lovelymilena 40 Posted June 14, 2016 So I've been seeing my primary care physician once a month for the past 5 months as a requirement for WLS. So today I find out that my doctor hasn't been coding those appointments correctly and only one of her notes mention weight loss! I'm so frustrated and I feel like my insurance isn't going to approve me now! I'm so close, July 1st was supposed to be the end of my 6 months and now I feel like I've hit a road block! My emotions are all over the place. I'm sad, I'm angry, I'm disappointed, and I really just feel like giving up. I feel hopeless now. ???? Sent from my SAMSUNG-SM-N920A using the BariatricPal App Share this post Link to post Share on other sites
SalOdyssey 441 Posted June 14, 2016 Your Dr should be able to go back (I don't know how far) and amend those appointment notes. Share this post Link to post Share on other sites
lovelymilena 40 Posted June 14, 2016 Your Dr should be able to go back (I don't know how far) and amend those appointment notes.Omg I sure hope so! I'm going to see her Friday. We shall see!! Sent from my SAMSUNG-SM-N920A using the BariatricPal App Share this post Link to post Share on other sites
KristenLe 5,979 Posted June 14, 2016 @@lovelymilena What did she code and document these visits as? I would insist she amend the records to include the reason you were there and what was discussed about weight loss and nutrition. If necessary - complain to your insurance company! Share this post Link to post Share on other sites
lovelymilena 40 Posted June 14, 2016 @@lovelymilena What did she code and document these visits as? I would insist she amend the records to include the reason you were there and what was discussed about weight loss and nutrition. If necessary - complain to your insurance company!She coded them as follow ups and one was coded as a problem. None of the notes mentioned weight loss. They mentioned other things. I'm just really hoping after I meet with her Friday she can go back and amend the records. Sent from my SAMSUNG-SM-N920A using the BariatricPal App Share this post Link to post Share on other sites
KristenLe 5,979 Posted June 15, 2016 @@lovelymilena What did she code and document these visits as? I would insist she amend the records to include the reason you were there and what was discussed about weight loss and nutrition. If necessary - complain to your insurance company!She coded them as follow ups and one was coded as a problem. None of the notes mentioned weight loss. They mentioned other things. I'm just really hoping after I meet with her Friday she can go back and amend the records. Sent from my SAMSUNG-SM-N920A using the BariatricPal App If she didn't properly document - she needs to amend them. Follow Up or Problem wouldn't necessarily be the code submitted to insurance. There should have been an obesity related diagnosis. Share this post Link to post Share on other sites
lovelymilena 40 Posted June 15, 2016 @@lovelymilena What did she code and document these visits as? I would insist she amend the records to include the reason you were there and what was discussed about weight loss and nutrition. If necessary - complain to your insurance company!She coded them as follow ups and one was coded as a problem. None of the notes mentioned weight loss. They mentioned other things. I'm just really hoping after I meet with her Friday she can go back and amend the records. Sent from my SAMSUNG-SM-N920A using the BariatricPal App If she didn't properly document - she needs to amend them. Follow Up or Problem wouldn't necessarily be the code submitted to insurance. There should have been an obesity related diagnosis.I totally agree. Very frustrating! Geez Sent from my SAMSUNG-SM-N920A using the BariatricPal App Share this post Link to post Share on other sites
christiR 12 Posted June 15, 2016 As long as you weighed in my insurance took the visits. See if that could help Sent from my iPhone using the BariatricPal App Share this post Link to post Share on other sites
hartless 71 13 Posted June 15, 2016 Your doctor CAN amend those previous visits with the proper codes! You tell them that! My doctors always mess up codes and I even have to call the insurance company myself and ask what the code should be and then walk my doctor through it. It is so eerrrrr but don't be passive tell them to do it. Good luck ???? Share this post Link to post Share on other sites
