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6 visits or 7?

My insurance requires me to fail a 6 month medically supervised diet and my surgeon's office told me to see my primary care provider once per month and document those visits for 6 months. However, I'm getting conflicting answers from employees at the surgeons office whether I'd have to go 6 times or 7 times to complete the 6 months. I'd like to hear from those who have all ready completed this requirement...how many visits did you have?

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Initial visit plus follow up for 6 months,..it will be 7 visits.

HW 312, pre-op (RNY) 255, current weight 199

7 visits....they count the first visit as 0 since it is your baseline visit.

I had to do 3 months and was ready to turn every thing in after that third month and like the other posts, my Simeon's office staff told me it would most likely be declined because they count the first visit as zero. So I will have four visits. Makes sense.

Sent from my iPad using RNYTalk

  • Author

Thanks for the replies. The surgeon's secretary told me 7 visits, but recently the surgeon's nurse told me 6 visits. And, to top that off, the person over bariatric surgeries with my insurance company told me 6 visits. Talk about confusing! I'll be making my 6th visit this week and would really like to be done with this long process, however, I want to meet the requirements before seeking approval.

  • Author

Posting an update - I called the surgeon's office today and it was confirmed that I only need 6 visits with my primary care provider. I went to my 6th visit today! So, I've apparently met all the requirements and am just waiting for them to call me to schedule my pre-authorization visit with the surgeon.

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