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(3) Park JR, Lee H, Kim SI, Yang SR
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What Payers Will Now Require Updated weight and BMI measurements Documented lifestyle changes and adherence to treatment Evidence of beneficial response to therapy Up-to-date comorbidity diagnoses in the medical record Proof that the medication continues to be medically necessary Stricter Ongoing Monitoring Expect payers to require: More frequent follow-up visits Updated chart notes for each renewal Standardized metabolic labs Gaps in follow-up or incomplete documentation could lead to denialseven for medically qualified patients
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