Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Recommended Posts

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

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 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 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

@@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 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

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

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • rinabobina

      I would like to know what questions you wish you had asked prior to your duodenal switch surgery?
      · 0 replies
      1. This update has no replies.
    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
      1 protein shake (bariatric advantage chocolate) with 8 oz of fat free milk 1 snack = 1 unjury protein shake (root beer) 1 protein shake (bariatric advantage orange cream) 1 snack = 1 unjury protein bar 1 protein shake (bariatric advantace orange cream or chocolate) 1 snack = 1 unjury protein soup (chicken) 3 servings of sugar free jello and popsicles throughout the day. 64 oz of water (I have flavor packets). Hot tea and coffee with splenda has been approved as well. Does anyone recommend anything for the next 3 weeks?
      · 1 reply
      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

    • buildabetteranna

      I have my final approval from my insurance, only thing holding up things is one last x-ray needed, which I have scheduled for the fourth of next month, which is my birthday.

      · 0 replies
      1. This update has no replies.
    • BetterLeah

      Woohoo! I have 7 more days till surgery, So far I am already down a total of 20lbs since I started this journey. 
      · 1 reply
      1. NeonRaven8919

        Well done! I'm 9 days away from surgery! Keep us updated!

    • Ladiva04

      Hello,
      I had my surgery on the 25th of June of this year. Starting off at 117 kilos.😒
      · 1 reply
      1. NeonRaven8919

        Congrats on the surgery!

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×