I had an open VRG 4/99. Lost 70 pounds, gained back 20. I am scheduled for RNY March 15/2001. I have disruption of staple line due to ulcers and a healing issue. My surgery is scheduled at ST Vincent Carmel. I am a Claims Analyst. Currently on disability due to Lupus. I enjoy painting, gardening, fishing and my pets. 1 dog, 1 cat, 3birds, 1 big fish.
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Surgeon: John Huse
Dr. Huse is a very soft spoken, kind man. When you get to know him he loosens up and smiles alot. He is a very compassionate man and an excellent surgeon.
His office staff is WONDERFUL.
Dr. Huse emphasizes pre and post op care. He referrs us to the Bariatric Center at St Vincent Carmel. The staff works closely with the Surgeon and patient to insure success and aleviate fears and concerns. The pre and post op after care is very structured. This includes a dietician and nursing staff that watches over very closely.
Dr. Huse informed me that since this is a revision and due to the fact of the healing issue he did have some concerns of the risk of the surgery. We discussed those concerns and decided that a revision was the best way to go.
I would rate Dr. Huse a 10+!
I think that surgical competency and bedside manner are very important. After all Surgeons are just people like you and me. All individuals should be treated with respect and compassion.
Blue Cross, PPO
Dealing with any insurance company can be overwhelming. Especially if you are not familiar with the "jargon". I think that the process is stalled by asking for more and more information. I think that more time should be spent reviewing the initial letter. Usually all the information is right in front of them. However, to meet quotas they usually just pass over the "iffie" requests. Insurance companies doe respond to persistence.
I would recommend working closely with the Physician staff and Predetermination department. When you speak with an insurance representative be sure to write down names, dates, and issues discussed. Call your insurance company at least weekly. Have your Physician to mail or fax the approval letter to you. Because as you all know things have a way of slipping thru and a service may be denied. In the event that a service has been denied that is related to the surgery, call the insurance company, and send a copy of the approval.