Nutrition Health Insurers
OVERVIEW OF HEALTH INSURERS' NUTRITION, DSMES AND RELATED BENEFITS AND 10 STEPS TO OPTIMIZE BILLING, CODING AND REIMBURSEMENT
Optimizing billing, coding and insurer reimbursement for nutrition, DSMES and related benefits is critical for sustaining these OP programs and interventions in all practice settings. Diabetes educators, RDNs and other healthcare professionals are lacking in the knowledge of all the 19 specific benefits that exist in this arena, and in the knowledge of the specific steps to optimize billing, coding and insurer reimbursement for these benefits. This webinar will shed light on the details and features of these benefits.

If you are a little shady on the following facts, this jam-packed webinar is for you:

  • FACT: there are a whopping 19 nutrition, diabetes education, RDN and diabetes educator related benefits ON THE BOOKS, right now, by the owner (American Medical Association) of the CPT procedure codes.


  • FACT: Medicare pays for many of them, including remote patient monitoring, a brand new benefit, as of 1-1-18.


  • FACT: RDNs and diabetes educators can furnish the monthly required minutes of the Medicare chronic care management benefit if they are employed by, or contracted with, a physician or qualified non-physician practitioner.


  • FACT: there are must know coding, billing and reimbursement rules of thumb to keep you out of Medicare jail (presenter’s attempt at humor!).


  • FACT: there are 10 consecutive steps that will optimize billing, coding and reimbursement for your private practice, or for the medical entity you work for.


  • FACT: Medicare started paying for the Diabetes Prevention Program benefit on 4-1-18.


  • FACT: you can eat your lunch while you attend this webinar…double tasking at its finest!
Upon successful completion of this two-hour course, the participant should be able to:
  • Name the 10 steps to optimize billing, coding and reimbursement for nutrition, DSMES and related insurer benefits.


  • List the 19 nutrition, DSMES and related insurer benefits that select healthcare providers (individual and/or entity) can furnish or bill for.


  • Name the eligibility requirements for a Medicare beneficiary for obtaining chronic care management services, and approved places of service.


  • Explain the U.S. Preventive Services Task Force recommendations for CVD prevention and also for obesity treatment and prevention.


  • For the new 2018 Medicare Diabetes Prevention Program (MDPP) benefit, explain: who can be the billing and rendering providers; the approved places of services; and the beneficiary eligibility requirements.


FOR CDEs: This Course Qualifies for CE Credit!

To satisfy the requirement for renewal of certification according to the National Certification Board for Diabetes Educators (NCBDE, www.ncbde.org), courses must relate to diabetes and be part of the list of recognized providers of the NCBDE. The Commission on Dietetic Registration (CDR) is listed as an NCBDE recognized provider. Because Dietitian Central has been granted accreditation by the CDR, it therefore meets the criteria as an approved provider of CEs for CDEs by the NCBDE. The NCBDE does not directly approve continuing education for any specific webinar or self study course.
Live Event Date: Jun 07, 2018
Learning Need Codes (LNC): 1010, 5190, 7000, 7080
Performance Indicators/Learning Objectives: 1.2.2, 13.3.7, 14.2.6, 14.2.7
Target Audience: RDs, DTRs, CDEs
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: 4.78 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: 4.83 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: 4.85 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: 4.53 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

Medicare Reimbursement

Medicare Reimbursement Billing and Coding for Intensive Behavior Therapy for Obesity

On Demand
Live Date: (Jul 11,2017)
Expiration Date: (Jul 10,2020)

Rating: 4.57 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

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: 4.50 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: 4.63 out of 5

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

Duration: 2 hours