Compliance Guarantee Program

Compliance Guarantee Program

Compliance Guarantee Program Airway Management is pleased to offer a 90-day patient Compliance Guarantee Program for CPAP naïve patients with its TAP® PAP Nasal Pillows Mask. We are confident that most patients will be compliant with therapy and qualify for billing beyond month 3 while using the mask.
Airway Management also guarantees patient satisfaction for the experienced CPAP user. If a patient is not completely satisfied during the first 30 days of use we will replace the mask.
These guarantees are in lieu of any other applied warranties, breakage or misuse by the patient.
In the event that a naïve patient is noncompliant with therapy in the initial 90 days due to the TAP PAP Nasal Pillows Mask, or dissatisfied within the first 30 days of use we will replace the mask to the supplier's inventory with a new one.
In order to qualify for a replacement the provider must satisfy the following:
  1. Certify that the fitting video was viewed and the mask was fit correctly.
  2. The mask has not been misused and is in good working condition.
  3. Fill out the Mask Questionnaire online and submit to Airway Management electronically.
Thank you for your interest in the TAP PAP Nasal Pillow Mask.

Provider Information

  1. DME Provider:
  2. AM Account #:
  3. Contact name:
  4. Ship to Address:
  5. City: State:Zip:

Mask Information

  1. Set-up Date:
  2. Pillow Size:
  3. Is patient continuing to use CPAP?: Yes  No
  4. CPAP Pressure Setting:
  5. Was headgear used?: Yes  No
  6. Was chinstrap used?: Yes  No
  7. Return date:
  8. Reason for return:
  9. Mask Lot #:

Replacement Mask Information

  1. Manufacturer:
  2. Mask Name:

Location of Original Mask

  • Returned to Homecare Company Discarded by Patient

Enter the number you see above into the form field below.

Airway Management may ask for the return of the mask.