Guest guest Posted October 17, 2005 Report Share Posted October 17, 2005 Jerry- I used MedGem when I worked with Coram, it is a way to get an actual reading of indirect calorimetry without a metabolic cart. That way you can compare your measurement with your predicted (ie: harris benedict) equation. The patient must be able to sit quietly and breath through this machine with their mouth tightly closed around a mouthpiece for 10 minutes (as I recall) then a reading is digitally displayed that you plug into an equation. It was very accurate on the patient I used it on. They were not obese. I do not believe that it is a reimburseable service/supply. FYI- Eva RD LD CNSD -------------- Original message -------------- Just curious if anyone is currently Using a MedGem in their office. I like the product but am unsure how it would apply unless a pt is losing absolutly no weight. If someone is using it have you been able to get insurance to reimburse for its use. Jerry "kkoster@..." <kkoster@...> wrote: I would be very interested in the results of this post and experiences of others as well. Bartholomay wrote: I have asked our surgeon to consider giving an additional supplement of Biotin (300 mcg) as our standard vitamin/mineral supplement provides only 10% of the RDA. Does anyone have any articles of support for doing this or can site any references? To me, it seems common sense to provide RDA levels since that is what we strive for in the remainder of vitamin/mineral supplements. Has anyone noticed a difference in hair loss with providing adequate biotin vs. inadequate biotin? Bartholomay, LRDClinic Dietitians, BHC.Bartholomay@...(701) 234-2464 This e-mail message is intended only for the named recipient(s) above and is covered by the Electronic Communications Privacy Act, 18 U.S.C. Section 2510-2521. This e-mail is confidential and may contain information that is privileged, or exempt from disclosure under applicable law. If you have received this message in error, please immediately notify the sender by return e-mail and delete this e-mail message from your computer. begin:vcardfn:Kasey Kostern:Koster;Kaseyorg:OKlahoma WEIGHT LOSS OPtionsadr;dom:Ste. C;;1230 SW 89th;Oklahoma City ;OK;73139email;internet:kkoster@...title:Dietitiantel;work:405-360-7100tel;fax:405-364-9112url:http://www.owlo.comversion:2.1end:vcard Music Unlimited - Access over 1 million songs. Try it free. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2005 Report Share Posted October 18, 2005 I just completed a study for Healthetech and found out that MEDGEM was covered under many health insurance plans. Bitzer, MS, RD Changing Weighs www.dietitianoffice.com Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2005 Report Share Posted October 18, 2005 Thanks Eva - if we end up using it I will let you know how it goes. Jerry md-gonzales@... wrote: Jerry- I used MedGem when I worked with Coram, it is a way to get an actual reading of indirect calorimetry without a metabolic cart. That way you can compare your measurement with your predicted (ie: harris benedict) equation. The patient must be able to sit quietly and breath through this machine with their mouth tightly closed around a mouthpiece for 10 minutes (as I recall) then a reading is digitally displayed that you plug into an equation. It was very accurate on the patient I used it on. They were not obese. I do not believe that it is a reimburseable service/supply. FYI- Eva RD LD CNSD -------------- Original message -------------- Just curious if anyone is currently Using a MedGem in their office. I like the product but am unsure how it would apply unless a pt is losing absolutly no weight. If someone is using it have you been able to get insurance to reimburse for its use. Jerry "kkoster@..." <kkoster@...> wrote: I would be very interested in the results of this post and experiences of others as well. Bartholomay wrote: I have asked our surgeon to consider giving an additional supplement of Biotin (300 mcg) as our standard vitamin/mineral supplement provides only 10% of the RDA. Does anyone have any articles of support for doing this or can site any references? To me, it seems common sense to provide RDA levels since that is what we strive for in the remainder of vitamin/mineral supplements. Has anyone noticed a difference in hair loss with providing adequate biotin vs. inadequate biotin? Bartholomay, LRDClinic Dietitians, BHC.Bartholomay@...(701) 234-2464 This e-mail message is intended only for the named recipient(s) above and is covered by the Electronic Communications Privacy Act, 18 U.S.C. Section 2510-2521. This e-mail is confidential and may contain information that is privileged, or exempt from disclosure under applicable law. If you have received this message in error, please immediately notify the sender by return e-mail and delete this e-mail message from your computer. begin:vcardfn:Kasey Kostern:Koster;Kaseyorg:OKlahoma WEIGHT LOSS OPtionsadr;dom:Ste. C;;1230 SW 89th;Oklahoma City ;OK;73139email;internet:kkoster@...title:Dietitiantel;work:405-360-7100tel;fax:405-364-9112url:http://www.owlo.comversion:2.1end:vcard Music Unlimited - Access over 1 million songs. Try it free. Music Unlimited - Access over 1 million songs. Try it free. