How do I meet Aetna's new requirements, posted 1/17/03?

These are Aetna's new requirements: (1) the presence of morbid obesity that has persisted for at least five years; (2) patient has participated in a physician-supervised nutrition and exercise program, documented in the medical record which is: a. Supervised and monitored by a physician working in cooperation with dieticians and/ or nutritionists; b. Is of six months or longer in duration; c. Has occurred within two years prior to surgeryand (sic) d. Is documented in the medical record by an attending physician who does not perform bariatric surgery. Note: A physicians summary letter is not sufficient documentation. How do you meet these requirements? It seems that these may be impossibly difficult. Please share your thoughts. Thanks, Susan

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