Has anybody found an effective way to track Medicare compliance for durable medical equipment relating to CPAP and BIPAP machines? Medicare requires the refering doctor have clinicals and evidence on hand of the proof that the machine is helping treat the patient's OSA, referring dr also needs to have on file compliance downloads showing compliance over 70% of the time in a 4 hour consecutive period. We have put a lot of different tacking functions into place, but when it comes down to it, we are just not comfortable placing the KX modifier on the claim saying we have all supporting documentation on file, when a lot of the responsiblity lies on the refering doctor to make sure they put it in the patient's chart. On the patients we have set up we have made sure all of our ducks in a row regarding compliance downloads, documentation of necessity and AHI and other aspects...but how can we make sure the referring doctor's are doing their jobs when it is hard enough getting them to send us over clinicals in the first place. any suggestions most appreciated...