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Re: Re: Reimbursement for Obesity Counseling: So What?

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Posted
Posted

Went to the ADA website and was unable to find the statement. Could you please

let us know where this statement is to be found. Better yet, please just specify

what actions were taken by the ADA prior to this Medicare decision.

Hill, MS,RD,LD/N

Reimbursement for Obesity Counseling: So What?

>

>

>

> But even if all of this were to move forward in tandem, physicians

> would still be struggling to allocate time to weight management

> counseling and away from other matters. The solution to this is for

> physicians to initiate the counseling, and then defer to others better

> suited to address the details. Dietitians are the obvious choice. In

> some cases, health coaches could play this role as well. But for this

> strategy to work, there would need to be reimbursement for that

> counseling as well.

>

http://www.huffingtonpost.com/david-katz-md/obesity-counseling-reimbursement_b_1\

127032.html

>

> --

> Thanks, Weaver MS RD LD Medical Nutritionist/Medical

> Assistant http://mdrdtherapy.com Medifast Take Shape For Life! Power

> To Choose Optimal Health! 404 875-9919 Health Coach ID 30020181

> http://victoriaweavermsrdld.tsfl.com Senior Executive Agent Insurance

> Producers of America LLC 3755 Marconi Dr Alpharetta GA 30005

> Affordable Health/Life Insurance For Business CEOs & Self-Employeed!

> National Group Protection/24 Hour World/On Job Coverage/Non-Profit

> FREE Quote http://victoriaweaver.abbaplans.com View our new

> Testimonial Video Life Insurance for Life!

> http://www.anallianceforlife.com/clients/video.html

>

>

>

>

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Posted
Posted

Very good reply. I would also put in why where we blindsided by this. We are

frequently asked to send out letters to our represenatives in Congress but dead

slience on this one. All Medicare changes have a public comment peroid, where

was ADA at this time?

 

Jackie Chase RD

Dillingham AK

To: rd-usa

Sent: Tuesday, December 6, 2011 11:01 AM

Subject: Re: Re: Reimbursement for Obesity Counseling: So What?

 

Went to the ADA website and was unable to find the statement. Could you please

let us know where this statement is to be found. Better yet, please just specify

what actions were taken by the ADA prior to this Medicare decision.

Hill, MS,RD,LD/N

Reimbursement for Obesity Counseling: So What?

>

>

>

> But even if all of this were to move forward in tandem, physicians

> would still be struggling to allocate time to weight management

> counseling and away from other matters. The solution to this is for

> physicians to initiate the counseling, and then defer to others better

> suited to address the details. Dietitians are the obvious choice. In

> some cases, health coaches could play this role as well. But for this

> strategy to work, there would need to be reimbursement for that

> counseling as well.

>

http://www.huffingtonpost.com/david-katz-md/obesity-counseling-reimbursement_b_1\

127032.html

>

> --

> Thanks, Weaver MS RD LD Medical Nutritionist/Medical

> Assistant http://mdrdtherapy.com Medifast Take Shape For Life! Power

> To Choose Optimal Health! 404 875-9919 Health Coach ID 30020181

> http://victoriaweavermsrdld.tsfl.com Senior Executive Agent Insurance

> Producers of America LLC 3755 Marconi Dr Alpharetta GA 30005

> Affordable Health/Life Insurance For Business CEOs & Self-Employeed!

> National Group Protection/24 Hour World/On Job Coverage/Non-Profit

> FREE Quote http://victoriaweaver.abbaplans.com View our new

> Testimonial Video Life Insurance for Life!

> http://www.anallianceforlife.com/clients/video.html

>

>

>

>

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Guest guest

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Posted
Posted

First, thanks very much Kathleen for saying what I've been thinking these past

couple days.

Our association has maintained involvement with CMS for some time.

, log into eatright.org and go to the member's center. There's a link to

the statement on the right side of that page. Rather than ask Kathleen to read

it to us, I'm sure we're all able to read the statement for ourselves.

