It appears my dr didnt send in any chart notes worthy of the last month we've spent waiting on an answer. She didnt put any of my weights in her notes and basically just wrote that we talked about diet and exercise! So, please help me figure out exactly what she needs to have in the chart notes for it to be clear to insurance. What'd your dr write or did they use a form to document it? Please help! I'm onto my appeal now since it was denied

My Dr wrote about what my goal was for that month and how I did at meeting that goal and also what my goal was for the coming month. She documented activity and diet as well as current weight.

My first doctor documented exactly that but refused to submit it saying that she wasn't my weight loss dr but my primary. My weight loss dr and myself argued saying that was the point. But whatever.

My 2nd doctor documented the same thing, but this time my surgeons office had a piece of paper they made 6 copies of that listed my co-morbidities, my current weight, previous weight, blood pressure, and glucose. That was all they submitted to my insurance and they approved it with that.

2 hours ago, johnsons13 said:

My first doctor documented exactly that but refused to submit it saying that she wasn't my weight loss dr but my primary. My weight loss dr and myself argued saying that was the point. But whatever.

My 2nd doctor documented the same thing, but this time my surgeons office had a piece of paper they made 6 copies of that listed my co-morbidities, my current weight, previous weight, blood pressure, and glucose. That was all they submitted to my insurance and they approved it with that.

I am going to print off some forms today and bring them to my pcp then. I had to kinda make them but it should be fine. My surgery office doesnt have them. Go figure.

My Dr wrote about what my goal was for that month and how I did at meeting that goal and also what my goal was for the coming month. She documented activity and diet as well as current weight.

My doctor did exactly the same thing every month. They denied saying my co morbid conditions were well controlled with pharmaceutical therapy and I did not need the surgery. Which was not part of their own policy. So when she wrote the letter, she argued that the policy did not state co morbid conditions must be well controlled, just that they had to be present for at least five years. Then she made some snarky comment about how the patient could jump through every hoop for two years, and a greedy insurance company would deny based on frivolous reasons, denying a jars working American of the medical care she needed to become healthy. BAM! LOL. I love my doctor.

*HARD working. Not jars working. Good grief.