190 day diet DONE

Hello All,
Today marks the final day of my 6 month supervised diet. With the good comes the bad. I recieved the copies of the monthly clinical visit paper. I noticed all the Doc. did, was document  the amount of weight i lost and noted this is a follow up for weightloss surgery. He also mentined that im working with a nutritionlist . Is that enough?? How much is enough ?? If no how do I approach him

Pete

I have not gone through the application process yet, but am in the middle of my 6 months. I have BCBS IL and I have heard they are real sticklers on the content of the Dr's notes. My surgeon's office told me to make sure they put notes basically counseling me on what I am eating, exercising, etc. She said to make sure it specifically said, "Behavior Modification". My PCP has basically writted at least a Paragraph each time about our talks during the visit and how I am going to try to make these changes, blahblahblah. Maybe he can try to put some more info in the notes. ?? Good luck!!!

Amy

This info was previously posted:

If you need to have a medically supervised weight loss attempt, be sure to check with your insurer to find out exactly what they want to see in the clinical notes and then communicate that information to your health care provider.

My insurance requires:  vital signs, ... i.e., weight, blood pressure, etc...

discussion of weight loss program being attempted ... i.e., portion control, logging of foods, weight loss meds., high protien/low carb diet, etc...

discussion of exercise program being attempted ... i.e., walking 30 mins 3 x week, resistance training 30 mins 3 x week, etc...

discussion of behavior modificatons being attempted ... i.e., counseling sessions, attending support group meetings, working through a behavior modification program, etc... results of attempt ... i.e., loss, maintained, gained X lbs.

I hope that if you require a documented weight loss attempt you will find out not only what the insurer wants but what is being documented at each visit so that you can avoid the disappointing and costly mistake we are dealing with now. Now we are getting a copy of each month's clinical notes. They are being submitted to our program for review so that if there is a problem it will be caught early on.