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2005 Report Share Posted October 18, 2005 Jerry- You may be able to get a sales rep (Mead /Novartis Medical Nutritionals) to loan you one for use and trial- without a charge. Eva -------------- Original message -------------- Thanks Eva - if we end up using it I will let you know how it goes. Jerry md-gonzales@... wrote: Jerry- I used MedGem when I worked with Coram, it is a way to get an actual reading of indirect calorimetry without a metabolic cart. That way you can compare your measurement with your predicted (ie: harris benedict) equation. The patient must be able to sit quietly and breath through this machine with their mouth tightly closed around a mouthpiece for 10 minutes (as I recall) then a reading is digitally displayed that you plug into an equation. It was very accurate on the patient I used it on. They were not obese. I do not believe that it is a reimburseable service/supply. FYI- Eva RD LD CNSD -------------- Original message -------------- Just curious if anyone is currently Using a MedGem in their office. I like the product but am unsure how it would apply unless a pt is losing absolutly no weight. If someone is using it have you been able to get insurance to reimburse for its use. Jerry "kkoster@..." <kkoster@...> wrote: I would be very interested in the results of this post and experiences of others as well. Bartholomay wrote: I have asked our surgeon to consider giving an additional supplement of Biotin (300 mcg) as our standard vitamin/mineral supplement provides only 10% of the RDA. Does anyone have any articles of support for doing this or can site any references? To me, it seems common sense to provide RDA levels since that is what we strive for in the remainder of vitamin/mineral supplements. Has anyone noticed a difference in hair loss with providing adequate biotin vs. inadequate biotin? Bartholomay, LRDClinic Dietitians, BHC.Bartholomay@...(701) 234-2464 This e-mail message is intended only for the named recipient(s) above and is covered by the Electronic Communications Privacy Act, 18 U.S.C. Section 2510-2521. This e-mail is confidential and may contain information that is privileged, or exempt from disclosure under applicable law. If you have received this message in error, please immediately notify the sender by return e-mail and delete this e-mail message from your computer. begin:vcardfn:Kasey Kostern:Koster;Kaseyorg:OKlahoma WEIGHT LOSS OPtionsadr;dom:Ste. C;;1230 SW 89th;Oklahoma City ;OK;73139email;internet:kkoster@...title:Dietitiantel;work:405-360-7100tel;fax:405-364-9112url:http://www.owlo.comversion:2.1end:vcard Music Unlimited - Access over 1 million songs. Try it free. Music Unlimited - Access over 1 million songs. Try it free. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2005 Report Share Posted October 18, 2005 One of the MedGem Reps did a presentation at our office. I really liked it and am sure some of my lap band pts who are not losing weight would be appropriate. However, very few are willing to pay for such a service. The rep from MedGem Sent us a reimbursment list on various billing codes that may be covered by insurance. I was not Aware Novartis utilizes the MedGem, Would I just ask the local rep? Thanks for the help Eva. Jerrymd-gonzales@... wrote: Jerry- You may be able to get a sales rep (Mead /Novartis Medical Nutritionals) to loan you one for use and trial- without a charge. Eva -------------- Original message -------------- Thanks Eva - if we end up using it I will let you know how it goes. Jerry md-gonzales@... wrote: Jerry- I used MedGem when I worked with Coram, it is a way to get an actual reading of indirect calorimetry without a metabolic cart. That way you can compare your measurement with your predicted (ie: harris benedict) equation. The patient must be able to sit quietly and breath through this machine with their mouth tightly closed around a mouthpiece for 10 minutes (as I recall) then a reading is digitally displayed that you plug into an equation. It was very accurate on the patient I used it on. They were not obese. I do not believe that it is a reimburseable service/supply. FYI- Eva RD LD CNSD -------------- Original message -------------- Just curious if anyone is currently Using a MedGem in their office. I like the product but am unsure how it would apply unless a pt is losing absolutly no weight. If someone is using it have you been able to get insurance to reimburse for its use. Jerry "kkoster@..." <kkoster@...