Gastric Bypass Surgery Requesting Insurance Pre Approval
You have done your research on gastric bypass surgery, and determined whether your insurance carrier will pay for the procedure. You have the CPT/ICD-9 codes memorized, and you're on a first-name basis with the member services rep at the insurance company. You have prepared the documentation required by your carrier, and the big day is finally here: It's time to submit all this information with a request for pre-approval of your gastric bypass procedure.
Increase Your Chances of Insurance Success
The checklist below can help you ensure you have obtained everything needed to increase your chances of securing preauthorizing for weight loss surgery from your insurance carrier:
1.A letter of medical necessity from your primary care physician or a medical specialist recommending you for weight loss surgery
2.Doctor's records of office visits documenting your history of obesity (this should include documentation supporting The National Institute of Health guidelines of severe and morbid obesity)
3.A well-documented list of any serious health issues, such as hypertension or diabetes, considered a direct result of severe or morbid obesity
4.A detailed list of any doctor-prescribed medications for weight loss
5.Supporting documents pertaining to any medically-supervised diet programs
6.Evaluation records and clearance if under the care of a mental health specialist or if taking psychotherapeutic medication, such as anti-depressants
7.Records of any tests requested by your insurance company and their results
Submitting Your Request
After verifying that you have gathered all required documents, the office of your gastric bypass surgeon or your primary care physician will likely assist you in submitting a request for preauthorization. You may also submit the information yourself, but your request will likely be given more weight if coming from a medical practitioner.
Along with your required documents, the letter to your insurance company from your doctor will contain pertinent information to help in the pre-approval process. This correspondence should clearly identify the date, your name, and the reason for the letter (e.g., "request for preauthorization"). Your date of birth, insurance number, and group number should come immediately after this information, after which the body of the letter should follow.
Making Your Case
Within the body of the letter, your doctor should again state your name, along with your age and gender, and the long-term medical problem for which you are requesting coverage of treatment
How To Deal With Snack Attacks
Ever get a snack attack between meals? Who hasn't? But snack attacks can actually work as an advantage for your weight loss.
Snack attacks are actually a good thing because eating frequently instead of waiting until you're extremely hungry is a good way to avoid overeating.
It helps keep blood sugar levels normal and brain chemistry in balance.
By pre-planning for snacks and eating the right food you can use snacks in your favor instead of feeling guilty afterwards.
Here is a healthy snack tip. A key to losing weight and keeping it off is eating more negative calorie or fat burning foods with lots of volume but few calories.
Eating fat burning compatible or negative calorie foods creates a calorie deficit that requires your body to use stored fat as energy. Here are a just few examples of healthy snack ideas that are negative calorie foods:
Apples, cantaloupe, carrots, cod, corn, crab meat, grapes, lobster, low-fat yogurt, mangoes, pineapple, raspberries, strawberries and watermelon.
Avoid late night snacks because your body's metabolism slows way down when you sleep. That means anything you eat just before you go to bed will turn to body fat.
If you eat vending machine snacks they contain high fat and you can forget about reducing body fat because these snacks can sabotage your weight loss quickly.
Also, beverages like smoothies, sweetened coffee drinks, soft drinks, fruit drinks, sports drinks and flavored teas contain a lot of sugar that will end up as body fat.
Snacking on blackberries, peaches or red and green peppers can help you meet your daily recommendations of fruits and vegetables. You need two to four servings a day.
Snacks such as low-fat yogurt or low fat cheese can help you meet your daily calcium requirement. You need two to three servings per day.
Believe it or not, small changes like these can have a huge difference in your weight loss results. Remember, successful weight loss is just a combination of the right choices.
So the next time you have a snack attack at home or at work you'll know how to use it to your advantage for weight loss success.
Fat Farm All The Myths About It
The term "fat farm", as also with the term "fat camp", carries with it a decidedly pejorative tone, but does that mean the concept behind them is bad? Indisputably not, as it turns out. As long as the participant is attending of their own free will, the idea behind these weight loss resorts and camps is wonderful, and well worth considering for anyone having difficulty shedding those unwanted pounds.
The difference between a weight loss camp (or fat camp) and a weight loss resort (or fat farm) is simple: the former is for children and teens, the latter for adults. Both provide accommodations, fresh and delicious supervised meals, trained health and fitness professionals on staff (usually including a health clinic or at least a nurse on premises), and lots of supervised exercise.
