website templates free download

Preferred provider portal

Exclusive access for preferred providers

  • Does your patient qualify for ST, ASV,iVAPS? - This worksheet will guide you through the qualification process for E0471 - Load worksheet! Symphony of care RAD
  • Does your patient qualify for NIV? - Does your patient qualify for NIV? Load worksheet!  
  • Does your patient qualify for BIPAP? - This worksheet will guide you through the qualification process for E0470 - Load worksheet! 
  • Medicare Policy for Treatment of OSA - Load worksheet! Frequently ask questions regarding follow-up and failed trials - Load worksheet!
  • Does your patient qualify for Oxygen at home? Load worksheet!

PAP ordering guide

Need help with settings for CPAP/APAP/BILEVEL/BILEVEL auto/ST/ASV/iVAPS?

Astral NIV

Follow our guide for ordering Astral NIV therapy for COPD/Respiratory compromised Neuromuscular diseases.

Trilogy NIV

Follow our guide for ordering Trilogy NIV therapy for COPD/Respiratory compromised Neuromuscular diseases.. 

Sample Auto CPAP Rx

View our sample Rx with qualifying information.

Cough Assist

The Philips Respironics CoughAssist E70 device assists patients in loosening, mobilizing, and
clearing secretions by providing high frequency oscillatory vibrations.

Oxygen

Does my patient qualify for oxygen therapy? Find out by using our easy to use qualification guide.


Oxygen devices

Need help determining oxygen delivery devices and methods?



Overnight oximetry



 

Sample APAP order

1. NPI
2. Dr's name
3. Facility name
4. Facility/office address
5. phone
6. fax
The prescription needs to include: mode, MaxCPAP, MinCPAP, Hours of use, duration of need, mask type, and supplies. If heated humidity is needed it mast be listed. Qualifying diagnosis

Phone

(888) 810-5462
select the option
for the NIV team

Fax

Fax: (616) 249-2273
attention NIV team