> wrote: I would be very interested in the results of this post and experiences of others as well. Bartholomay wrote: I have asked our surgeon to consider giving an additional supplement of Biotin (300 mcg) as our standard vitamin/mineral supplement provides only 10% of the RDA. Does anyone have any articles of support for doing this or can site any references? To me, it seems common sense to provide RDA levels since that is what we strive for in the remainder of vitamin/mineral supplements. Has anyone noticed a difference in hair loss with providing adequate biotin vs. inadequate biotin? Bartholomay, LRDClinic Dietitians, BHC.Bartholomay@...(701) 234-2464 This e-mail message is intended only for the named recipient(s) above and is covered by the Electronic Communications Privacy Act, 18 U.S.C. Section 2510-2521. This e-mail is confidential and may contain information that is privileged, or exempt from disclosure under applicable law. If you have received this message in error, please immediately notify the sender by return e-mail and delete this e-mail message from your computer. begin:vcardfn:Kasey Kostern:Koster;Kaseyorg:OKlahoma WEIGHT LOSS OPtionsadr;dom:Ste. C;;1230 SW 89th;Oklahoma City ;OK;73139email;internet:kkoster@...title:Dietitiantel;work:405-360-7100tel;fax:405-364-9112url:http://www.owlo.comversion:2.1end:vcard Music Unlimited - Access over 1 million songs. Try it free. Music Unlimited - Access over 1 million songs. Try it free. Music Unlimited - Access over 1 million songs. Try it free. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted October 18, 2005 Report Share Posted October 18, 2005 Great! Thanks for the help. Jerrylofat1@... wrote: I just completed a study for Healthetech and found out that MEDGEM was covered under many health insurance plans. Bitzer, MS, RD Changing Weighs www.dietitianoffice.com Music Unlimited - Access over 1 million songs. Try it free. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 9, 2007 Report Share Posted February 9, 2007 We use code 94690DT for the MedGem test. It is a code for "Oxygen Uptake Rest Indirect". Bartholomay, LRDManager, Nutrition TherapyMeritCare Health Systems.Bartholomay@...(701) 234-6166>>> "Beverly" <bevlyann@...> 2/8/2007 12:27 PM >>>I have a referral from an endo of a pt with hypothyroidism. The pt would like to see if her insurance will cover the MedGem test and the insurance wants a procedure code. Does anyone have any wisdom as to what code would be best? I've never billed a 3rd party payer for this.Thanks,BevThis e-mail message is intended only for the named recipient(s) above and is covered by the Electronic Communications Privacy Act 18 U.S.C. Section 2510-2521. This e-mail is confidential and may contain information that is privileged or exempt from disclosure under applicable law. If you have received this message in error please immediately notify the sender by return e-mail and delete this e-mail message from your computer. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted February 9, 2007 Report Share Posted February 9, 2007  Thank you. Re: MedGem We use code 94690DT for the MedGem test. It is a code for "Oxygen Uptake Rest Indirect". Bartholomay, LRDManager, Nutrition TherapyMeritCare Health Systems.Bartholomay@...(701) 234-6166>>> "Beverly" <bevlyann@...> 2/8/2007 12:27 PM >>> I have a referral from an endo of a pt with hypothyroidism. The pt would like to see if her insurance will cover the MedGem test and the insurance wants a procedure code. Does anyone have any wisdom as to what code would be best? I've never billed a 3rd party payer for this.Thanks,Bev This e-mail message is intended only for the named recipient(s) above and is covered by the Electronic Communications Privacy Act 18 U.S.C. Section 2510-2521. This e-mail is confidential and may contain information that is privileged or exempt from disclosure under applicable law. If you have received this message in error please immediately notify the sender by return e-mail and delete this e-mail message from your computer. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 5, 2007 Report Share Posted March 5, 2007 Hi Jerry, I have I think 6 boxes of mouthpieces that I'd like to sell! Are your doctors still interested? jeremiah elizondo <jer_mail23@...> wrote: If anyone is trying to get rid of their medgem mouthpieces, I know of 2 doctors that are in need of them and are willing to buy them. Thanks, Jerry Any questions? Get answers on any topic at Answers. Try it now. L. MacKechnie, RD, CDN Dietitian New York, NY misook_27@... Have a burning question? Go to Answers and get answers from real people who know. Quote Link to comment Share on other sites More sharing options...
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