Friday, June 4, 2010

Not So Good News: Hitting the "Required" Diet Brick Wall

I wanted to separate the good news from the bad. My last post talked about my 2lb loss and finally weighing below 300 lbs. This is all great, right? However, I got some bad news during this last visit as well.

Dr. Cetin reviewd my PCP notes from September 09 - January 09. I was meeting with my PCP to complete the required doctor supervised diet mandated by health insurance. She knew of and supported my decision to have Roux-en-Y. She also knew that she had to take thorough notes in order to be acceptable by insurance standards. However, after Dr Cetin reviewed them he said that none of the months had the necessary documentation required for insurance submittal.

That is NOT what I wanted to hear.

In fact, I couldn't hold back the tears. Practically 6 months down the drain! I was so upset, and Dr. Cetin was very understanding and talked me through my frustration. He was very kind and upfront about things, and offered a suggestion. He recommended that I ask my PCP to ammend her notes to include the necessary information for insurance submittal. He gave me a template/example of formatted notes and even encouraged me to prepare them myself  for my PCP to review and sign off on. So, that is what I'm working on now. Luckily I kept some notes of my own in my food diary...and hopefully my PCP will not take offense and sign off on them. If she does then we will be ready to submit to insurance!

I hope this works. It's been a long road. I won't say it hasn't been worthwhile. I've learned a lot and I feel very prepared to succeed with this weight loss surgery. However, I don't want to spend another 6 months doing this. I want to move on to the rest of my life.

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