Medicare Reimbursement
MEDICARE REIMBURSEMENT BILLING AND CODING FOR INTENSIVE BEHAVIOR THERAPY FOR OBESITY
Yes, there really IS good news for RDs with regard to Medicare's new Intensive Behavioral Therapy (IBT) for Obesity benefit! Although RDs cannot directly bill Medicare, they can FURNISH the benefit in primary care practice settings and be paid under Medicare's 'incident to physician's services" guidelines! In this presentation, all aspects of the benefit are reviewed, including coding and coverage requirements, the different types of business models for contracting with physicians and physician extenders, marketing tips, keys for successful negotiation with providers, clinical aspects of furnishing the benefit in order to maximize both behavioral and clinical outcomes, and available practice resources for RDs on these topics.

This presentation is new, cutting edge information as it will provide RD practitioners with the information and tools they need to successfully align with primary care providers to provide the new Intensive Behavioral Therapy for Obesity benefit under Medicare. This is a resource that can also be used by RDs beyond the Medicare population as more private payers are expanding obesity counseling benefits under the Affordable Care Act provisions.
Upon successful completion of this 2 hour course, the participant should be able to:
  • Name the 3 basic services of the intensive behavior therapy (IBT) Medicare benefit.


  • State the frequency of beneficiary visits in the: first month, months 2-6, months 7-12.


  • State 3 of the requirements the RD must meet for the IBT benefit to be billed as 'incident to physician's services.
Live Event Date: Jul 11, 2017
Learning Need Codes (LNC): 5370, 5400, 7000, 7170
Performance Indicators/Learning Objectives: 1.2.2, 13.3.7, 14.2.6, 14.2.7
Target Audience: RDs, DTRs, Health Professionals
Number of Credits: 2.0
Level(s): 1, 2
Total Cost: $36 ($18.00 per credit)

About the Presenter: Mary Ann Hodorowicz, RD, CDE, MBA, Certified Endocrinology Coder

Mary Ann Hodorowicz, RDN, CDE, MBA, Certified Endocrinology Coder owns a corporate consulting practice in Palos Heights, IL, (Mary Ann Hodorowicz Consulting, LLC) that specializes in customized consulting, training, writing and professional presentation services for the healthcare and food industry in these areas:

  • Diabetes Self-Management Education/Training (DSME/T).
  • Medical Nutrition Therapy (MNT).
  • Medicare Diabetes Prevention Program (MDPP).
  • Medicare Intensive Behavior Therapy for Obesity Benefit.
  • Diabetes Care Services: Shared Medical Appointments, CGM, CSII, SMBG, Remote Patient Monitoring, Chronic Care Management, Insulin Titration, etc..
  • Medicare and Private Payer Insurance Reimbursement for above.
  • Medicare Quality Payment Plan and Merit-based Incentive Payment System (MIPS) For RDNs.
  • Business Plans (Clinical, Marketing, Operational, Financial and CQI components).
  • Evidence-Based Standards of Diabetes Care.
  • Achieving AADE Accreditation or ADA Recognition for DSME/T Programs (requirements and comprehensive turn-key materials, including Policy and Procedure Manual).
  • E.M.A. Tools for Successful Behavior Change: Motivational Interviewing, Patient Empowerment and Adult Learning Tools.
  • For Providers Only: Risk Adjustment Payment Methodologies Used by CMS and Select Private Healthcare Insurers.
Mary Ann Hodorowicz is a nationally recognized registered dietitian/nutritionist (RDN), certified diabetes educator (CDE) and certified endocrinology coder (CEC) with a MBA degree (marketing focus). She applies nearly forty years of experience in her work as a consultant, writer, speaker and trainer within her business Mary Ann Hodorowicz Consulting, LLC. Mary Ann is known for her expertise in multiple diabetes care and medical nutrition therapy (MNT) areas; see bulleted list above.

