Approval

[ACV 34]

I've searched the past posts but this isn't something I have found. I am finally to the approval process but the Surgeons nurse is not helpful. Matter of fact she's very negative and dismissive. I do see a therapist and Psychiatrist so because of my mental diagnosis she (the nurse) has decided I won't get approved by Medicare. My Psychiatrist wrote an approval letter and listed my diagnosis with Depression, Acute Anxiety disorder and Disassociate Identity Disorder and he is very supportive and says losing weight will be helpful with Depression. She rejected the first two evaluations he sent and today he sent a third that had everything she needed but when she called me today she said she is going to have to research DID but it's not likely I'd be approved. I know that he took the diagnosis of DID off the evaluation because it was causing issues and when she and I spoke I tried to tell her that people with PTSD get approved all the time according to research I've done her response was " So you have PTSD too?". So, now what? I want to just change surgeons but not cause any attitude. People change Dr's all the time right? She shouldn't care right? As long as I'm nice and just say something like it's not a good time to go ahead and I'll get back with her if I decide to proceed with the surgery. I have approval from my PCP and Psychiatrist so why so much drama?

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[KristenLe 5,979]

I would tell her you weren't going to continue being treated poorly and would find another Program. I would then file a complaint against her with the practice or hospital. It's not for her to research and decide. That's why we get psych clearance. Medicare will have your diagnostic history so she should submit the correct info and work to get it approved - not look for reasons why you shouldn't be approved.

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[ACV 34]

I would tell her you weren't going to continue being treated poorly and would find another Program. I would then file a complaint against her with the practice or hospital. It's not for her to research and decide. That's why we get psych clearance. Medicare will have your diagnostic history so she should submit the correct info and work to get it approved - not look for reasons why you shouldn't be approved.

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Thank you. I usually don't take things personally but this one got me. I'll call today and tell her...something. I'm just nervous I guess. She could mess things up for me if she tried.

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