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Re: pre-op testing/Cindy

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In a message dated 7/26/01 12:23:23 AM, duodenalswitch writes:

<< or many that is the normal order. You get your approval and then do

your tests and schedule surgery.

>>

I would check with your surgeon, Cindy. We do the tests first, etc. at Mt

Sinai because such pre-op stuff is used in the insurance document to obtain

approval (i.e. - if GERD/reflux/hiatus hernia is found during the endoscopy,

etc.). I'm sure it isn't absolutely necessary when one has other

documentation for pre-existing conditions (such as if one has diabetes, high

blood pressure, sleep apnea and this has previously been diagnosed). The

pre-op requirements (which may differ according to various surgeons) of upper

endoscopy, psych consult, bloodwork/endocrine panel (TH series, I think) and

nutritional consult were completed before the insurance stuff was submitted.

ACtually, that was done last -- and a week before surgery at that! Talk

about being nervous! LOL I got the surgery date booked/scheduled right away

after my first consult but the approval wasn't submitted until pretty close

to my surgery date.

Then again, I had things covered by Oxford (Gagner was a participant in the

plan at the time). For you, it might be disadvantageous to do all that

pre-op work if the insurance is going to fight you on approval...

all the best,

lap ds with gallbladder removal

January 25, 2001

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