Issue With Resmed S9

[BillH]

Does anyone know what the most current version of the firmware on the S9 is? Mine says SX474-0701
The reason I am asking is because there some things that this one does not have:
1) Smartstart. I can't find it anywhere, it is not in the clinical menu.
2) Mask-Fit. Doesn't exist on this one.
3) The ability to activate Sleep Quality. It's not in the clinical menu.
I have installed the Resscan software, printed the Clinical Manual and have spent hours trying to find the above items. They do not seem to be there.
Thanks
'Bill

[robysue]

Can you confirm that you have the Resmed S9 Autoset instead of a Resmed S9 Auto Escape or a Resmed S9 Escape? The Escapes do NOT have all the features you are looking for.

[TheTwinsMom1]

I don't think those items show unless you turn them on in the settings menu in rescan when you set up the settings on the SD card. They don't show in any of the menus unless they have been turned on in the settings on the card. At least that is what I had to do for mine. I have the S9 autoset

[BillH]

Just got off the phone with my clinician. He tells me I have an S9 Escape which I am not too happy about. I was under impression that I was getting an S9 Autoset. He tells me that they do not prescribe the autoset as a rule. We are still discussing this.
Thanks

[Pugsy]

Just got off the phone with my clinician. He tells me I have an S9 Escape which I am not too happy about

I was afraid of that and then I saw that Robysue already mentioned it. They gave you the "economy" model.

Stick to your guns, make them swap it out. You already know that you don't want anything with Escape on it.

[BillH]

The clinician tells me that the reason they don't sell the autoset is they don't like the idea of having the machine able to vary the pressure. I told him that I thought the autoset could be programmed not to vary the pressure. I was under the impression that I was getting an Autoset, and that's what I really want. I see that the mail order prices are $100.00 less for the Escape. Discussion continues.

[-SWS]

The clinician tells me that the reason they don't sell the autoset is they don't like the idea of having the machine able to vary the pressure. I told him that I thought the autoset could be programmed not to vary the pressure. I was under the impression that I was getting an Autoset, and that's what I really want. I see that the mail order prices are $100.00 less for the Escape. Discussion continues.

Are you referring to your prescribing clinician or the DME clinician? If the DME clinician, they're maximizing their own profit by giving you the economy model.

In any event the S9 Elite is a fixed-pressure PAP with all the data features you want. And the S9 AutoSet can be configured to run as a fixed-pressure CPAP machine as well---leaving S9 auto-titration mode available as a short-term option should you and your doctor ever want to verify your pressure needs for a night or two at a time.

[Pugsy]

The clinician tells me that the reason they don't sell the autoset is they don't like the idea of having the machine able to vary the pressure.

Yep, lie number 2.
Why can't they just tell the truth? The Escape is cheaper.
They knew they weren't giving you what you wanted and yet didn't bother to tell you. Guess they were hoping you wouldn't catch on till too late to do anything about it.

[Janknitz]

So, are you going to eat all that baloney your "clinician" is feeding you????

The clinician tells me that the reason they don't sell the autoset is they don't like the idea of having the machine able to vary the pressure.

Regular Autosets AND Escape Autosets may be set in either a fixed pressure (CPAP mode) or auto-adjusting pressure (Auto mode) depending on your needs. There goes that piece of baloney.

He tells me that they do not prescribe the autoset as a rule.

Doctors generally don't care what kind of machine you get, unless they also have a financial interest in the company supplying your equipment. Generally a doctor will write the Rx for CPAP with a fixed pressure or a pressure range (in which case you get an auto for sure). Obviously, you got an Escape AUTO, so either it didn't matter whether you got an auto or CPAP OR the doctor prescribed a range of pressures which requires an auto. I don't know who this "clinician" is, but if he is with the DME he's feeding you more baloney.

Insurance doesn't care. They pay the same amount no matter which APAP or CPAP you get. The DME wants to make more money off of you. Plain and simple. They did not give you what you wanted, and now they are trying to convince you that this is what you need. Lying scumbags! Are you stuck with them because of your insurance or can you dump them?

[BillH]

This is not settled by any means. I sincerely hope that the while my avatar photo is of Curley Fine, my doctor does not think that I am on the same intelligence level that he portrayed.
Thanks for all the support, this is getting better by the minute.

[BillH]

Just got off the phone with my sleep center. They said they will get me an Autoset. They don't know if they are going to have problems with the billing codes, (read: This is going to cost you, but I don't care). They also say they have to order it, and they want the one I am using back right away. So, I will be using my M-series until I get the Autoset.

Everyone works the angles, nothing ever changes.

[Janknitz]

NO, NO, NO, NO, NO, NO, NO!!!!!!!!!!!!

They are not going to have any problems with the billing codes (unless you have an HMO!). If you don't have an HMO, the billing codes are the SAME for ANY CPAP or APAP machine. ANY machine. E0601. So your insurance is going to pay the same amount no matter what (which is why they tried to foist the cheaper Escape Auto on you in the first place).

Any in most cases, it is ILLEGAL for them to try to "upcharge" you (balance billing) for the difference. It's against federal law if you are a Medicare patient, and against the law in 47 states. See "Don't pay that upcharge" in my signature below.

Furthermore, you asked for the S9 Autoset, they gave you the Escape Autoset which is NOT what you asked for. So why in the world would you owe THEM a penny??????????????????????????????

[BillH]

NO, NO, NO, NO, NO, NO, NO!!!!!!!!!!!!

They are not going to have any problems with the billing codes (unless you have an HMO!). If you don't have an HMO, the billing codes are the SAME for ANY CPAP or APAP machine. ANY machine. E0601. So your insurance is going to pay the same amount no matter what (which is why they tried to foist the cheaper Escape Auto on you in the first place).

Any in most cases, it is ILLEGAL for them to try to "upcharge" you (balance billing) for the difference. It's against federal law if you are a Medicare patient, and against the law in 47 states. See "Don't pay that upcharge" in my signature below.

Furthermore, you asked for the S9 Autoset, they gave you the Escape Autoset which is NOT what you asked for. So why in the world would you owe THEM a penny??????????????????????????????

He, he, he, NO HMO, Thanks for the ammunition.
Frankly, an upcharge attempt would not suprprise me.
This group is worth it's weight in gold.

[Janknitz]

Take a look also at "What you need to know BEFORE you meet your DME" in my signature--that will give you the information to know when they are feeding you more baloney.

[BillH]

Are you referring to your prescribing clinician or the DME clinician? If the DME clinician, they're maximizing their own profit by giving you the economy model.

In any event the S9 Elite is a fixed-pressure PAP with all the data features you want. And the S9 AutoSet can be configured to run as a fixed-pressure CPAP machine as well---leaving S9 auto-titration mode available as a short-term option should you and your doctor ever want to verify your pressure needs for a night or two at a time.

I guess this is a unique situation. The sleep doctor I go to also supplies the equipment. I see the doctor and then pick up what I need from her clinician. There is another sleep doctor in this area, patients who go the him then have to pick up their equipment from a local medical supply store. Most of the patients who go this route don't like it. They like the doctor fine, but the retail store can be very difficult to deal with.