Most weight loss camps for kids and teens include nutrition classes, supervised aerobic activities, and regular weigh-ins, and report an average weekly weight loss ranging from 2 to 6 pounds. Camp Shane one such weight loss camp, one of the more popular ones, and it emphasizes developing improved physical skills that campers can carry back home into their regular lives. Another such camp, Camp Empire Lake, eschews the whole idea of weigh-ins altogether, equating them with the defeatist attitudes like guilt and shame that get in the way of being happy in whatever body campers currently live in.
Weight loss resorts for adults add to this mix of elements more advanced and esoteric methods of weight loss, like yoga, acupuncture, and meditation. Many also employ medical professionals, nutritionists, life coaches, and physical therapists available for participants to consult. Some resorts even hold hands-on workshops in the kitchen, teaching attendees how to cook more healthy and balanced meals for themselves.
What all these short-term homes-away-from-home for young and old alike really provide, however, far more than a little structure and supervision to a person's day, is the supportive and encouraging environment of a group of people all dedicated to the same goal of losing weight. In a world where overweight people are besieged by outside judgment, these weight loss resorts and camps provide an atmosphere free of judgment, where a person is valued for who they are and encouraged to be all the desire to be.
Taking a break from everyday society to be surrounded by other people with weight issues of their own is one of the safest ways imaginable to face your own weight issues head on.
MTV shed a bright light on this phenomenon with its acclaimed documentary feature Fat Camp: An MTV Docs Movie Presentation. The movie follows 5 teens as they attend Camp Pocono Trails in the Poconos, Pennsylvania. The show received such widespread attention and acclaim that it airs its second season (following 5 new teams and their experiences at the same camp) starting November, 2007.
As all captivating drama should, the MTV Fat Camp doc highlights the thrills of victory and the agonies of defeat. But the real fat camps and fat farms aren't about victory or defeat. Their about support and encouragement. About loving who you are so much that it finally starts to show in how you look.
Can Obesity Be Fought With Phentermine
Obesity is different from other illnesses. While other illnesses gain sympathy from onlookers, obesity is ridiculed at. You might have witnessed the plight of certain kids who are suffering from baby fat. They are bullied and made fun of. Later the unrestrained build up of fat makes the person susceptible to several diseases like diabetes, high blood pressure, heart disease etc. Obese persons thus have to face both psychological as well as physical strain.
Phentermine offers a potent solution to the problem of excess weight. Phentermine belongs to the class of drugs called anorectics. These have been tested to decrease cravings for food by making changes in the serotonin levels in brain. Serotonin is considered to regulate mood, sleep, sexuality and appetite.
Phentermine today has become one of the most popular weight loss drugs. Today, around 50% of the drugs of this variety have phentermine as a major ingredient. Its use as a short term management of obesity is well accepted. People, who are at increased medical risk because of their obesity, i.e. suffering from diseases and need immediate relief, will find phentermine quite helpful. However, experts will advise against the use of phentermine for purely cosmetic weight loss.
Seeing the excellent track record of phentermine, it will not be wrong to say that the search for a magic weight loss pill has come to an end. It works miraculously in weight reduction and preventing further increase in weight. These drugs, normally prescribed for a shorter period say 12 weeks, work effectively in such small span of time as well.
So how does one proceed in procuring phentermine? As with any drugs, it will be important for the patient (the overweight person) to get medical counselling before use of phentermine. The doctors will diagnose if the drug will not produce any side effects. People who are undergoing medication for heart problems are advised against its use.
For people who are hesitant to contact a medical specialist or have time problems, internet has a solution. Now free online consultation is available online. The web is also a large resource of phentermine drugs. The user may specify his requirements, compare price and make the order; all these without even leaving his seat. More and more pharmaceutical companies are setting shop online.
Phentermine is available in the form of tablets or capsules, often in various colours and in strengths of 15, 30 and 37.5 milligram. The tablet or capsule must be taken once daily on an empty stomach.
The downside of phentermine too needs to be discussed to give a balanced view of the subject. Phentermine has been associated with temporary side effects such as dizziness, dry mouth, sleeplessness, irritability, difficulty in urinating etc. It is also known to addict the user. Such addiction may make the temporary side effects permanent.
In spite of these drawbacks, there is no scarcity in the number of people going for phentermine. Till such time a new drug comes to substitutes it, phentermine will continue to be in much demand.
Weight Loss Motivation How To Find It And Keep It
Everyone who has ever tried to lose weight knows that the really big issue is motivation - where do we find it, how do we keep it going, and what do we do when it slips!