Regards,

pam

Pam Charney, PhD, RD

Affiliate Associate Professor

Pharmacy

MS Student

Clinical Informatics and Patient Centered Technology

School of Nursing

University of Washington

Seattle, WA

pcharney@...

http://www.linkedin.com/in/pamcharney

> Went to the ADA website and was unable to find the statement. Could you please

let us know where this statement is to be found. Better yet, please just specify

what actions were taken by the ADA prior to this Medicare decision.

> Hill, MS,RD,LD/N

> Reimbursement for Obesity Counseling: So What?

> >

> >

> >

> > But even if all of this were to move forward in tandem, physicians

> > would still be struggling to allocate time to weight management

> > counseling and away from other matters. The solution to this is for

> > physicians to initiate the counseling, and then defer to others better

> > suited to address the details. Dietitians are the obvious choice. In

> > some cases, health coaches could play this role as well. But for this

> > strategy to work, there would need to be reimbursement for that

> > counseling as well.

> >

http://www.huffingtonpost.com/david-katz-md/obesity-counseling-reimbursement_b_1\

127032.html

> >

> > --

> > Thanks, Weaver MS RD LD Medical Nutritionist/Medical

> > Assistant http://mdrdtherapy.com Medifast Take Shape For Life! Power

> > To Choose Optimal Health! 404 875-9919 Health Coach ID 30020181

> > http://victoriaweavermsrdld.tsfl.com Senior Executive Agent Insurance

> > Producers of America LLC 3755 Marconi Dr Alpharetta GA 30005

> > Affordable Health/Life Insurance For Business CEOs & Self-Employeed!

> > National Group Protection/24 Hour World/On Job Coverage/Non-Profit

> > FREE Quote http://victoriaweaver.abbaplans.com View our new

> > Testimonial Video Life Insurance for Life!

> > http://www.anallianceforlife.com/clients/video.html

> >

> >

> >

> >

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Guest guest

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Posted
Posted

First, thanks very much Kathleen for saying what I've been thinking these past

couple days.

Our association has maintained involvement with CMS for some time.

, log into eatright.org and go to the member's center. There's a link to

the statement on the right side of that page. Rather than ask Kathleen to read

it to us, I'm sure we're all able to read the statement for ourselves.

Regards,

pam

Pam Charney, PhD, RD

Affiliate Associate Professor

Pharmacy

MS Student

Clinical Informatics and Patient Centered Technology

School of Nursing

University of Washington

Seattle, WA

pcharney@...

http://www.linkedin.com/in/pamcharney

> Went to the ADA website and was unable to find the statement. Could you please

let us know where this statement is to be found. Better yet, please just specify

what actions were taken by the ADA prior to this Medicare decision.

> Hill, MS,RD,LD/N

> Reimbursement for Obesity Counseling: So What?

> >

> >

> >

> > But even if all of this were to move forward in tandem, physicians

> > would still be struggling to allocate time to weight management

> > counseling and away from other matters. The solution to this is for

> > physicians to initiate the counseling, and then defer to others better

> > suited to address the details. Dietitians are the obvious choice. In

> > some cases, health coaches could play this role as well. But for this

> > strategy to work, there would need to be reimbursement for that

> > counseling as well.

> >

http://www.huffingtonpost.com/david-katz-md/obesity-counseling-reimbursement_b_1\

127032.html

> >

> > --

> > Thanks, Weaver MS RD LD Medical Nutritionist/Medical

> > Assistant http://mdrdtherapy.com Medifast Take Shape For Life! Power

> > To Choose Optimal Health! 404 875-9919 Health Coach ID 30020181

> > http://victoriaweavermsrdld.tsfl.com Senior Executive Agent Insurance

> > Producers of America LLC 3755 Marconi Dr Alpharetta GA 30005

> > Affordable Health/Life Insurance For Business CEOs & Self-Employeed!

> > National Group Protection/24 Hour World/On Job Coverage/Non-Profit

> > FREE Quote http://victoriaweaver.abbaplans.com View our new

> > Testimonial Video Life Insurance for Life!

> > http://www.anallianceforlife.com/clients/video.html

> >

> >

> >

> >

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Posted
Posted

Jackie,

Where were you? Did you submit a public comment? ADA did submit comments.

