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, 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.

Other Webinars by this Presenter/Organization:
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: 4.75 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: 4.80 out of 5

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

Duration: 2 hours

Money Matters: Increase Your MNT and DSME Reimbursement Now

Money Matters: Increase Your MNT and DSME/T Reimbursement Now!

On Demand
Live Date: (Apr 27,2017)
Expiration Date: (Apr 26,2020)

Rating: 4.63 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: 4.73 out of 5

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

Duration: 2 hours

CQI Plan

Step by Step Continuous Quality Improvement Plan for DSME, MNT and Weight Management Programs

On Demand
Live Date: (Oct 25,2016)
Expiration Date: (Oct 24,2019)

Rating: 4.58 out of 5

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

Duration: 2 hours

ema interviewing

E.M.A. Tools for Successful Behavior Change: Empowerment, Motivational Interviewing and Adult Learning

On Demand
Live Date: (Aug 30,2016)
Expiration Date: (Aug 29,2019)

Rating: 4.58 out of 5

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

Duration: 2 hours

Self-Motivation. How to Get it.  How to Keep it.

Self-Motivation. How to Get it. How to Keep it.

On Demand
Live Date: (Mar 17,2016)
Expiration Date: (Mar 16,2019)

Rating: 4.53 out of 5

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

Duration: 2 hours

ICD-10 Diagnosis Coding

Overview of ICD-10 Diagnosis Coding: What You Absolutely Need to Know

On Demand
Live Date: (Jan 28,2016)
Expiration Date: (Jan 27,2019)

Rating: 4.68 out of 5

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

Duration: 2 hours

Proven Keys to Ensure DSME - MNT Program Sustainability

Proven Keys to Ensure DSME - MNT Program Sustainability
(It's Not Just About Reimbursement!)

On Demand
Live Date: (Oct 20,2015)
Expiration Date: (Oct 19,2018)

Rating: 4.78 out of 5

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

Duration: 2 hours

2013 Guidelines for the Management of Overweight and Obesity in Adults

2013 Guidelines for the Management of Overweight and Obesity in Adults

On Demand
Live Date: (Dec 18,2014)
Expiration Date: (Dec 17,2017)

Rating: 4.68 out of 5

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

Duration: 2 hours

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