Insurance denying Dietician

B

brewz2

Guest
I talked to my sister about it, she's an insurance "guru" b/c it's what she does for a living - but she said to definitely appeal it. I guess it's just based on what insurance you have through them. Odd that they accept the weight-loss, and not the CF - that sort of puzzled her, but she said that she's starting to see more and more where dieticians are being allowed and it's just a matter of time.
 
B

brewz2

Guest
I talked to my sister about it, she's an insurance "guru" b/c it's what she does for a living - but she said to definitely appeal it. I guess it's just based on what insurance you have through them. Odd that they accept the weight-loss, and not the CF - that sort of puzzled her, but she said that she's starting to see more and more where dieticians are being allowed and it's just a matter of time.
 
B

brewz2

Guest
I talked to my sister about it, she's an insurance "guru" b/c it's what she does for a living - but she said to definitely appeal it. I guess it's just based on what insurance you have through them. Odd that they accept the weight-loss, and not the CF - that sort of puzzled her, but she said that she's starting to see more and more where dieticians are being allowed and it's just a matter of time.
 
B

brewz2

Guest
I talked to my sister about it, she's an insurance "guru" b/c it's what she does for a living - but she said to definitely appeal it. I guess it's just based on what insurance you have through them. Odd that they accept the weight-loss, and not the CF - that sort of puzzled her, but she said that she's starting to see more and more where dieticians are being allowed and it's just a matter of time.
 
B

brewz2

Guest
I talked to my sister about it, she's an insurance "guru" b/c it's what she does for a living - but she said to definitely appeal it. I guess it's just based on what insurance you have through them. Odd that they accept the weight-loss, and not the CF - that sort of puzzled her, but she said that she's starting to see more and more where dieticians are being allowed and it's just a matter of time.
 
C

Cherylwithone

Guest
Would they cover a Nutritionist? I realize they may look at it as one and the same.

Cheryl mom to Malora 15 w/cf
 
C

Cherylwithone

Guest
Would they cover a Nutritionist? I realize they may look at it as one and the same.

Cheryl mom to Malora 15 w/cf
 
C

Cherylwithone

Guest
Would they cover a Nutritionist? I realize they may look at it as one and the same.

Cheryl mom to Malora 15 w/cf
 
C

Cherylwithone

Guest
Would they cover a Nutritionist? I realize they may look at it as one and the same.

Cheryl mom to Malora 15 w/cf
 
C

Cherylwithone

Guest
Would they cover a Nutritionist? I realize they may look at it as one and the same.
<br />
<br />Cheryl mom to Malora 15 w/cf
 
J

JazzysMom

New member
This whole thing is puzzling to me. First of all you MUST appeal it because even tho its not on "their list" its obvious that its needed.

Secondly I just want to note how the billing is done at your clinic....

At ours you can see ANYONE at the clinic (doctors, nutritionist, genetic counselor, social worker, nurse, physical therapists etc) & it all gets billed under the clinic visit. This applies whether it be a clinic visit or while admitted.

Obviously if a consult from someone outside of the clinic comes in then that is a seperate billing.
 
J

JazzysMom

New member
This whole thing is puzzling to me. First of all you MUST appeal it because even tho its not on "their list" its obvious that its needed.

Secondly I just want to note how the billing is done at your clinic....

At ours you can see ANYONE at the clinic (doctors, nutritionist, genetic counselor, social worker, nurse, physical therapists etc) & it all gets billed under the clinic visit. This applies whether it be a clinic visit or while admitted.

Obviously if a consult from someone outside of the clinic comes in then that is a seperate billing.
 
J

JazzysMom

New member
This whole thing is puzzling to me. First of all you MUST appeal it because even tho its not on "their list" its obvious that its needed.

Secondly I just want to note how the billing is done at your clinic....

At ours you can see ANYONE at the clinic (doctors, nutritionist, genetic counselor, social worker, nurse, physical therapists etc) & it all gets billed under the clinic visit. This applies whether it be a clinic visit or while admitted.

Obviously if a consult from someone outside of the clinic comes in then that is a seperate billing.
 
J

JazzysMom

New member
This whole thing is puzzling to me. First of all you MUST appeal it because even tho its not on "their list" its obvious that its needed.

Secondly I just want to note how the billing is done at your clinic....

At ours you can see ANYONE at the clinic (doctors, nutritionist, genetic counselor, social worker, nurse, physical therapists etc) & it all gets billed under the clinic visit. This applies whether it be a clinic visit or while admitted.

Obviously if a consult from someone outside of the clinic comes in then that is a seperate billing.
 