Pam Charney, PhD, RD

Affiliate Associate Professor

Pharmacy

MS Student

Clinical Informatics and Patient Centered Technology

School of Nursing

University of Washington

Seattle, WA

pcharney@...

http://www.linkedin.com/in/pamcharney

> Very good reply. I would also put in why where we blindsided by this. We are

frequently asked to send out letters to our represenatives in Congress but dead

slience on this one. All Medicare changes have a public comment peroid, where

was ADA at this time?

>

> Jackie Chase RD

> Dillingham AK

>

>

> To: rd-usa

> Sent: Tuesday, December 6, 2011 11:01 AM

> Subject: Re: Re: Reimbursement for Obesity Counseling: So What?

>

>

> Went to the ADA website and was unable to find the statement. Could you please

let us know where this statement is to be found. Better yet, please just specify

what actions were taken by the ADA prior to this Medicare decision.

> Hill, MS,RD,LD/N

> Reimbursement for Obesity Counseling: So What?

> >

> >

> >

> > But even if all of this were to move forward in tandem, physicians

> > would still be struggling to allocate time to weight management

> > counseling and away from other matters. The solution to this is for

> > physicians to initiate the counseling, and then defer to others better

> > suited to address the details. Dietitians are the obvious choice. In

> > some cases, health coaches could play this role as well. But for this

> > strategy to work, there would need to be reimbursement for that

> > counseling as well.

> >

http://www.huffingtonpost.com/david-katz-md/obesity-counseling-reimbursement_b_1\

127032.html

> >

> > --

> > Thanks, Weaver MS RD LD Medical Nutritionist/Medical

> > Assistant http://mdrdtherapy.com Medifast Take Shape For Life! Power

> > To Choose Optimal Health! 404 875-9919 Health Coach ID 30020181

> > http://victoriaweavermsrdld.tsfl.com Senior Executive Agent Insurance

> > Producers of America LLC 3755 Marconi Dr Alpharetta GA 30005

> > Affordable Health/Life Insurance For Business CEOs & Self-Employeed!

> > National Group Protection/24 Hour World/On Job Coverage/Non-Profit

> > FREE Quote http://victoriaweaver.abbaplans.com View our new

> > Testimonial Video Life Insurance for Life!

> > http://www.anallianceforlife.com/clients/video.html

> >

> >

> >

> >

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Share on other sites
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Posted
Posted

Jackie,

Where were you? Did you submit a public comment? ADA did submit comments.

Pam Charney, PhD, RD

Affiliate Associate Professor

Pharmacy

MS Student

Clinical Informatics and Patient Centered Technology

School of Nursing

University of Washington

Seattle, WA

pcharney@...

http://www.linkedin.com/in/pamcharney

> Very good reply. I would also put in why where we blindsided by this. We are

frequently asked to send out letters to our represenatives in Congress but dead

slience on this one. All Medicare changes have a public comment peroid, where

was ADA at this time?

>

> Jackie Chase RD

> Dillingham AK

>

>

> To: rd-usa

> Sent: Tuesday, December 6, 2011 11:01 AM

> Subject: Re: Re: Reimbursement for Obesity Counseling: So What?

>

>

> Went to the ADA website and was unable to find the statement. Could you please

let us know where this statement is to be found. Better yet, please just specify

what actions were taken by the ADA prior to this Medicare decision.

> Hill, MS,RD,LD/N

> Reimbursement for Obesity Counseling: So What?

> >

> >

> >

> > But even if all of this were to move forward in tandem, physicians

> > would still be struggling to allocate time to weight management

> > counseling and away from other matters. The solution to this is for

> > physicians to initiate the counseling, and then defer to others better

> > suited to address the details. Dietitians are the obvious choice. In

> > some cases, health coaches could play this role as well. But for this

> > strategy to work, there would need to be reimbursement for that

> > counseling as well.

