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BiPAP® Auto-Titration Program

Nbn's goal is successful therapy for all of our sleep apnea patients. NBN Infusions & Respiratory recognizes some patients may have a difficult time adjusting to high CPAP therapy pressures and thus give up on treatment. If high CPAP pressures are a problem then the BiPAP® Auto-Titration Program will allow the patient to use a BiPAP® unit that will automatically adjust the IPAP and EPAP pressures within a prescribed range for a two week period and the unit may then be downloaded showing the required IPAP and EPAP therapy pressures. If it is a successful trial and a fixed IPAP and EPAP are prescribed, the patient can stay on the same unit as the settings can simply be changed.

As always, we must follow insurance guidelines when switching from a CPAP to a BiPAP® unit. In order for this to be approved through any insurance, the patient must have tried and failed CPAP during the sleep study or trying CPAP therapy at home. Documentation that the patient tried and failed CPAP must be written on the new BiPAP® prescription. The patient's CPAP must also be in the rental phase and not already purchased by the insurance company.

BiPAP® Auto-Titration Program Guideline

• Patient tried and failed CPAP therapy during the sleep study OR using a CPAP at home after the sleep study.
• Call or fax NBN a prescription for the BiPAP® Auto-Titration Program with desired IPAP/EPAP pressure ranges.
• After 2 weeks download will be faxed to prescribing physician.
• Fax prescription for fixed BiPAP® pressures to NBN. Patient failed CPAP MUST be written on the prescription.
• NBN will verify all insurance coverage for a new BiPAP® unit.
• NBN Medical will program the new settings into the unit.

What is Bilevel Positive Airway Pressure or BiPAP® therapy?

Bilevel Positive Airway Pressure delivers two different pressures to the airway; one during inspiration, and a lower pressure during exhalation. Some patients find this to be more comfortable than a single continuous pressure.

Are there problems with CPAP or BiPAP® therapy?

Click here for intolerance solutions and other possible alternatives.