Fair Reimbursement for Liposuction for Lipedema

After over 1,000 hours working on helping patients be reimbursed for medically-necessary, reconstructive liposuction for lipedema I am now working on how much the insurance pays in addition to approving the claim. This is important whether the carrier pays the surgeon or the patient. And yes, always refer to it… Continue reading

Comparable Reconstructive Procedures denied as Cosmetic

This is included more as a thought-experiment than a proven approval technique. I don’t know if the “comparable procedure” argument would have any weight with an appeal review committee concerning reimbursement for liposuction for lipedema. I’ve not tried this strategy yet. However, if you’re working on your second or third-level… Continue reading

Tips for Filing a Claim

The attached document is an Excel spreadsheet you can use and edit as you wish. It is a companion to the Checklist (one-page!) and the much longer (86 pages) Reimbursement Guidebook. Often you will notice that I have similar information formatted or organized differently. That is useful. Most people have… Continue reading