> >

http://www.huffingtonpost.com/david-katz-md/obesity-counseling-reimbursement_b_1\

127032.html

> >

> > --

> > Thanks, Weaver MS RD LD Medical Nutritionist/Medical

> > Assistant http://mdrdtherapy.com Medifast Take Shape For Life! Power

> > To Choose Optimal Health! 404 875-9919 Health Coach ID 30020181

> > http://victoriaweavermsrdld.tsfl.com Senior Executive Agent Insurance

> > Producers of America LLC 3755 Marconi Dr Alpharetta GA 30005

> > Affordable Health/Life Insurance For Business CEOs & Self-Employeed!

> > National Group Protection/24 Hour World/On Job Coverage/Non-Profit

> > FREE Quote http://victoriaweaver.abbaplans.com View our new

> > Testimonial Video Life Insurance for Life!

> > http://www.anallianceforlife.com/clients/video.html

> >

> >

> >

> >

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Guest guest

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Posted
Posted

Jackie,

Where were you? Did you submit a public comment? ADA did submit comments.

Pam Charney, PhD, RD

Affiliate Associate Professor

Pharmacy

MS Student

Clinical Informatics and Patient Centered Technology

School of Nursing

University of Washington

Seattle, WA

pcharney@...

http://www.linkedin.com/in/pamcharney

> Very good reply. I would also put in why where we blindsided by this. We are

frequently asked to send out letters to our represenatives in Congress but dead

slience on this one. All Medicare changes have a public comment peroid, where

was ADA at this time?

>

> Jackie Chase RD

> Dillingham AK

>

>

> To: rd-usa

> Sent: Tuesday, December 6, 2011 11:01 AM

> Subject: Re: Re: Reimbursement for Obesity Counseling: So What?

>

>

> Went to the ADA website and was unable to find the statement. Could you please

let us know where this statement is to be found. Better yet, please just specify

what actions were taken by the ADA prior to this Medicare decision.

> Hill, MS,RD,LD/N

> Reimbursement for Obesity Counseling: So What?

> >

> >

> >

> > But even if all of this were to move forward in tandem, physicians

> > would still be struggling to allocate time to weight management

> > counseling and away from other matters. The solution to this is for

> > physicians to initiate the counseling, and then defer to others better

> > suited to address the details. Dietitians are the obvious choice. In

> > some cases, health coaches could play this role as well. But for this

> > strategy to work, there would need to be reimbursement for that

> > counseling as well.

> >

http://www.huffingtonpost.com/david-katz-md/obesity-counseling-reimbursement_b_1\

127032.html

> >

> > --

> > Thanks, Weaver MS RD LD Medical Nutritionist/Medical

> > Assistant http://mdrdtherapy.com Medifast Take Shape For Life! Power

> > To Choose Optimal Health! 404 875-9919 Health Coach ID 30020181

> > http://victoriaweavermsrdld.tsfl.com Senior Executive Agent Insurance

> > Producers of America LLC 3755 Marconi Dr Alpharetta GA 30005

> > Affordable Health/Life Insurance For Business CEOs & Self-Employeed!

> > National Group Protection/24 Hour World/On Job Coverage/Non-Profit

> > FREE Quote http://victoriaweaver.abbaplans.com View our new

> > Testimonial Video Life Insurance for Life!

> > http://www.anallianceforlife.com/clients/video.html

> >

> >

> >

> >

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Posted
Posted

I would like to say I always get notices etc. but I am now in week 6 of no

internet at home and only 10 minute time frames at work before I time out. I

have 435 e-mails I need to look at. I keep hoping for a break in the weather.

HA! HA! I just can't understand why my internet guy doesn't want to get up on my

roof in 45 mile per winds and double digit negative cold weather. I keep praying

for a 20 degree day with no wind and no ice fog. Christmas is coming. :)

 

Jackie Chase RD

Dillingham AK

To: rd-usa

Sent: Tuesday, December 6, 2011 2:36 PM

Subject: Re: Re: Reimbursement for Obesity Counseling: So What?

Jackie,

Where were you? Did you submit a public comment? ADA did submit comments.

