Guest guest Posted April 4, 2001 Report Share Posted April 4, 2001 Last week I thought I had good news and I guess it was but right now I need lots of prayer and good thoughts. Last week I was able to obtain the letter I needed for transport. I sent it in and started waiting for an answer. I'd met their criteria for transport. I thought.... But .... Once more I've been run around the catch 22. Today my legal advocate said she'd gotten a letter, I now have to prove that there are no DS surgeons in the Spokane area to get the transport. I'm right back where I started. I don't know why the Doctors here won't write a letter saying they don't know of anyone here that does DS but I haven't been able to find one. I sent a letter to Dr. Heap who is the only DS surgeon in Eastern Washington and Northern Idaho (doesn't take my insurance) with a self addressed stamped envelope pleading for a statement and was ignored. Anyway my legal advocate is sending me the letter from Olympia with what they require now. I'm so sorry to ask for this because I know it has been asked many times. I just didn't think I'd need it as Dr. and Dr. Welker were supposed to handle this situation. But I need the code for the DS that Dr. and Dr. Welker do. Does anyone know what it is? Maybe I'll have to call Dr. . I have an appointment with Dr. on May 8th and I will get there one way or the other. Somehow - someway this is going to happen for me. Thanks for all your caring. Email your friends and chat at http://sandymall.com Just scroll to the bottom of the page and enjoy! Your compatriot in Spokane, Sandy G. Pre op Dr. - Portland Oregon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 4, 2001 Report Share Posted April 4, 2001 Sandy, Dr 's medical biller the code 43659 " Unlisted Lap surgery of the abdomen " . Mine has been kicked back/denied as experimental and investigational. Dr Welker uses the codes that most everyone around the nation uses 43847 " small bowel reconstruction to limit fat absorption " and 43633 " lateral gastrectomy " . I can not get Dr. 's outside biller to bill it the same as Dr. Welker because she's saying it's incorrect and it's fraud. Good Luck Sandy, > Last week I thought I had good news and I guess it was but right now I need lots of prayer and good thoughts. Last week I was able to obtain the letter I needed for transport. I sent it in and started waiting for an answer. I'd met their criteria for transport. I thought.... > > But .... Once more I've been run around the catch 22. > Today my legal advocate said she'd gotten a letter, I now have to prove that there are no DS surgeons in the Spokane area to get the transport. I'm right back where I started. > > I don't know why the Doctors here won't write a letter saying they don't know of anyone here that does DS but I haven't been able to find one. I sent a letter to Dr. Heap who is the only DS surgeon in Eastern Washington and Northern Idaho (doesn't take my insurance) with a self addressed stamped envelope pleading for a statement and was ignored. > > Anyway my legal advocate is sending me the letter from Olympia with what they require now. > > I'm so sorry to ask for this because I know it has been asked many times. I just didn't think I'd need it as Dr. and Dr. Welker were supposed to handle this situation. But I need the code for the DS that Dr. and Dr. Welker do. Does anyone know what it is? Maybe I'll have to call Dr. . > > I have an appointment with Dr. on May 8th and I will get there one way or the other. Somehow - someway this is going to happen for me. > > Thanks for all your caring. > Email your friends and chat at http://sandymall.com Just scroll to the bottom of the page and enjoy! > > Your compatriot in Spokane, > > Sandy G. > > Pre op Dr. - Portland Oregon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 4, 2001 Report Share Posted April 4, 2001 Sandy, Dr 's medical biller the code 43659 " Unlisted Lap surgery of the abdomen " . Mine has been kicked back/denied as experimental and investigational. Dr Welker uses the codes that most everyone around the nation uses 43847 " small bowel reconstruction to limit fat absorption " and 43633 " lateral gastrectomy " . I can not get Dr. 's outside biller to bill it the same as Dr. Welker because she's saying it's incorrect and it's fraud. Good Luck Sandy, > Last week I thought I had good news and I guess it was but right now I need lots of prayer and good thoughts. Last week I was able to obtain the letter I needed for transport. I sent it in and started waiting for an answer. I'd met their criteria for transport. I thought.... > > But .... Once more I've been run around the catch 22. > Today my legal advocate said she'd gotten a letter, I now have to prove that there are no DS surgeons in the Spokane area to get the transport. I'm right back where I started. > > I don't know why the Doctors here won't write a letter saying they don't know of anyone here that does DS but I haven't been able to find one. I sent a letter to Dr. Heap who is the only DS surgeon in Eastern Washington and Northern Idaho (doesn't take my insurance) with a self addressed stamped envelope pleading for a statement and was ignored. > > Anyway my legal advocate is sending me the letter from Olympia with what they require now. > > I'm so sorry to ask for this because I know it has been asked many times. I just didn't think I'd need it as Dr. and Dr. Welker were supposed to handle this situation. But I need the code for the DS that Dr. and Dr. Welker