She is especially known for her knowledge on insurance reimbursement, coding and coverage guidelines for diabetes care and MNT interventions. Her clients are in the health, food, pharmaceutical and insurance industries, and include CMS, the CDC, AADE, and multiple state and local departments of public health. Mary Ann has given over 600 presentations, webinars and live training engagements, at which she generously shares her wide array of practice resources. She has written numerous articles in peer-reviewed journals, authored continuing education online modules for AADE, and is a contributing or lead author for multiple toolkits, fact sheets and 'how-to' guides for nutrition and diabetes care professionals on the subjects of insurance reimbursement and creating effective business plans for the sustainability of their services. She served on the AADE Board of Directors from 2013 - 2015.

Other Webinars by this Presenter/Organization:

Clinical and Teaching Plan for a Best Practice MNT and DSMES Program: Proven Keys to Sustainability

On Demand
Live Date: (Apr 11,2019)
Expiration Date: (Apr 10,2022)

Rating: 4.83 out of 5

Instructor: Mary Ann Hodorowicz, RD, CDE, MBA, Certified Endocrinology Coder

Duration: 2 hours

MNT-DSMES Program

Financial Plan for a Best Practice MNT-DSMES Program

On Demand
Live Date: (Mar 14,2019)
Expiration Date: (Mar 13,2022)

Rating: 4.75 out of 5

Instructor: Mary Ann Hodorowicz, RD, CDE, MBA, Certified Endocrinology Coder

Duration: 2 hours

MNT and DSMT Reimbursement

Money Matters in MNT and DSMT: Increase Your Reimbursement Now

On Demand
Live Date: (Feb 28,2019)
Expiration Date: (Feb 27,2022)

Rating: 4.68 out of 5

Instructor: Mary Ann Hodorowicz, RD, CDE, MBA, Certified Endocrinology Coder

Duration: 2 hours

Giving Dynamite Presentations

Dietitian's Complete Guide to Giving Dynamite Presentations that Ignite Passion and Action

On Demand
Live Date: (Jul 19,2018)
Expiration Date: (Jul 18,2021)

Rating: 4.50 out of 5

Instructor: Mary Ann Hodorowicz, RD, CDE, MBA, Certified Endocrinology Coder

Duration: 2 hours

Nutrition Health Insurers

Overview of Health Insurers' Nutrition, DSMES and Related Benefits and 10 Steps to Optimize Billing, Coding and Reimbursement

On Demand
Live Date: (Jun 07,2018)
Expiration Date: (Jun 06,2021)

Rating: 4.73 out of 5

Instructor: Mary Ann Hodorowicz, RD, CDE, MBA, Certified Endocrinology Coder

Duration: 2 hours

Medicare Diabetes Prevention Program

Medicare Diabetes Prevention Program Model Expansion: Overview of Final Rule in CY 2018

On Demand
Live Date: (Mar 29,2018)
Expiration Date: (Mar 28,2021)

Rating: 4.53 out of 5

Instructor: Mary Ann Hodorowicz, RD, CDE, MBA, Certified Endocrinology Coder

Duration: 2 hours

DSME Program

How to Build the BUSINESS CASE for a DSME Program

On Demand
Live Date: (Jul 28,2017)
Expiration Date: (Jul 27,2020)

Rating: 4.78 out of 5

Instructor: Mary Ann Hodorowicz, RD, CDE, MBA, Certified Endocrinology Coder

Duration: 2 hours

MNT for Adults with Diabetes

Evidence-Based Nutrition Practice Guidelines to Control the A-B-Cs of Type 1 and Type 2 Diabetes in Adults

On Demand
Live Date: (May 18,2017)
Expiration Date: (May 17,2020)

Rating: 4.78 out of 5

Instructor: Mary Ann Hodorowicz, RD, CDE, MBA, Certified Endocrinology Coder

Duration: 2 hours

Diabetes Medications

Diabetes Medication Update: The Tried, The True and The New

On Demand
Live Date: (Mar 21,2017)
Expiration Date: (Mar 20,2020)

Rating: 4.75 out of 5

Instructor: Mary Ann Hodorowicz, RD, CDE, MBA, Certified Endocrinology Coder

Duration: 2 hours