Pam Charney, PhD, RD

Affiliate Associate Professor

Pharmacy

MS Student

Clinical Informatics and Patient Centered Technology

School of Nursing

University of Washington

Seattle, WA

pcharney@...

http://www.linkedin.com/in/pamcharney

> Very good reply. I would also put in why where we blindsided by this. We are

frequently asked to send out letters to our represenatives in Congress but dead

slience on this one. All Medicare changes have a public comment peroid, where

was ADA at this time?

> 

> Jackie Chase RD

> Dillingham AK

>

>

> To: rd-usa

> Sent: Tuesday, December 6, 2011 11:01 AM

> Subject: Re: Re: Reimbursement for Obesity Counseling: So What?

>

> 

> Went to the ADA website and was unable to find the statement. Could you please

let us know where this statement is to be found. Better yet, please just specify

what actions were taken by the ADA prior to this Medicare decision.

> Hill, MS,RD,LD/N

> Reimbursement for Obesity Counseling: So What?

> >

> >

> >

> > But even if all of this were to move forward in tandem, physicians

> > would still be struggling to allocate time to weight management

> > counseling and away from other matters. The solution to this is for

> > physicians to initiate the counseling, and then defer to others better

> > suited to address the details. Dietitians are the obvious choice. In

> > some cases, health coaches could play this role as well. But for this

> > strategy to work, there would need to be reimbursement for that

> > counseling as well.

> >

http://www.huffingtonpost.com/david-katz-md/obesity-counseling-reimbursement_b_1\

127032.html

> >

> > --

> > Thanks, Weaver MS RD LD Medical Nutritionist/Medical

> > Assistant http://mdrdtherapy.com Medifast Take Shape For Life! Power

> > To Choose Optimal Health! 404 875-9919 Health Coach ID 30020181

> > http://victoriaweavermsrdld.tsfl.com Senior Executive Agent Insurance

> > Producers of America LLC 3755 Marconi Dr Alpharetta GA 30005

> > Affordable Health/Life Insurance For Business CEOs & Self-Employeed!

> > National Group Protection/24 Hour World/On Job Coverage/Non-Profit

> > FREE Quote http://victoriaweaver.abbaplans.com View our new

> > Testimonial Video Life Insurance for Life!

> > http://www.anallianceforlife.com/clients/video.html

> >

> >

> >

> >

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Guest guest

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Posted
Posted

Hi All, just a quick question...for those of us who already work in a primary

care office, how do we go about the billing part of this then? Do we bill like

we normally would and have the MD sign off on our notes or co-sign for us? Or

how does that work? Does anyone know? thanks - Ann Maher, RD

________________________________

To: rd-usa

Sent: Wednesday, December 7, 2011 10:56 AM

Subject: Re: Reimbursement for Obesity Counseling: So What?

 

Raphaela, I couldn't agree with you more that we need to strategize. Call me a

" glass half full thinker " but I look at this as an opportunity for RD's.

Previously, no practitioner (including MD's) could bill Medicare for obesity

counseling. Now that this policy is taking effect it is crucial that RD's market

themselves to primary offices to ensure that RD's DO provide the direct obesity

counseling. I know of many RD's who are contracted with MD offices to provide

MNT and the MD pays them out of what he bills Medicare and insurance,

essentially meaning it takes away from his/her bottom line.

Now that an MD can submit claims to Medicare for obesity counseling that is more

money for them which in turn can be paid to the RD. We need be sure sure that

when we contract with primary care offices we do not undercut our contracted

rates! We know the MD is getting reimbursement and we should get a LARGE cut of

that paid by the MD to provide the obesity counseling. I speak locally to RD's

wanting to start a private practice or provide outpatient counseling and this

can be a great way to earn income and not have to set up an office with

overhead, etc.

CMS states in the policy that auxilliary personnel can provide the direct

counseling as long as the MD is present in the office suite or directly

available to provide assistance or guidance. We should be aggressive to get to

the MD's before they do let RN's and God forbid MA's provide the counseling.

Just my thoughts...

Kathleen Wall, RD, CDE

> > > >

> > > > I am totally baffled by this situation. Where is the ADA? Dietitians are

the only health professionals trained in weight management. Why is the

responsibility given to those untrained, particularly PA's and nurses? Why are

we, once again, left out. Now I have to tell patients that Medicare will cover

their weight management with a physician or their untrained staff but not me.