To be successful at losing weight you must find your own motivation. More importantly, you must keep motivated, even when times get tough! Read through the tips and tricks and other resources below to help you find and maintain your motivation.
* Set your goals and work out a realistic timescale for achieving them. Commit to them 100%.
* Put it in writing! Scribble down in as much detail as possible why you need to lose weight, how much you are going to lose, when and how. The more you commit to paper the better. Carry a notebook around with you and use it to record thoughts and ideas, recipes, quotes - whatever will inspire you and keep you going.
* Tell a friend or member of the family and ask them to help you stick with your plan.
* Remember that you are losing weight and improving your health "one day at a time". You can stick at anything for one day!
* Don't dwell on the junk that you are taking out of your diet. Instead, celebrate the healthy foods that you are putting in.
* Make bullet points of your main motivational issues and write them on a stack of cards. Display the cards where you will see them regularly - on your bathroom mirror, in your purse, in your car.
* Create a "mantra" to repeat to yourself when times get hard. For example, "Every day I am improving my health, my looks and my well-being. I am getting stronger in every way."
* Consider asking for sponsorship from friends and family for a good cause. Perhaps you can raise money for starving children while you get your own eating under control?
* Start a file or scrapbook of articles, recipes and any other interesting titbits you read.
* Start another file of fashion and wardrobe ideas. Plan what you will need to buy when you shrink a size or two!
* Buy a piggybank and fill it up with a particular sum for every pound you lose. You can use it towards your new outfits!
* Find someone to share the experience with, and laugh your way through the tough times.
* Learn from other successful slimmers. Read other people's stories, join a club, find a chat room, or start your own email group.
* Motivate yourself with our collection of weight loss quotes, available free to subscribers to the weekly Losing It My Way ezine.
Make Your Body More Flexible And Curvy With The Help Of Meridia
Because of an unorganized life style and unhealthy eating habits many people are loosing control over their weight. Crave for hunger when combined with high calorie food is the path leading to obesity. Obesity has now become the formula for disaster. It leads to cardiovascular disease, hypertension, diabetes and other serious health problems which can have drastic impacts. Apart from determination something more is required to wrestle this conflict of bulge. Nowadays, the pharmaceutical industry has come into the picture of weight loss. Meridia emerges as an effective weight loss drug in the deserted anti-obesity market.
Meridia is also known by the name of reductil. It is the brand name for sibutramine. It is recommended for the people who are seriously obese and not for those who want to loose just a few pounds. Meridia falls in the same class of various other anti-depressants. It works on the chemicals present in the brain. By increasing the levels of serotonin, nor epinephrine, and dopamine in the brain, it decreases the appetite and helps reduce weight. Cautions should be taken while consuming this medicine as meridia has been shown to considerably increase the blood pressure in some patients.
Meridia is available in 15mg and 30 mg. It is usually taken once in a day with a full glass of water. One should avoid taking the medicine during late hours in the day as it may cause insomnia. In case you miss a dose, do not double it. It can affect your health.
Medical studies have proved that meridia when taken with a low-fat diet and regular exercises, helps reduce weight faster. Losing around four pounds during the first month of taking meridia is a good indication.
Before consuming meridia, one should always consult a doctor. Your doctor will be able to judge better whether meridia is suitable for you or not.
Some of the common side-effects associated with the intake of meridia are
Weight Loss Helps Prevent Diabetes
A few months ago (March 2005), the American Diabetes Association announced the findings of the comprehensive Diabetes Prevention Program. The DPP was conducted at over 25 medical centers nationwide and involved thousands of participants who volunteered to have their habits monitored and to follow dietary and exercise recommendations. All participants had been diagnosed with 'pre-diabetes', a condition where the blood sugar levels are higher than normal, but not yet in diabetic ranges. Untreated, more than half of those people diagnosed with pre-diabetes will develop full-blown type 2 diabetes within a decade.
For the study, the participants were divided into two groups. One half were given dietary recommendations. The other half got the same dietary recommendations, plus the recommendation to exercise at least 30 minutes daily, five times a week.
The results? Those who included daily exercise in their routines and followed the diet recommendations cut their risk of developing diabetes by 58%. The reason? Those who made the recommended changes in their lifestyle lost 'a moderate amount' of weight. Even more important, researchers found something that they didn't expect. Those in the treatment group had a substantial chance of reducing their blood sugar level to normal, something that had been assumed was impossible.
Apparently, losing weight not only prevents a worsening of diabetes, it reverses the damage that obesity causes to the cells that produce insulin.
