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insurance requirements

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More insurance companies have been requiring patients to participate in

a 6 mo. " supervised " diet and exercise program. Although there are

some patients who are able to comply for this amount of time and make

the changes, there are many who slip up several times. Our outpatient

dietitian is struggling with what to write in her nutrition notes. Does

anyone have experience with this? She feels many of these patients

will do well once given their tool, but they are not succeeding with an

intact gi tract. What exactly outcomes are the insurance companies

looking for?

Thanks very much!

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