J

JazzysMom

New member
This whole thing is puzzling to me. First of all you MUST appeal it because even tho its not on "their list" its obvious that its needed.
<br />
<br />Secondly I just want to note how the billing is done at your clinic....
<br />
<br />At ours you can see ANYONE at the clinic (doctors, nutritionist, genetic counselor, social worker, nurse, physical therapists etc) & it all gets billed under the clinic visit. This applies whether it be a clinic visit or while admitted.
<br />
<br />Obviously if a consult from someone outside of the clinic comes in then that is a seperate billing.
<br />
 
R

Ratatosk

Administrator
Staff member
Insurance companies have shifted their focus to having active lifestyles to prevent issues related to a sedentary lifestyle -- high blood pressure, diabetes, cholesterol...

Our annual employee meetings with the reps tend to lean toward exercising and they pass out pedometers and exercise bands, they've started paying for a portion of health club memberships and lecture us about how many miles we'd have to walk to burn enough calories to eliminate that donut we ate.

I walked out 5 years ago when they started lecturing us on not having enough time to exercise in a sarcastic tone. I had a newborn wcf, was getting up at 5:30 a.m. to adminster CPT, waking up in the middle of the night for feedings, CPT and meds...

At our CF clinic we'd get a statement of benefit from the insurance company listing each of the doctors we saw, labs, dietician, respiratory therapy. The dietician was always non-covered because nutritional services are not covered under our plan.
 
R

Ratatosk

Administrator
Staff member
Insurance companies have shifted their focus to having active lifestyles to prevent issues related to a sedentary lifestyle -- high blood pressure, diabetes, cholesterol...

Our annual employee meetings with the reps tend to lean toward exercising and they pass out pedometers and exercise bands, they've started paying for a portion of health club memberships and lecture us about how many miles we'd have to walk to burn enough calories to eliminate that donut we ate.

I walked out 5 years ago when they started lecturing us on not having enough time to exercise in a sarcastic tone. I had a newborn wcf, was getting up at 5:30 a.m. to adminster CPT, waking up in the middle of the night for feedings, CPT and meds...

At our CF clinic we'd get a statement of benefit from the insurance company listing each of the doctors we saw, labs, dietician, respiratory therapy. The dietician was always non-covered because nutritional services are not covered under our plan.
 
R

Ratatosk

Administrator
Staff member
Insurance companies have shifted their focus to having active lifestyles to prevent issues related to a sedentary lifestyle -- high blood pressure, diabetes, cholesterol...

Our annual employee meetings with the reps tend to lean toward exercising and they pass out pedometers and exercise bands, they've started paying for a portion of health club memberships and lecture us about how many miles we'd have to walk to burn enough calories to eliminate that donut we ate.

I walked out 5 years ago when they started lecturing us on not having enough time to exercise in a sarcastic tone. I had a newborn wcf, was getting up at 5:30 a.m. to adminster CPT, waking up in the middle of the night for feedings, CPT and meds...

At our CF clinic we'd get a statement of benefit from the insurance company listing each of the doctors we saw, labs, dietician, respiratory therapy. The dietician was always non-covered because nutritional services are not covered under our plan.
 
R

Ratatosk

Administrator
Staff member
Insurance companies have shifted their focus to having active lifestyles to prevent issues related to a sedentary lifestyle -- high blood pressure, diabetes, cholesterol...

Our annual employee meetings with the reps tend to lean toward exercising and they pass out pedometers and exercise bands, they've started paying for a portion of health club memberships and lecture us about how many miles we'd have to walk to burn enough calories to eliminate that donut we ate.

I walked out 5 years ago when they started lecturing us on not having enough time to exercise in a sarcastic tone. I had a newborn wcf, was getting up at 5:30 a.m. to adminster CPT, waking up in the middle of the night for feedings, CPT and meds...

At our CF clinic we'd get a statement of benefit from the insurance company listing each of the doctors we saw, labs, dietician, respiratory therapy. The dietician was always non-covered because nutritional services are not covered under our plan.
 
R

Ratatosk

Administrator
Staff member
Insurance companies have shifted their focus to having active lifestyles to prevent issues related to a sedentary lifestyle -- high blood pressure, diabetes, cholesterol...
<br />
<br />Our annual employee meetings with the reps tend to lean toward exercising and they pass out pedometers and exercise bands, they've started paying for a portion of health club memberships and lecture us about how many miles we'd have to walk to burn enough calories to eliminate that donut we ate.
<br />
<br />I walked out 5 years ago when they started lecturing us on not having enough time to exercise in a sarcastic tone. I had a newborn wcf, was getting up at 5:30 a.m. to adminster CPT, waking up in the middle of the night for feedings, CPT and meds...
<br />
<br />At our CF clinic we'd get a statement of benefit from the insurance company listing each of the doctors we saw, labs, dietician, respiratory therapy. The dietician was always non-covered because nutritional services are not covered under our plan.
 
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