May 20, 2005, the Board accepted a complaint from the aggrieved party (whose name is not used in this decision for privacy reasons). party challenged Medicare's policy that air cleaners are not covered as durable medical equipment (DME) for Medicare beneficiaries. is embodied in a DME reference list in the Medicare National Coverage Determination (NCD) Manual, section 280.1. The Board has jurisdiction to review NCDs under section 1869 of the Social Security Act (Act) (2) and implementing regulations at 42 C.F.R. Part 426. Consistent with the regulations, the Board ordered the Centers for Medicare & Medicaid Services (CMS) to produce the NCD record for the aggrieved party to review. party had an opportunity to submit a statement explaining "why the NCD record is not complete, or not adequate to support the validity of the NCD under the reasonableness standard." Board Notice of Acceptable Complaint, dated May 20, 2005, at 2.

CMS responded to the statement and materials submitted by the aggrieved party. aggrieved party purchased an air cleaner described as an ultraviolet air purification filter system in 2002 on the recommendation of her allergist (3) and sought payment for the purchase under Medicare. claim was denied on the ground that air cleaners are not covered under the DME reference list. The denial was upheld by an ALJ and by the MedicareShe also sought review of this policy on the basis that coverage of air cleaners would benefit many Medicare beneficiaries. benefits proposed include possible prevention of illness by reducing "exposure to bacteria, mold, and other types of living organisms that cause illness." Aggrieved Party Letter, dated August 9, 2004, at 1. Medicare consider expanding coverage to air cleaners as a cost effective item to help people with breathing problems avoid hospital visits. The best indoor air purifiers years of poor health, severe asthma attacks, emergency room

visits, a dozen medications and a half dozen doctors I realized it was time to control the irritants and not my wife's reaction to them. Easy to see in hindsight, this is the key to you getting the positive results you deserve, just like I did. allergic and hyper reactive person is not theThe poisons in our environment are! Read, discover and use you find on my indoor air purifier website. You'll be amazed at how fast you can clear the air in your home of allergens and harmful Read this most important letter on how to improve your home air quality. If you are anything like me you're concerned about the comfort, health, and safety of your family. You'll be glad you found my indoor air purifiers website. Most Allergy Sufferers and Caregivers want to improve their family's health andHave you personally found that to be easy? fed up with contradictory indoor air purifier claims, inadequate air excessive filter replacements nickel and diming you, or regular filter

plate cleaning unexpectedly adding another time consuming chore to your Okay, I openly confess... I used to be completely ignorant about indoor air quality issues. In fact, I was causing more harm to my family's health than I care to admit. air purifier buy singaporeBut my heart was inair purifier cheap ukI just didn't know what to do.air purifiers for sale in ireland The very first indoor air purifier I bought was an impressive box about the size of a small television. It was all plastic. did I realize how that plastic outgassed numerous volatile organic compounds even after I couldn't smell it anymore. It had four filter frames arranged in a "W" pattern. I didn't realize it at the time but

their loose fit allowed tons of air to pass by unfiltered. And while the manufacturer happily pointed out how it would remove pollen and dust they failed to point out that over 90% of airborne pollutants are smaller than the pollens and dusts they were They also tried to make their box more impressive by including an ionizer and fiber pads with sprayed on activated carbon. Of course I didn't know the few token ounces of carbon had no real chance of removing gases and odors. And besides, they had probably been filled to their tiny capacity by the plastic odors coming from the Any effect from the included ionizer was negligible,We actually quit using the ionizer due to ozone concerns. My second indoor air purifier claimed to have HEPA filtration particles and activated carbon for gases and odors. again the activated carbon was nothing more than a token few ounces, was integrated into the prefilter wrap. The tiny capacity it may have

had was quickly reduced by clogging of the carbon's pores by particles coming into the prefilter. Again, it was all plastic and outgassed a steady supply ofPromoted as delivering HEPA quality filtration, I didn't know that referred to the theoretical efficiency, not actual efficiency. Cracks in the HEPA media and air gaps between the filter and housing, common in cheaply made but not necessarily cheaply priced indoor air purifiers, reduce actual performance as much as 20%. While this indoor air purifier proved somewhat helpful it didn't give the relief we were seeking, especially since it failed miserably to address chemical contaminants in the air. As time went by I learned a great deal more about air quality issues and the kind of indoor air purifier I needed to really help my Armed with this information and a prescription from her allergist for a medical grade air purifier we approached our health insurance company to cover the cost of a quality indoor air

was for medical purposes after all. The insurance company promised to help out and contacted a medical supply company for an indoor air purifier they considered turned out to be the most pathetic little desktop unit I've ever seen, made by a company better known for ceiling fans. It scarcely lasted 3 months before the motor burned up in it! These bad experiences and others like them showed me the need to really take charge of the situation and learn all I could about the indoor air we breathe everyday. I learned how to identify and eliminate pollution sources, how home construction contributes to bad air, how to build a healthy home, how to ensure fresh air ventilation and what it takes for a truly effective indoor air purifier. equipment, and techniques to dramatically improve our indoor air quality and my wife's health. Not an easy task when you look at the mountains of stuff littering the internet, all claiming to be the best

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