What a horrendous situation.

> > > >

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

Of Weaver

> > > > Sent: Tuesday, December 06, 2011 12:12 AM

> > > > To: rd-usa

> > > > Subject: Reimbursement for Obesity Counseling: So What?

> > > >

> > > >

> > > >

> > > > But even if all of this were to move forward in tandem, physicians

> > > > would still be struggling to allocate time to weight management

> > > > counseling and away from other matters. The solution to this is for

> > > > physicians to initiate the counseling, and then defer to others better

> > > > suited to address the details. Dietitians are the obvious choice. In

> > > > some cases, health coaches could play this role as well. But for this

> > > > strategy to work, there would need to be reimbursement for that

> > > > counseling as well.

> > > >

http://www.huffingtonpost.com/david-katz-md/obesity-counseling-reimbursement_b_1\

127032.html

> > > >

> > > > --

> > > > Thanks, Weaver MS RD LD Medical Nutritionist/Medical

> > > > Assistant http://mdrdtherapy.com Medifast Take Shape For Life! Power

> > > > To Choose Optimal Health! 404 875-9919 Health Coach ID 30020181

> > > > http://victoriaweavermsrdld.tsfl.com Senior Executive Agent Insurance

> > > > Producers of America LLC 3755 Marconi Dr Alpharetta GA 30005

> > > > Affordable Health/Life Insurance For Business CEOs & Self-Employeed!

> > > > National Group Protection/24 Hour World/On Job Coverage/Non-Profit

> > > > FREE Quote http://victoriaweaver.abbaplans.com View our new

> > > > Testimonial Video Life Insurance for Life!

> > > > http://www.anallianceforlife.com/clients/video.html

> > > >

> > > >

> > > >

> > > >

Link to comment
Share on other sites
Guest guest

Guest guest

Posted
Posted

Hi All, just a quick question...for those of us who already work in a primary

care office, how do we go about the billing part of this then? Do we bill like

we normally would and have the MD sign off on our notes or co-sign for us? Or

how does that work? Does anyone know? thanks - Ann Maher, RD

________________________________

To: rd-usa

Sent: Wednesday, December 7, 2011 10:56 AM

Subject: Re: Reimbursement for Obesity Counseling: So What?

 

Raphaela, I couldn't agree with you more that we need to strategize. Call me a

" glass half full thinker " but I look at this as an opportunity for RD's.

Previously, no practitioner (including MD's) could bill Medicare for obesity

counseling. Now that this policy is taking effect it is crucial that RD's market

themselves to primary offices to ensure that RD's DO provide the direct obesity

counseling. I know of many RD's who are contracted with MD offices to provide

MNT and the MD pays them out of what he bills Medicare and insurance,

essentially meaning it takes away from his/her bottom line.

Now that an MD can submit claims to Medicare for obesity counseling that is more

money for them which in turn can be paid to the RD. We need be sure sure that

when we contract with primary care offices we do not undercut our contracted

rates! We know the MD is getting reimbursement and we should get a LARGE cut of

that paid by the MD to provide the obesity counseling. I speak locally to RD's

wanting to start a private practice or provide outpatient counseling and this

can be a great way to earn income and not have to set up an office with

overhead, etc.

CMS states in the policy that auxilliary personnel can provide the direct

counseling as long as the MD is present in the office suite or directly

available to provide assistance or guidance. We should be aggressive to get to

the MD's before they do let RN's and God forbid MA's provide the counseling.

Just my thoughts...

Kathleen Wall, RD, CDE

> > > >

> > > > I am totally baffled by this situation. Where is the ADA? Dietitians are

the only health professionals trained in weight management. Why is the

responsibility given to those untrained, particularly PA's and nurses? Why are

we, once again, left out. Now I have to tell patients that Medicare will cover

their weight management with a physician or their untrained staff but not me.

What a horrendous situation.

> > > >

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

Of Weaver

> > > > Sent: Tuesday, December 06, 2011 12:12 AM

> > > > To: rd-usa

> > > > Subject: Reimbursement for Obesity Counseling: So What?