How much weight loss does it take to have an effect on the progression of diabetes? The key is in the definition of 'a moderate weight loss' - 5-7% of your body weight. In other words, depending on your boy weight, a loss of as little as 7-10 pounds can make a difference!
The recommendations suggested by the American Diabetes Society for a healthy diet to prevent diabetes is an ideal diet for steady, gradual weight loss - the kind of weight loss that stays lost. The diet includes the following suggested daily diet allowances:
* Grain - 6-11 servings per day (Bread, Cereal, Rice, Pasta)
* Vegetables - 3-5 servings per day
* Fruits - 2-4 servings per day
* Milk - 2-3 servings per day
* Meat - 4-6 ounces per day (Meat, eggs, fish, dried beans, nuts and peanut butter)
* Fats, Sweets, Alcohol - Occasional treats
(Recommendations for portions are based on gender and activity level. For instance, a sedentary 40 year old woman needs fewer portions than an active 25-year-old woman.)
Look familiar? It's also the dietary recommendation for the Heart Healthy diet from the American Heart Association, and the recommendations from the USDA's new MyPyramid. The results just keep coming in, but the message is clear: losing weight, maintaining a healthy weight and eating a balanced diet can help prevent most major health problems. Why wait till you're diagnosed? Start today - and it may never happen.
Portion Control Key To Maintaining Healthy Weight
Good news for people hoping to control calories-the key could be your favorite snacks; as long as they've been portioned into 100-calorie or less packages.
Convenient, portion-controlled packages are new to the market, but you don't have to buy processed foods to take advantage of this healthy trend.
For example, if sweet and juicy appeal to your taste buds, consider the orange. With only 80 calories, oranges are naturally portion-controlled, ready-to-go, juicy and refreshing. What's more, because of their high fiber and water content, oranges contribute to the feeling of fullness, which suppresses appetite and helps prevent overeating.
Citrus is a great-tasting way to make calories count by getting more nutrition in fewer calories.
Introducing kids to fruits and vegetables early in life shapes their behaviors so they choose these foods throughout life. A child who grows up nourished with wholesome fruits and vegetables will learn to prefer such foods.
That's why Sunkist partnered with Sesame Street's "Healthy Habits for Life" initiative. They encourage young children and their families to establish an early foundation of healthy habits.
Children and adults need a colorful variety of fruits and vegetables every day. Getting the proper number of servings is easy if you fill half your plate with fruits and vegetables at every meal and make them your first choice as snacks.
Permanent Weight Loss Solutions
There are many people who attempting to lose weight, some will succeed and others will fail, however the biggest battle for people who are able to reduce their weight, is often to keep to their ideal weight. Many people will find that they have soon returned to the weight that they were before they went on their diet or even that they are actually fatter. This can of course be very depressive and can result in them losing a lot of their self-esteem. What is needed is for a permanent solution to their weight problems.
There are some obvious routes to take in the battle to lose weight. They would include increasing the amount in which we exercise and reducing the amount we eat. It is this eating issue that can be the hardest to control and to reduce as our temptations often get the better of us.
In my opinion what we need to do is to make our house a fat free zone. If we become hungry and start looking through the cupboards and notice for example a packet of crisps, it can often be very difficult not to eat them. Our desire for instant food can become too great and our inner demons try and convince us that one packet will not hurt. If that packet of crisps had not been in the cupboard we would have not been put into that position of temptation and would of course not have been able to eat them.
A number of years ago, when I went about losing my own excess weight, I decided to remove all of the foods from all of the cupboards which I was aware that I needed to stop eating. I also removed certain drinks such as alcoholic drinks which were also something which contributed to my weight problems. I put into the dustbin all of the takeaway menus that I had and basically attempted to make it as hard as possible for me to eat or drink anything that I shouldn't have been.
When out and about I had to be determined to keep to my diet and to not be tempted to buy any of these items from the shops etc. This was not easy to do as I am somebody who loves all of these fatty type foods.
In my weekly food shop I bought far more fruit and vegetables and was surprised at how quickly my taste buds started to change. I soon looked forward to eating an apple as an example and the weight slowly but surely started to reduce.
After a number of months I reached a weight that I was happy with. My wife stated that I was now able to start eating items such as dry roasted peanuts, this was a particular favourite of mine. This was possibly true but could easily result in a return to my old bad habits and of course weight problems. I decided to stick with the fruit and my cupboards are still free of those foods which I love to eat but which are not good for my weight.
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