Question:
Has anyone dealt with Kepro and FL medicaid since March 2002?
— Bev B. (posted on September 13, 2002)
September 19, 2002
Kepro/Medicaid List
Psychiatric History
Depression
Body image Issues
Emotional/Behavioral Eating Patterns
Food for coping
Binge/Purge
Substance Abuse History
Medical Health History
Difficulty breathing
Obstructive sleep apnea
Urinary incontinence
Diabetes
HBP
Arthritis/Joint pain
Physical limitations and restrictions
Other
Family/Marital History
Childhood environment
Interpersonal/social history
Vocational/educational/occupational history
Daily Activities/leisure
Dieting history
Diet without success ? underwent several commercially available and
medically supervised diet programs with minimal success.
Duration/when/wt loss/how long
Weight watchers
Tops
Richard Simmons
Physician?s weight loss
Slimfast
Jenny Craig
Health spas
Exercise program
Atkins
Liquid protein
Medfast/optifest
Fad diets = herbal life/metabolife/Phen-Fen/Protein plus/ensure
Other
Physical exam
Stats: morbid obesity
Height
Weight
BMI
Co-morbid findings
Physical exam of all systems
Medically stable for procedure
Photos
Current photo of patient with no clothing or minimal clothing
Surgical evaluation
Specific indications for weight loss surgery
Surgical options
Surgical procedure planned with approach
Restrictive procedures
Vertical banded gastroplasty
Gastric banding
Other
Malabsorptive procedures
BPD
BPD with duodenal switch
BPD/DS
other
Combined procedures
RNY gastric bypass
Other
Diagram of proposed planned surgery
Surgical education
Knowledge of risks and complications
Knowledge of surgical after effects
Pre-operative workup, as indicated
Chest x-ray
Upper gi
Ultrasound of liver & GB
Blood tests
H. pylori test
Other
Other evaluations
Nutritionist
Gastroenterologist
Psychiatric evaluation-mandatory
Motivation for surgery
Cooperative/receptive for success
R/O psychological reasons for failure
Psychological stable
Psychological impression for success
— Bev B.
September 19, 2002
WOW Beverley, alot of great information here! Thank you so much for
posting it. Looks like Kepro is gonna be alot of fun to deal with... NOT!
Take care.
— thumpiez
September 20, 2002
The bad side to all of these requests are that more and more surgeons are
refusing to take medicaid for obesity surgery because they request so much
more than other insurance companies, but they don't pay close to what other
insurance companies pay.
— Bev B.
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