAP machine are correct. He or she may recommend an overnight sleep study to find the correct settings for you. Your doctor will want to make sure the air pressure from the machine is just enough to keep your airway open while you sleep.
If your doctor prescribes CPAP, we would love you to work with you.