Dietitian Course: DSMES ADCES Accreditation and ADA Recognition Requirements for Medicare Billing

DSMES ADCES ACCREDITATION AND ADA RECOGNITION REQUIREMENTS FOR MEDICARE BILLING

As an RDN, if you answer “YES” to any of these questions, then you will want to sign up for this webinar:

Do you want to expand your skills and resume to be more valuable to your employer?
Do you want to directly bill Medicare for a benefit other than MNT?
Are you interested in diabetes and caring for patients with this condition?
Do you want to bring in extra reimbursement revenue into your OP place of work?
Do you want to earn extra consulting revenue for yourself based on your work with Diabetes SelfManagement Education and Support/Training?

From 2001 to 2020, diabetes prevalence significantly increased among US adults 18 or older.

37.3 million people have diabetes—that’s 11.3% of the US population.
28.7 million people have been diagnosed with diabetes.
8.5 million people who have diabetes have not been diagnosed and do not know they have it.
In the last 50 years, diabetes numbers have shut up drastically and even the increase from 2011 was nearly 1.5% from 25.8 million! (Source: CDC.gov)

You can see that people with diabetes need your help as RDNs to educate them on their condition so they do not suffer the ravages of diabetes acute and chronic complications. How? By offering a Diabetes Self-Management Education and Support program (called Diabetes self-Management Training, DSMT, by Medicare) in your place of work. Yes, RDNs can directly bill Medicare Part B and several other health insurers for DSMES/T in nearly all outpatient settings in most, if not all, healthcare facilities.

Here's the really great news: the RDN does NOT need to be a Certified Diabetes Care and Education Specialist (CDCES) in order to directly bill Medicare. But what is required by Medicare (and some other insurers) is for your DSMES/T program to have ADCES accreditation or ADA recognition. Healthy Eating is one of the 9 core topics taught in this program, along withphysical activity (what you as a RDN know best!)…and a evidenced-based curriculum will guide your teaching of the other topics. Medicare pays for 10 hours of DSMT in the first year, and 2 hours in each subsequent year.

Mary Ann Hodorowicz has taught DSMES/T for over 30 years: "The satisfaction of helping so many people has opened so many consulting jobs for me with diabetes-related companies…this is a real career-booster!"

Guest Speaker: This webinar includes a segment by Marci Butcher, RDN, CDCES, FADCES. Marci has over 33 years of working in diabetes care and education, was awarded the 2017 National AADE Diabetes Educator of the Year, and is an ADCES Fellow.

At the conclusion of this 2 hour webinar, you will be able to:

State the main reason that a DSMES/T program should seek either ADCES Accreditation or ADA Recognition(hint: has to do with reimbursement).

Name the benefits of obtaining and maintaining DSMES/T program certification (i.e., Association of Diabetes Care and Education Specialists Accreditation or American Diabetes Association Recognition).Note: Medicare calls these "certification".

Name all the completed forms required in the de-identified patient chart that is submitted to ADCES or ADA as part of the original application.

State the ADA and the ADCES names of the 2 types of off-site locations for a DSMES/T program and explain the key differences.

Name the titles of each of the brand new (2022) 6 National Standards of DSMES (NSDSMES). Must adhere to them for certification.

Name the required steps to achieve accreditation or recognition summarized in the mnemonic D.I.A.B.E.T.E.S. T.R.A.I.N.I.N.G.

Name the variables that affect how long it will take to achieve ADCES accreditation or ADArecognition. (Can be less than 6 months, if you have many of the variables already in place.

FOR CDCESs: This Course Qualifies for CE Credit!

To satisfy the requirement for renewal of certification according to the Certification Board for Diabetes Care and Education (CBDCE, www.cbdce.org), courses must relate to diabetes and be part of the list of recognized providers of the CBDCE. The Commission on Dietetic Registration (CDR) is listed as an CBDCE recognized provider. Because Dietitian Central has been granted accreditation by the CDR, it therefore meets the criteria as an approved provider of CEs for CDCESs by the CBDCE. The CBDCE does not directly approve continuing education for any specific webinar or self study course.

Live Webinar Date: Jul 27, 2023 (03:00 PM - 05:00 PM Eastern Time) (US and Canada)

Expiration Date: May 31, 2024

Performance Indicators/Learning Objectives: 8.2.3, 8.3.5, 8.3.7

Target Audience: RDs, DTRs, CDCESs

Number of Credits: 2.0

Level(s): 1, 2

Total Cost: 2 Site Credits

About the Presenter: Mary Ann Hodorowicz, RD, CDCES, 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.

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