(Same day as consultation)
Intake with Pathway Coordinator
After your consultation, you will meet with one of our Bariatric Pathway Coordinators. They will go over your specific insurance benefits as well as any requirements that you may need to complete prior to scheduling surgery. You will also go over pricing for either self-pay or with insurance.
(Required for both self-pay and insurance)
Bariatric Nutrition Assessment
The nutrition assessment will be conducted by a bariatrician, nurse practitioner or registered dietitian specializing in bariatric surgery. The purpose of the nutrition assessment is to get a baseline of your eating patterns and weight history and to educate you on the process of nutritional success before, after, and in the long term following your bariatric surgery.
(Required for both self-pay and insurance)
Psych Assessment
The psychological evaluation is a fundamental requirement for all bariatric surgical patients. We recognize that the choice to have bariatric surgery is an important one that can affect patients both physically and emotionally. The need to identify any obstacles or issues that may be affecting a patient’s emotional health is critical to a successful outcome for bariatric surgery.
(Required for both self-pay and insurance)
Full Bariatric Lab Work
We will generate a lab order for you to take to the lab company of your choice. Using Quest Diagnostics or LabCorp is typically the fastest at sending us results.
(Required for both self-pay and insurance)
Complete Biometrics Testing
Biometric testing using the BodPod® and Medgem® to determine body composition and resting metabolic rate are completed to accurately track physiological changes and tailor your dietary and exercise prescription accordingly.
Sleep Study
To determine whether or not you have obstructive sleep apnea, your surgeon may order a sleep study. Once your sleep study is complete, our sleep technicians will have your study interpreted and a provider will go over your results. If you test positive for OSA, you may be required to be set up on a CPAP device.
(If required by insurance)
Complete all Supervised Diet Appointments
Some insurances require you to complete a medically supervised diet prior to surgery. Typically this involves seeing a bariatrician, nurse practitioner or registered dietitian a handful of times over a couple of months. These diets vary between insurances, but your specific requirements will be gone over with you by your bariatric pathway coordinator.
Collect Requested Medical Records
This may include weight histories, cardiology histories, etc. from outside providers.
(If required by insurance)
Insurance Authorization
Once all goals have been completed, and all medical records have been collected, we will submit an insurance pre-authorization. Every insurance company has different protocols. It can take between 2-6 weeks depending on the insurance company. Eviva has no control on the length of time it takes to obtain an approval.
Update Health Information
Depending on how long it has been since you started on your path to surgery, lab work, EKG and other items may have to be re-tested to verify any changes in your health.
Surgical & Anesthesia Review
Once all clinical requirements and insurance approvals have been completed, our surgical and anesthesia team will review your case. Once they have given the final approval, you will be ready to schedule your surgery!
