Apparently Dr. Sudan's office is stating that Medicare requires a 6 month diet...HOGWASH. All it states is previous FAILED ATTEMPTS!
One of our members found this out:
One of our members found this out:
I had a VERY long and detailed discussion with the Durham Regional manager of Revenue Enhancement, which is part of the Business Office. She walked me thru and then emailed me copies of each and every National and Local Decision Memo regarding Bariatric Surgery that the Medicare/caid contractor we in NC use has published. The 6 months is not spelled out anywhere and she said if I want to try to put it through with less, we can give it a go but if Medicare doesn't honor the claim I am responsible for the full charges.