Reimbursement Support

We created our Reimbursement Support Line to provide reimbursement information related to our products, plus a wide array of other resources to support your practice. It's free – just call us at 1-866-REALIZE. You can find:

• Coding assistance for Gastric Bypass procedures and LAGB procedures using the REALIZE^® Band, including payor-specific coding requirements.
• Payment methodologies and published fee schedules for public payors.
• Sample supporting documentation for billing, including examples of letters of medical necessity, appeals letters, and other supporting documentation that may be required by payors.
• Claims denial support, including general claim denial and appeals processes from the payor who denied your claim.

Reimbursement Tools

We've created the following tools to help your practice communicate with payors and to help insure that you and your patients receive the maximum coverage possible.

• Surgeon & Radiological Services Billing for Band Procedures
• Verification of Eligibility & Benefits Form For Psychological Evaluation
• Facility Coding
• Surgeon & Radiological Services Billing for Bypass Procedures
• ICD-9-CM Diagnosis Codes To Support Bariatric Surgery
• Surgical Complications - ICD-9-CM Codes
• Sample Letter Documenting Communication with Payor
• Sample Letter Requesting Coverage & Authorization
• Surgeon & Radiological Services Billing for Sleeve Procedures
• Surgeon Coding