Medicare Reimbursement
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, RD, CDE, MBA, Certified Endocrinology Coder owns a 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:

  • Medical Nutrition Therapy (MNT)
  • Diabetes Self-Management Education (DSME)
  • Diabetes Care Services: Shared Medical Appointments, CGM, CSII, SMBG, Etc.
  • Business Management Components (Clinical, Marketing, Operational, Financial, Quality Management)
  • Medicare and Private Payer Insurance Reimbursement for the above
  • Evidence-Based Standards of Diabetes Care
  • Achieving AADE Accreditation for DSME Programs (turn-key materials and Policy and Procedure Manual)
  • Motivational Interviewing/Patient Empowerment Counseling for HCPs
  • Nutrition Education and Health/Wellness Promotion Programs for Consumers
Her clients include healthcare entities, professional membership associations, pharmacies, medical CEU education and training firms, government agencies, food and pharmaceutical companies, academia, and employer groups. She served on the Board of Directors of the American Association of Diabetes Educators from 2013 – 2015, and was the Chair of AADE’s Advanced Practice Community of Interest in 2016.


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