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Trying My Patience... Grrrrrr.

I've been going back and forth with my patent coodinator.. trying to make sure she is getting everything from my PCP. She received my diet forms from October and November and said "they weren't filled out correctly". I'm like okay no big deal I will just call my PCP and tell them the forms have to be completed entirely. I send her a follow up e-mail asking if she recieved the corrected diet forms she replied,"Nothing can be added to those notes after the fact. It has to be correct the first time or you have to start again. Thanks!"

OMG. I got so pissed right away.

Why the hell would I have to start all the way over because a "diet form" isn't completely filled out?? I mean it's not like my doctor can't go back into my chart as a reference to fill it out to their standards so it'll be acceptable. I mean come- on.... the lady is making seems as if it's like altering a real patient chart... its a damn paperrrrrrrrr. Yea I kno it's considered patient information in these conditions,but wow. I really want to say to her, "You are the patient coordinator,mam. Not the insurance people. No need to act like the Diet Form Police. Relax." lol

Annoyed. <_<

#carryon

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  • I WOULD TALK TO HER SUPERVISOR

  • Cheryl Barfoot
    Cheryl Barfoot

    sounds like she needs to relax! good luck!

  • trailblazer57
    trailblazer57

    Nw. I am sorry I went through the same thing and had to start over because i missed one nut. class insurance require 6 month visit in a row. My process has been going on since January. So now I comp

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sounds like she needs to relax! good luck! :D

I WOULD TALK TO HER SUPERVISOR

Nw. I am sorry I went through the same thing and had to start over because i missed one nut. class insurance require 6 month visit in a row. My process has been going on since January. So now I completed the last diet class (after starting over) on 11/7/2012 follow-up to nothing submitted office tried to put blame on dietitican. Dietitican blamed being to busy and will take care of it today. But this is the kicker, I had a pych eval on 4/16/2012 and about 3 weeks ago office called me never received my pych eval (acting like they r on top of things) LOL therapist "the professional" had lose the record and I had to complete it again. If i was not a good record keeper they would have just laid about it. Nw, there is a lot of hoop jumping and follow-up, and it takes the patience of JOB . But we can do all things through Christ that strengthen US. Remember it is only a "test".

God Bless Dee

  • Author

Girl,yes... she definately need to calm her ass down. :angry:

What's poo poo about the whole situation is that she really could have said this in the beginning. I'm assuming I was the only person who had a diet form sent in that wasnt completed...? I swear, it seems as if they leave all kinds of s**t out or make stuff up just so you can screw up everything and set you back. lol I'm laughing but I am so serious.That's is ridiculous as hell. If I do that they will not like me ever again in life. lol

" Start all over because you left come blanks"

What the 'eff ever!!

  • Author

trailblazer57 you are so right.. I think what wears my patience is the fact that I have specific days through out the year( I'm a full-time student) that I have an adequate amount of time to heal from this kind of surgery.. so if it isnt near summer break, I have to wait till christmas break.... and cycle keeps on going everytime there's a set back.

I've finally got my mind together and im totally embracing the 6 month process because it's allowing me to research more about RNY and the changes that will follow surgery.... however,unnecessary stuff is not okay in my book. lol

I think they just want to see if you are really serious about the surgery. I have learned not to assume anything ask questions about everything even if it seem foolish this is your health and the bottom line is you are hiring them to do a job. If they want to get paid do it right; if they dont let them know they are not the only ones for hire. I am only giving them until after Thanksgiving to submitt make paperwork to the insurance and that is what i am tell them " I'm not going to be nasty" they need to know this is about business.

Anyway keep me posted I am off to bed early day tomorrow. God Bless

  • Author

Update: Diet Form Police

I emailed the patient coordinator over the weekend to ask her why I had to start completely over, and her response was that the diet forms aren't filled out completely. To be safe, it's best to start over while I'm only 1 1/2 into the supervised diet.

Her point is that it's likely that my PCP didnt document the information correctly into my chart as well. (e.g what kind of diet, how many calories, exercise & duration,behavior modifications etc.) and it will be used against me later on when submitting for approval. My diet forms have to correlate with the documentation in my patient chart. Also, in her experience, many denials from insurance came from insuffcient documentation by PCP's...especially because they aren't nutritionist or dieticians so they don't truly know what could/and or should be documented to possibly support a bariatric case.

So in the end she was actually on my side. Tryna make things go smoothly...that's all.

Bless her heart. ^_^

I had the option to either haven't 6 month supervised diet with pcp or from the weight loss center associated with my surgeon. I chose the weight loss center because I knew they would know exactly what insurance was looking for

  • Author

I wish I would've had that choice... it would've been easier! There's a weight loss program near me that I could participated in that worked closely with their facility,but it was over the top expensive... in the thousands of dollars.. It was the diet that "Governor Huckabee" participated in ( they said)..... I was like oh hell no screw that. I couldn't afford it...too high.

I could totally tell in the beginning that my PCP hadn't been involved with too many bariatric cases. It was obvious by the PC at the surgeon's office too... so, yea..I'm glad she gave me the heads up for sure,because that would've sucked to reach April and have a big "DENIAL" and really know why.

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