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  1. #1
    Gastric Sleeve Member nuchnuch's Avatar
    I have had a gastric sleeve.
    Surgery date
    05/15/2013
    Surgeon
    Dr. R.K. Williams
    Join Date
    Jan 2013
    Last Activity
    08-25-2013 09:29 PM
    Location
    Tennessee
    Posts
    39
    Said "Thanks" 0 Times
    Was Thanked 8 Times in 8 Posts
    Said "Welcome to Gastric Sleeve" 4 Times

    Question Peer to Peer Review

    I have been dreading the 5 year history for morbid obesity, because being off again/on again diets, one of the years notated in my PCP's report, I was 1 1/2 BMI points down.
    So I asked my Pre-Certification Coordinator if it would be denied simply for that. Her statement was that possibly, but if that happened the surgeon would just do a Peer to Peer Review.
    I have heard several people, here, speak of this and I was just curious as to whether anyone had been denied once their surgeon participated in a review?


  2. Gastric Sleeve Surgery With Weight Loss Agents
  3. #2
    Gastric Sleeve Member jnaed's Avatar
    I have had a gastric sleeve.
    Name
    Jeannie
    Surgery date
    01/15/2013
    Surgeon
    Dr Almanza
    Join Date
    Sep 2012
    Last Activity
    07-06-2014 08:15 PM
    Location
    iowa
    Posts
    192
    Said "Thanks" 42 Times
    Was Thanked 40 Times in 39 Posts
    Said "Welcome to Gastric Sleeve" 144 Times
    Blog Entries
    2

    Default Re: Peer to Peer Review

    What is your BMI? Do you have co-morbidities?


    309 lbs before pre-op diet.
    297 lbs day of surgery.
    275 lbs 2/19/13 1 month post 34 lbs less!
    265 3/15/13 2 months post 44 lbs less!
    253 4/15/13 3 months post 56 lbs less!
    246 5/15/13 4 months post 63 lbs less!
    238 6/15/13 5 months post 71 lbs less!
    231 7/15/13 6 months post 78 lbs less!
    222 8/15/13 7 months post 87 lbs less!

  4. #3
    Gastric Sleeve Member nuchnuch's Avatar
    I have had a gastric sleeve.
    Surgery date
    05/15/2013
    Surgeon
    Dr. R.K. Williams
    Join Date
    Jan 2013
    Last Activity
    08-25-2013 09:29 PM
    Location
    Tennessee
    Posts
    39
    Said "Thanks" 0 Times
    Was Thanked 8 Times in 8 Posts
    Said "Welcome to Gastric Sleeve" 4 Times

    Default Re: Peer to Peer Review

    BMI was 37, until I had to lose the 10% required by insurance and I have 2 co-morbities


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