RE: billing in an MD office

[Guest guest]

Please share-such an ongoing issue!

Kerry

kiwi_razz wrote:

hello all!

I know this has come up and I read the previous posts but I just want

to confirm a few items.

I am going to work with an MD office doing group classes. They would

like to eitherr bill through the Doctors or have the patent's pay out

of pocket for the class. The MD had asked what an appropriate billing

code would be and one that would be legal to use for a visit other than

for the Dr himself.

does anyone know what code it would be?

can the MD bill for the nutrition visit if he does not see the patient?

I was told a MD visit must include 2 vitals- would BP and wt be

considered a MD visit?

any assistance is appreciated

Kerry Regnier, MPH, RD, LDN

Consultant Dietitian

Batavia, IL 60510

[Guest guest]

Can you please post the answers to your questions?

Thank you!

kiwi_razz wrote:

hello all!

I know this has come up and I read the previous posts but I just want

to confirm a few items.

I am going to work with an MD office doing group classes. They would

like to eitherr bill through the Doctors or have the patent's pay out

of pocket for the class. The MD had asked what an appropriate billing

code would be and one that would be legal to use for a visit other than

for the Dr himself.

does anyone know what code it would be?

can the MD bill for the nutrition visit if he does not see the patient?

I was told a MD visit must include 2 vitals- would BP and wt be

considered a MD visit?

any assistance is appreciated

Isabel Canez MS, RD

Your Whole Body Nutrition, LLC

www.yourwholebodynutrition.com

3930 S. Alma School Rd, Ste 8

Chandler, AZ 85248

Eat Well! Live Well!

*

[Guest guest]

Have you tried looking at the stuff on the ADA

website?

Go to: http://www.eatright.org

Log-in

Then click on this link:

<http://www.eatright.org/cps/rde/xchg/ada/hs.xsl/advocacy_382_ENU_HTML.htm>

Dianne Kiyomoto, RD

=============================================

--- Isabel Canez wrote:

> Can you please post the answers to your questions?

> Thank you!

>

> kiwi_razz wrote:

> hello all!

> I know this has come up and I read the previous

> posts but I just want

> to confirm a few items.

> I am going to work with an MD office doing group

> classes. They would

> like to eitherr bill through the Doctors or have the

> patent's pay out

> of pocket for the class. The MD had asked what an

> appropriate billing

> code would be and one that would be legal to use for

> a visit other than

> for the Dr himself.

> does anyone know what code it would be?

> can the MD bill for the nutrition visit if he does

> not see the patient?

> I was told a MD visit must include 2 vitals- would

> BP and wt be

> considered a MD visit?

>

> any assistance is appreciated

>

>

>

>

>

>

> Isabel Canez MS, RD

> Your Whole Body Nutrition, LLC

> www.yourwholebodynutrition.com

> 3930 S. Alma School Rd, Ste 8

> Chandler, AZ 85248

>

>

> Eat Well! Live Well!

>

> *

[Guest guest]

I used to see outpatients in a MD office a couple years ago and learned

the billing process by trial an error. I did both individual

appointments and group appointments and was reimbursed for both. There

are nutrition billing CPT codes for individual assessments and group

assessments. I don't have those right in front of me, but I am thinking

they were 97802, 97803, etc. You also billed in units to represent the

length of time spent with the individual or group. I billed using the

appropriate CPT code and of course the billable ICD-9 codes (diagnosis

codes) under the doctor's office location, but used my pin number (at

the time) or the new NPI number that all providers must have to bill.

Any registered dietitian can get his/her NPI number at

https://nppes.cms.hhs.gov/NPPES/Welcome.do. In other words the payment

was made to the MD office; and I was paid as an employee of the office

since that's what I was. I am almost sure you can bill using your NPI

number, but that number must be attached to a specific practice

location; therefore the payment would come in your name at that

location. By the way, no vitals were taken and the individual assessment

and group classes were done when the MD wasn't present. If you would

like more information that I might be able to help you with, please

email me at akruse@....

Angie

________________________________

From: rd-usa [mailto:rd-usa ] On Behalf

Of Marjorie Geiser, RD, NSCA-CPT

Sent: Wednesday, February 06, 2008 11:31 AM

To: rd-usa

Subject: Re: billing in an MD office

Be sure to double-check this, but I don't believe the MD can bill at all

for this if he/she is not providing any services, him/herself. So, your

best route would be to charge patients directly and have them pay out of

pocket. You may need to then provide the doc with a percentage, in

exchange for the use of services (building, materials, etc).

Make SURE you draw up a contract before you start offering any services,

though.

Margie

Marjorie Geiser, RD, NSCA-CPT

Author of " Just Jump: The No-Fear Business Startup Guide for Health &

Fitness Professionals "

http://www.meg-enterprises.com <http://www.meg-enterprises.com>

http://www.megfit.com <http://www.megfit.com>

kiwi_razz wrote:

>

> hello all!

> I know this has come up and I read the previous posts but I just want

> to confirm a few items.

> I am going to work with an MD office doing group classes. They would

> like to eitherr bill through the Doctors or have the patent's pay out

> of pocket for the class. The MD had asked what an appropriate billing

> code would be and one that would be legal to use for a visit other

than

> for the Dr himself.

> does anyone know what code it would be?

> can the MD bill for the nutrition visit if he does not see the

patient?

> I was told a MD visit must include 2 vitals- would BP and wt be

> considered a MD visit?

>

> any assistance is appreciated

>

>