Compliance is a usage requirement set forth by your insurance company. Satisfying compliance requirements ensures that your insurance company will continue to cover their portion of the cost of the PAP machine and supplies until you own it. Some insurance companies require ongoing compliance to cover their portion of the cost of any supplies you receive after you own your machine.

Compliance defined: 4 hrs of daily use, for 21 days out of a 30 day period. The four hours do not have to be consecutive, and the 21 days of usage do not have to be either!

In addition to meeting your compliance guidelines, your insurance may have an additional requirement for a face to face visit.

*Please call our compliance team at 781.551.3335 x 3388 or email support@reliablerespiratory.com with any additional questions about your specific plan’s compliance requirements.

After beginning treatment with your machine, a follow-up visit with your doctor is required by some insurance plans. This is a time for your provider to review your objective and subjective use and benefit of the machine.

Traditionally, the face to face is required to be in person, most insurances allow a Telehealth appointment to substitute an in-person encounter.

Typically, the Face to Face is required between 31-90 days after you receive your PAP equipment. For some BiLevel machines (ST/ASV), the Face to Face is required between days 61-90. Reliable Respiratory’s customer service Team can confirm the required date range for your Face to Face visit.

If your doctor is unsure what to document during your follow-up visit, our Billing Documentation Department is happy to answer any questions, and can be reached at (781.551.3335 x 3622).

If you’re unsure if your insurance requires a Face to Face, or when you need to have one, please call our Compliance Team at 781.551.3335 x 3388 or email support@reliablerespiratory.com

For ResMed machines, your tubing is located inside the travel bag, above the PAP unit and water chamber, located inside a small zippered compartment.

Be patient and ease into your therapy, wear the mask while awake watching TV, reading, or anything that distracts your mind from the mask/machine.  Adjusting to wearing a CPAP mask takes time, although it can be a healthy lifestyle change!

Acclimation to PAP therapy is a slow process. Your body needs to become adjusted to the therapy, which often results in a longer time to fall asleep. Your goal should be to fall asleep using PAP therapy each night. We find that the “slow and steady” approach is most successful, as you are forming a new nighttime routine.

Reposition it on your face; refer to user manual to perform “Run Mask Fit”(ResMed AirSense 10) or ”Check mask fit”(Philips DreamStation) test; Adjust the straps until you get a green smiley face (ResMed) or green bar (Philips).

Verify power connections; unplug the power cord and plug back in; try a different outlet.

This is common for patients new to PAP therapy; try to become comfortable by wearing your mask while awake.

Turn the device off, then turn it back on. The pressure will start lower whenever you turn the device back on.

You can use bottled or tap water, but be sure to drain the water tank daily to minimize mineral buildup. Over time, tap/bottled water will cause scaling in the water tank. To help remove the mineral buildup, we recommend using a 3 part water: one part white vinegar soak for an hour to help loosen any buildup. A toothbrush can be used to help brush off any residual scaling in the tank.

Boiling water is an option, as it kills any contaminants, but it will ultimately make the water more mineral-rich.

The “air outlet” gasket sometimes gets folded and creates a poor seal with the water chamber, causing a leak. Please review the following videos to troubleshoot:

WATER
Distilled water ideally should be used for humidification.

SOAP
We recommend using a liquid dishwashing soap, such as dawn, ivory or
seventh generation, free of any additives such as moisturizers or bleach
alternatives. AVOID hand soaps and any antibacterial soaps, as they break
down the silicon. Baby shampoo can also be used if available.

Deep cleaning (as needed): 3 parts water, 1 part vinegar. Submerge and
soak all parts for one hour, then rinse, and allow to air dry. You may consider
doing a soap and water soak after, to help with the odor of the vinegar.

MASKS & PILLOWS
Clean daily by wiping down with a warm damp cloth and air dry.
Weekly: Soak mask and cushion with warm soapy water for 15 minutes,
rinse and air dry.

HEADGEAR
Weekly: Hand wash. use cold water, soap and let air dry.

TUBING
Clean weekly by placing a few drops of soap in tubing then add
enough water to tubing for 12 inch loop in the middle of the tubing when
holding both ends up. Next alternating, raise one end then the other for
one minute. Then dump out soapy water and run clean water through tubing
for one minute and hang tubing over curtain to remove moisture.

HUMIDIFIER CHAMBER
Clean weekly by placing a few drops of soap in the water chamber then
add enough water to fill of the chamber and agitate for one minute, rinse
well with tap water then refill with distilled water.
During use, when the water level gets down to the refill point, empty the
remaining water out and refill with fresh distilled water. Once refilled, the
water should last through the night before requiring a refill.
Do not fill above the refill mark.

FILTERS
Twice each month remove filter and brush off any visible dust. Replace
disposable filters monthly, or per your insurance replacement schedule.