Trans4mind Home Page
~ A Journey of Self-Discovery ~

Explore Article Library


Obesity Letter

By AllMed Healthcare Management

Obesity has reached a crisis level in this country, with obesity registering at 30 percent of the population. Gastric bypass surgery is generally considered to be the best surgical procedure for the treatment of morbid obesity. In fact, doctors are expected to perform 140,000 bariatric surgeries in 2005 alone.

As payers and practitioners in the medical community, we are well aware of these statistics and their impact on overall healthcare costs. And, until recently, not all insurance plans considered bariatric surgery as a medically necessary procedure. This is about to change. Federal healthcare authorities have changed obesity to be classified as an illness. This change often results in gastric bypass surgery being classified as a medical necessity for many overweight adults that meet the following criteria:

The patient's body mass index (BMI) is over 40

The patient has failed one or more non-surgical, medically supervised weight loss programs

The patient has received a thorough psychological exam that confirms he or she is able and willing to conform to the dietary adjustments required by the surgery

Other medical conditions may also have to be considered; however, this change means you, as a payer, may be expected to provide coverage for cases that, in the past, would not have been covered.

At AllMed Healthcare Management, we understand the impact this change may have on your organization - both in terms of cost of services and in the volumes of cases that may require a second level of review. To help you with this process and to ensure you are able to administer claims in a timely and accurate manner, we have added five additional bariatric surgery specialists to our peer specialist panel. These specialists are available to help you ensure your claimants receive the care they need and are entitled to - while also making sure you're not overpaying for services that may not be covered or are medically unnecessary.

As your Independent Review Organization (IRO), we make it our job to stay up-to-date on the latest medical advancements, medicalrulings, legal regulations and health insurance laws to ensure you receive medical advice and decisions that are based on defensible facts. It's our commitment to ensure you receive the best service and outcomes.

About The Author
AllMed Healthcare Management Founded in 1995, AllMed (http://www.allmedmd.com) is a URAC-accredited Independent Review Organization (IRO) serving insurance payers, providers, TPAs and claims managers nationwide. Reviews are conducted by board-certified physicians in active practice. AllMed's growing customer base includes premier organizations, such as Educator's Mutual Life, IMS Managed Care, Tenet Healthcare Corporation, HealthGuard, several Blue Cross Blue Shield organizations, TriWest Healthcare Alliance, Allianz and many other leading healthcare payers.

info@allmedmd.com


AND EXPLORE...

Addictions
Astrology
Careers & Employment
Communication
Creativity
Dating
Depression
Diabetes
Diets
Divorce
Education
Environment
Ethics
Exercise
Family
Goal-Setting
Grief & Loss
Happiness
Health
Kids & Teens
Leadership
Love
Marriage
Meditation
Nutrition
Organizing
Parenting
Psychology
Public Speaking
Relationships
Schools
Self Help
Self Improvement & Motivation
Sexual Relations
Spirituality
Stress Management
Travel and Leisure
Women
Writing


From our extensive site, you'll find good info on many topics using this search:

Want to renew your life?

Our online, interactive video workshops present the most effective methods of holistic personal development...
Start off with a Free Life Assessment and a Free Consultation...
 

Have a question about Trans4mind Training?

Frequently Asked Questions
What Are Our Fees?
Email Peter Shepherd

Support your personal development with these popular and effective hypnosis downloads...

This is our selection of favorites, but there's a session for every need! Choose from over 800 Hypnosis Downloads...
Search now on an issue that interests or concerns you...
 

Welcome to the New Wave in Meditation Technology

Click here to learn more about the iAwake Profound Meditation Program
The iAwake Profound Meditation Program
is a way of enhancing your meditation practice, making meditation not only easier and more enjoyable, but also more efficient and effective.
Profound Meditation provides the smoothest, deepest, richest, most profound meditation experience available anywhere...
Here is a link to a free 20-minute track from iAwake Technologies - a sample of the type of tools that will deepen your meditation immediately and help you quickly become a successful meditator. It's the opening track of iAwake's flagship product, the Profound Meditation Program, called the iAwake Experience...
Learn More and Download the iAwake Experience
We think you'll find this technology a tremendous aid on your transformative journey of becoming your best and most creative self - and you can get started today!
And here's a fantastic resource for self-education...

The World of Inspiration eLibrary

World of Inspiration
A treasure trove of personal development wisdom

Step inside. Just like a real library, there are thousands of quality eBooks presented on three "floors" and in different "rooms." To purchase your $15 Lifetime Membership to the World of Inspiration eLibrary, click the following button:

Payment is made through our secure transaction agent, PayPal.
The transaction is in the language and currency of your choice.
"I want to just say 'WOW!' This collection is probably the best money I ever spent! I've already received many times over in personal enrichment after just 9 days. I've had a past metaphysical background, but even newcomers to this material will really benefit. Thanks again." ~ J.S. (Pennsylvania, USA)
"The collection is everything which you promised. And more! A superb contribution to the good of the world. Many thanks indeed." ~ R.P. (Georgia, USA)
"Just a short note of thanks for the library. I've only had membership for several days now but I already feel this is perhaps the most interesting compilation I have yet seen. Worth far more than the price of admission. The browser linked structure works well and makes it easy to manage such a large storehouse of information. It is rarely that I find something I like as much as this or that I feel strongly enough to write a note like this." ~ P.W. (Minnesota, USA)
Copyright © 1997-2016 Trans4mind Ltd