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For insurance qualification visit our guidelines section.

orlando oxygen supplier

Vienna Medical understands that oxygen patients need portability. That's why we strive to accommodate our patients with the latest technology available.  We offer the homefill to all of our patients. Most patients can utilize this system that has tanks with conservers. Ask your physician today or call us!

Medicare and Insurance Oxygen Patients click here

Traveling Medicare Oxygen Patients click here

Private Rental Oxygen Patients click here

Suppliers - Please call us for your traveling patients.

See the complete HomeFill system details here

 

 

HomeFill Oxygen System Video

Medicare and Insurance Covered Oxygen Patients

No matter if you are a new oxygen patient or wanting to transfer from another company to us, Vienna Medical can accommodate you.  We strive for excellence with our oxygen patients and offer a comprehensive compliance plan where, you the patient can be proactive with your health.  Do we accept your insurance? We hope so, click here to find out.

What we need to get started: Your demographic information, a prescription from your Doctor and O2 saturations.  You may fax to 386-753-1949

Here is how you qualify for home oxygen paid for by Medicare of Insurance:

Medicare Coverage Criteria for Home Oxygen

Medicare coverage of home oxygen therapy is available only for patients with significant hypoxemia in the chronic stable state provided the following conditions are met:

  • The attending or consulting physician has determined that the patient suffers a severe lung disease or hypoxia-related symptoms that might be expected to improve with oxygen therapy;
  • The patient's blood gas levels indicate the need for oxygen therapy; and
  • Alternative treatment measures have been tried or considered and have been deemed clinically ineffective.

Covered Blood Gas Values

Group 1 - Coverage is provided for patients with significant hypoxemia evidenced by any of the following:

  • An arterial PO2 at or below 55mm. Hg, or an arterial oxygen saturation at or below 88 percent, taken at rest. When a PO2 of greater than 55mm. Hg. is submitted, the service will be denied as not medically necessary unless "Group 2" criteria are met.
  • An arterial PO2 at or below 55mm Hg., or an arterial saturation at or below 88 percent taken during sleep for a patient who demonstrates an arterial PO2 at or above 56 mm. Hg., or an arterial oxygen saturation at or above 89 percent while awake, of a greater than normal fall in oxygen level during sleep (a decrease in arterial PO2 more than 10 mm. Hg., or a decrease in arterial oxygen saturation more than 5 percent) associated with "P" pulmonale n EKG, documented pulmonary hypertension and erythrocytosis. In either of these cases, coverage is provided only for nocturnal use of oxygen.

  • An arterial PO2 at or below 55 mm. Hg. or an arterial oxygen saturation at or below 88 percent taken during activity for a patient who demonstrates an arterial PO2 at or above 56 mm. Hg. or an arterial oxygen saturation at or above 89 percent, during the day while at rest. In this case, supplemental oxygen is provided for use during
    exercise if it is documented that the use of oxygen improves the hypoxemia that was demonstrated during exercise when the patient was breathing room air.

Group 2 - Coverage is available for patients whose arterial PO2 is 56 to 59 mm. Hg. or whose arterial blood oxygen saturation is 89 percent if any of the following are documented:

  • Dependent edema suggesting congestive heart failure;
  • pulmonary hypertension or cor pulmonale, determined by measurement of pulmonary artery pressure, gated blood pool scanechocardiogram, or "P" pulmonale of EKG
    (P wave greater than 3 mm in standard leads II, II or AVF); or
  • Erythrocythemia with a hematocrit greater than 56 percent.

Non-Covered Conditions

Conditions for which Oxygen therapy is not considered Medically Necessary by Medicare:

  • Angina pectoris in the absence of hypoxemia.
  • Dyspnea without cor pulmonale or evidence of hypoxemia.
  • Severe peripheral vascular disease resulting in clinically evident desaturation in one or more extremities. There is no evidence that increased PO2 will improve the oxygenation of tissues with impaired circulation.
  • Terminal illnesses that do not affect the respiratory system.
  • Medicare will presume that home use of oxygen is not medically necessary for patients with arterial PO2 levels at or above 60 mm. Hg., or arterial blood oxygen saturation at or above 90 percent.

Required Documentation:

  • Prescription w/DX - O2 sats Arterial PO2 - liter flow - continuous, nocturnal,  PRN or on exertion.  Can PT use a conserver.
  • Documentation with qualifying O2 saturations or Arterial PO2.

The Certificate of Medical Necessity (CMN) for home oxygen use is HCFA Form 484.2. Federal Law (OBRA 1990) mandates specific sections of this form must be completed by  the physician or their staff.

 

Traveling Medicare Oxygen Patients - Short term rental

Are you going to be joining us here in Florida for a visit.  We would love to help with your respiratory care while you are here.  Here's what you need to do.  Contact your existing company and ask them how they handle this.  A lot of medical equipment oxygen providers will contact us directly for their patients and set up a rental agreement with us. You as the company or you as the patient can see our rental rates here.  To set up a delivery or pick up just give us a call at 1-800-489-8165.  We rent the homefill system or the standard concentrator and E-tanks. 

We are a Medicare oxygen provider for all of Volusia, Flagler, Brevard, Seminole, Orange, Lake and Osceola Counties.  Oxygen patients can visit Deland, Fl. | Deltona Fl, | Orange City, Fl. | Debary, Fl. | Sanford, Fl | Lake Mary, Fl. | Daytona Beach, Fl. | New Smyrna, Fl. | Palm Coast, Fl. | Lake Helen, Fl. or any city in between where you might need an oxygen provider. 

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vienna medical insurances accepted

Vienna Medical works with most primary insurances.  Below you will find our main contracted insurance companies. For all insurances and workers compensation companies click here.

Medicare Guidelines

 

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