Panniculectomy approval help!

I have a friend who has recurrent infections due to her panni. She has an appointment on Friday with a PS to see about taking care of this with her insurance. She only has one picture of an infection and no documentation by her GP.  I had read on here one time about things people do to assure they have irritation and/or infection to the area when they go in to help with the insurance approval.
Any ideas?

She needs to get a copy of her insurance's clinical policy bulletin, which will outline exactly what criteria she must meet in order to be approved for a panniculectomy (and whether or not they cover that procedure at all). 

Mine required 3 months or more of documented (via my GP/PCP's medical records) skin irritations that were not helped by medical treatment AND the pannis had to hang below the pubis.  So, I had to go to my PCP and complain of skin issues and get it documented in my medical file and then he had to prescribe a treatment that I had to try.  This treatment didn't work, so I had to return with additional complaints, etc. 

Did these have to be 3 consective months of documentation from from pcp or could it be spread out over a six month period?

Honestly, I don't remember the exact verbage....I think it had to last more than 3 months.  I tried to make it a point to go for 3 consecutive months, and then longer, to make sure all bases were covered.

Again, though, what my insurance requires could be completely different from what yours requires.  You need your specific clinical policy bulletin.  Then when writing your letter for approval, you can refer to that and use the same language they used in order to help expedite approval.

Mine had to be 3 consecutive months of recurring rashes WHILE be treated by a physician.  Just saying I had them wasn't enough - you have to go to at least your PCP and get it documented and get the medications.