MOre Answers FRom DEna AT DR. HOrnbostels
If they are already approved for surgery AND their insurance didn't require the documentation, then they are a GO for surgery.
This is the same thing Medicare did in the past. A few years ago, there were people scheduled for Lap Bands, and Medicare stopped paying for them all of a sudden, so a bunch of people had to be cancelled. Then, they paid for Bypasses and a bunch of people were scheduled for Bypass and all of a sudden they made it a requirement to go to a Center of Excellence and people had to be cancelled then until there were more COE.
Medicare (and any insurance company) can just do that, and it stinks for someone who has been waiting already and scheduled. AT least we got a little heads up about this, so we can start to require the documentation, and everyone will know it's required when they start so they will have it. It takes about 4-6 months to get an appointment here anyway, so by the time a NEW person comes for their appointment, there is no reason why they can't have met that requirement (or be close to it). We will of course be more lenient for people who didn't know about the requirement 4-6 months before their appointment UNLESS the insurance company requires it (including Medicare.)
I don't anticipate it being any quieter today--but thanks for the kind thoughts! I appreciate it! I certainly put people in a state!! LOL! "Don't shoot the messenger" ha ha!
Unfortunately, I don't have any say in what the requirements are, they are dictated by insurance companies.
Dena
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