do. Does anyone know what it is? Maybe I'll have to call Dr. . > > I have an appointment with Dr. on May 8th and I will get there one way or the other. Somehow - someway this is going to happen for me. > > Thanks for all your caring. > Email your friends and chat at http://sandymall.com Just scroll to the bottom of the page and enjoy! > > Your compatriot in Spokane, > > Sandy G. > > Pre op Dr. - Portland Oregon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 4, 2001 Report Share Posted April 4, 2001 Sandy, Dr 's medical biller the code 43659 " Unlisted Lap surgery of the abdomen " . Mine has been kicked back/denied as experimental and investigational. Dr Welker uses the codes that most everyone around the nation uses 43847 " small bowel reconstruction to limit fat absorption " and 43633 " lateral gastrectomy " . I can not get Dr. 's outside biller to bill it the same as Dr. Welker because she's saying it's incorrect and it's fraud. Good Luck Sandy, > Last week I thought I had good news and I guess it was but right now I need lots of prayer and good thoughts. Last week I was able to obtain the letter I needed for transport. I sent it in and started waiting for an answer. I'd met their criteria for transport. I thought.... > > But .... Once more I've been run around the catch 22. > Today my legal advocate said she'd gotten a letter, I now have to prove that there are no DS surgeons in the Spokane area to get the transport. I'm right back where I started. > > I don't know why the Doctors here won't write a letter saying they don't know of anyone here that does DS but I haven't been able to find one. I sent a letter to Dr. Heap who is the only DS surgeon in Eastern Washington and Northern Idaho (doesn't take my insurance) with a self addressed stamped envelope pleading for a statement and was ignored. > > Anyway my legal advocate is sending me the letter from Olympia with what they require now. > > I'm so sorry to ask for this because I know it has been asked many times. I just didn't think I'd need it as Dr. and Dr. Welker were supposed to handle this situation. But I need the code for the DS that Dr. and Dr. Welker do. Does anyone know what it is? Maybe I'll have to call Dr. . > > I have an appointment with Dr. on May 8th and I will get there one way or the other. Somehow - someway this is going to happen for me. > > Thanks for all your caring. > Email your friends and chat at http://sandymall.com Just scroll to the bottom of the page and enjoy! > > Your compatriot in Spokane, > > Sandy G. > > Pre op Dr. - Portland Oregon Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 4, 2001 Report Share Posted April 4, 2001 Praying for you, Sandy. Hang in there! --- " Sandy G. " DremsWvr@...> wrote: > Last week I thought I had good news and I guess > it was but right now I need lots of prayer and good > thoughts. Last week I was able to obtain the letter > I needed for transport. I sent it in and started > waiting for an answer. I'd met their criteria for > transport. I thought.... > > But .... Once more I've been run around the > catch 22. ===== Age 41 BMI 61 Consult 6/7/01 Dr. Herron __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 4, 2001 Report Share Posted April 4, 2001 Praying for you, Sandy. Hang in there! --- " Sandy G. " DremsWvr@...> wrote: > Last week I thought I had good news and I guess > it was but right now I need lots of prayer and good > thoughts. Last week I was able to obtain the letter > I needed for transport. I sent it in and started > waiting for an answer. I'd met their criteria for > transport. I thought.... > > But .... Once more I've been run around the > catch 22. ===== Age 41 BMI 61 Consult 6/7/01 Dr. Herron __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 5, 2001 Report Share Posted April 5, 2001 {{{{{Sandy}}}}}} Hang in there!! Barbi --- " Sandy G. " DremsWvr@...> wrote: Somehow - someway this is going to happen for me. > > Pre op Dr. - Portland Oregon > __________________________________________________ Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 5, 2001 Report Share Posted April 5, 2001 > ...Today my legal advocate said she'd gotten a letter, I now have to prove that there are no DS surgeons in the Spokane area to get the transport.... how about contacting the bariatric surgeons association. they would surely have such proof and maybe be able to fax a simple note to the proper person?? erika 5'2 " , 281.5#, bmi 51 tentative surgery date 5.11.01 11:30 am dr. herron Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 11, 2001 Report Share Posted April 11, 2001 Sandy, We will be praying and swinging chickens for you in hopes that you recover quickly and your appeal will be approved! I can't believe they denied you before they even got a letter from your doctor. Have you thought about retaining an attorney ? What did Walter say ? You're in my prayers! Anita Pre-pre op in Denver > I know this is a surgery group but I need some prayer/good thoughts. I've fallen again and am really hurting. I've also had no positive response from my insurance company so I can go see Dr. . > > I've got to have this surgery and get weight off compressed nerves. One of these falls could cost my life. > > Thank you for your kindness in this off topic request. > > Email your friends and chat at http://sandymall.com Just scroll to the bottom of the page and enjoy! > > Your compatriot in Spokane, > > Sandy G. > > Pre op Dr. - Portland Oregon > Kris Sparks - Dinner > > > Hi Friends, > > Kris Sparks (harlee_ryder@m...) will be visiting Ashland KY this weekend! > She has asked me to arrange a dinner with all her friends who can make it on > Sunday 4/15. It will be at the Texas Roadhouse Grill in Ashland KY at 6:00 > PM. *EVERYBODY* is invited and she is so anxious to see everyone again! > If you can attend, please let me know via private Email, I'll be making the > reservation. Hope to see you there! > > Michele B., Cols, Ohio > Failed VBG 1986 > Revision - Open BPD/DS 7/14/00 > Wt 320/201 BMI 50.2/31.48 -119 pounds in 38 weeks > Dr. P. Maguire, Kettering OH > Self-pay > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 11, 2001 Report Share Posted April 11, 2001 Sandy, We will be praying and swinging chickens for you in hopes that you recover quickly and your appeal will be approved! I can't believe they denied you before they even got a letter from your doctor. Have you thought about retaining an attorney ? What did Walter say ? You're in my prayers! Anita Pre-pre op in Denver > I know this is a surgery group but I need some prayer/good thoughts. I've fallen again and am really hurting. I've also had no positive response from my insurance company so I can go see Dr. . > > I've got to have this surgery and get weight off compressed nerves. One of these falls could cost my life. > > Thank you for your kindness in this off topic request. > > Email your friends and chat at http://sandymall.com Just scroll to the bottom of the page and enjoy! > > Your compatriot in Spokane, > > Sandy G. > > Pre op Dr. - Portland Oregon > Kris Sparks - Dinner > > > Hi Friends, > > Kris Sparks (harlee_ryder@m...) will be visiting Ashland KY this weekend! > She has asked me to arrange a dinner with all her friends who can make it on > Sunday 4/15. It will be at the Texas Roadhouse Grill in Ashland KY at 6:00 > PM. *EVERYBODY* is invited and she is so anxious to see everyone again! > If you can attend, please let me know via private Email, I'll be making the > reservation. Hope to see you there! > > Michele B., Cols, Ohio > Failed VBG 1986 > Revision - Open BPD/DS 7/14/00 > Wt 320/201 BMI 50.2/31.48 -119 pounds in 38 weeks > Dr. P. Maguire, Kettering OH > Self-pay > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 11, 2001 Report Share Posted April 11, 2001 Sandy, We will be praying and swinging chickens for you in hopes that you recover quickly and your appeal will be approved! I can't believe they denied you before they even got a letter from your doctor. Have you thought about retaining an attorney ? What did Walter say ? You're in my prayers! Anita Pre-pre op in Denver > I know this is a surgery group but I need some prayer/good thoughts. I've fallen again and am really hurting. I've also had no positive response from my insurance company so I can go see Dr. . > > I've got to have this surgery and get weight off compressed nerves. One of these falls could cost my life. > > Thank you for your kindness in this off topic request. > > Email your friends and chat at http://sandymall.com Just scroll to the bottom of the page and enjoy! > > Your compatriot in Spokane, > > Sandy G. > > Pre op Dr. - Portland Oregon > Kris Sparks - Dinner > > > Hi Friends, > > Kris Sparks (harlee_ryder@m...) will be visiting Ashland KY this weekend! > She has asked me to arrange a dinner with all her friends who can make it on > Sunday 4/15. It will be at the Texas Roadhouse Grill in Ashland KY at 6:00 > PM. *EVERYBODY* is invited and she is so anxious to see everyone again! > If you can attend, please let me know via private Email, I'll be making the > reservation. Hope to see you there! > > Michele B., Cols, Ohio > Failed VBG 1986 > Revision - Open BPD/DS 7/14/00 > Wt 320/201 BMI 50.2/31.48 -119 pounds in 38 weeks > Dr. P. Maguire, Kettering OH > Self-pay > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > ---------------------------------------------------------------------- > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2001 Report Share Posted April 12, 2001 Sandy- I'm hoping everything works out for you. Take care of yourself and let me know if I can do anything to help you out. Donna Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2001 Report Share Posted April 12, 2001 Sandy- I'm hoping everything works out for you. Take care of yourself and let me know if I can do anything to help you out. Donna Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 12, 2001 Report Share Posted April 12, 2001 Sandy, My prayers and thoughts are with you! God can find solutions to problems we find hopeless! I pray He shows you your solution soon! HUGSZZZZZZZZ, Deanna True02-15-01 Open BPD/DSDr. Keshishian300 lbs./ BMI 49 pre-surgery 253 lbs./ BMI 40 8 weeks post-opWOW 47 pounds gone forever !!!!!!! Kris Sparks - Dinner Hi Friends,Kris Sparks (harlee_ryder@...) will be visiting Ashland KY this weekend! She has asked me to arrange a dinner with all her friends who can make it on Sunday 4/15. It will be at the Texas Roadhouse Grill in Ashland KY at 6:00 PM. *EVERYBODY* is invited and she is so anxious to see everyone again! If you can attend, please let me know via private Email, I'll be making the reservation. Hope to see you there!Michele B., Cols, OhioFailed VBG 1986 Revision - Open BPD/DS 7/14/00Wt 320/201 BMI 50.2/31.48 -119 pounds in 38 weeksDr. P. Maguire, Kettering OH Self-pay---------------------------------------------------------------------- Quote Link to comment Share on other sites More sharing options...
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