"I still feel tired in the morning; it's like I never slept at all."

"My wife says I snore like a bear, I just thought it was because I'm so super tired."

"I had no idea how serious Obstructive Sleep Apnea is."

Imagine a disorder that is so sneaky, that it renders you unable to get the recuperative sleep your body must have to regenerate and prepare for the new day.

The symptoms, though seeming harmless, are but mild indicators of the serious damage OSA can be doing to your body, if untreated for a long period of time.

ALL MED's respiratory staff is working with physicians and Sleep Disorder Centers, to help educate the public about OSA, the benefit of early detection and to offer the latest therapies that treat the disorder with positive results.

All CPAP orders are setup by one of ALL MED's 3 certified and trained respiratory therapists Our one-on-one setups include equipment use and maintenance information, interface fitting, and therapy education, all done to promote a positive initial experience, and increase the possibility of a successful, compliant patient. Patient education, compliance downloads and trouble shooting occurs at 7 day, 30 day, and ongoing at 6 month intervals by one of our CRTs. New head gear, interface, tubing, and filters are delivered to the end users home every 6 months to further reinforce hygiene and compliance. Patient compliance is monitored using download cards and hour meters, existing challenges are identified and resolved.

Reimbursement Requirements: CPAP Patient has a sleep study, the physician sees the patient has a mixture of Obstructive Sleep Apnea (OSA) episodes (airway obstruction plus hypopneas), sufficient enough to warrant ordering a Continuous Positive Airway Pressure machine. Apneas, plus Hypopneas (a shallow breathing episode < 10 seconds in duration), divided by the number of hours of sleep in the test, equals the patients Apnea/Hypopnea Index (AHI). Insurances consider an AHI > 15 as qualifying the patient for a CPAP (AHI of 4-15 will be considered with a documented history of hypertension, CHF, and/or excessive daytime sleepiness) BiLevel Patients generally need a Bi-Level machine for one of the following reasons: 1. They have OSA, have tried a CPAP and it has failed to offer the optimum therapy, or 2. An end stage COPD patient is retaining CO2 during respiration. To qualify, the patient must have waking ABG on their normal FIO2 (room air or O2), showing their PCO2 level > 52 mmhg (proving CO2 retention), in addition, they must have a nocturnal pulse oximetry test on 21pm of ) 2 or their usual FIO2 (whichever is higher), this test must show SAO2 level is < 88% for at least one full episode of > 5 minutes. 3. Restrictive Thoracic Disorders and Neuromuscular diseases have similar ABG testing requirements to prove CO2 retention, and pulmonary function tests to prove diminished inspiratory pressure and/or forced vital capacity. 4. Central Sleep Apnea with documentation of sleep associated hypoventilation.