> > > >

> > > >

> > > >

> > > > But even if all of this were to move forward in tandem, physicians

> > > > would still be struggling to allocate time to weight management

> > > > counseling and away from other matters. The solution to this is for

> > > > physicians to initiate the counseling, and then defer to others better

> > > > suited to address the details. Dietitians are the obvious choice. In

> > > > some cases, health coaches could play this role as well. But for this

> > > > strategy to work, there would need to be reimbursement for that

> > > > counseling as well.

> > > >

http://www.huffingtonpost.com/david-katz-md/obesity-counseling-reimbursement_b_1\

127032.html

> > > >

> > > > --

> > > > Thanks, Weaver MS RD LD Medical Nutritionist/Medical

> > > > Assistant http://mdrdtherapy.com Medifast Take Shape For Life! Power

> > > > To Choose Optimal Health! 404 875-9919 Health Coach ID 30020181

> > > > http://victoriaweavermsrdld.tsfl.com Senior Executive Agent Insurance

> > > > Producers of America LLC 3755 Marconi Dr Alpharetta GA 30005

> > > > Affordable Health/Life Insurance For Business CEOs & Self-Employeed!

> > > > National Group Protection/24 Hour World/On Job Coverage/Non-Profit

> > > > FREE Quote http://victoriaweaver.abbaplans.com View our new

> > > > Testimonial Video Life Insurance for Life!

> > > > http://www.anallianceforlife.com/clients/video.html

> > > >

> > > >

> > > >

> > > >

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Posted
Posted

Hi All, just a quick question...for those of us who already work in a primary

care office, how do we go about the billing part of this then? Do we bill like

we normally would and have the MD sign off on our notes or co-sign for us? Or

how does that work? Does anyone know? thanks - Ann Maher, RD

________________________________

To: rd-usa

Sent: Wednesday, December 7, 2011 10:56 AM

Subject: Re: Reimbursement for Obesity Counseling: So What?

 

Raphaela, I couldn't agree with you more that we need to strategize. Call me a

" glass half full thinker " but I look at this as an opportunity for RD's.

Previously, no practitioner (including MD's) could bill Medicare for obesity

counseling. Now that this policy is taking effect it is crucial that RD's market

themselves to primary offices to ensure that RD's DO provide the direct obesity

counseling. I know of many RD's who are contracted with MD offices to provide

MNT and the MD pays them out of what he bills Medicare and insurance,

essentially meaning it takes away from his/her bottom line.

Now that an MD can submit claims to Medicare for obesity counseling that is more

money for them which in turn can be paid to the RD. We need be sure sure that

when we contract with primary care offices we do not undercut our contracted

rates! We know the MD is getting reimbursement and we should get a LARGE cut of

that paid by the MD to provide the obesity counseling. I speak locally to RD's

wanting to start a private practice or provide outpatient counseling and this

can be a great way to earn income and not have to set up an office with

overhead, etc.

CMS states in the policy that auxilliary personnel can provide the direct

counseling as long as the MD is present in the office suite or directly

available to provide assistance or guidance. We should be aggressive to get to

the MD's before they do let RN's and God forbid MA's provide the counseling.

Just my thoughts...

Kathleen Wall, RD, CDE

> > > >

> > > > I am totally baffled by this situation. Where is the ADA? Dietitians are

the only health professionals trained in weight management. Why is the

responsibility given to those untrained, particularly PA's and nurses? Why are

we, once again, left out. Now I have to tell patients that Medicare will cover

their weight management with a physician or their untrained staff but not me.

What a horrendous situation.

> > > >

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

Of Weaver

> > > > Sent: Tuesday, December 06, 2011 12:12 AM

> > > > To: rd-usa

> > > > Subject: Reimbursement for Obesity Counseling: So What?

> > > >

> > > >

> > > >

> > > > But even if all of this were to move forward in tandem, physicians

> > > > would still be struggling to allocate time to weight management

> > > > counseling and away from other matters. The solution to this is for

> > > > physicians to initiate the counseling, and then defer to others better

> > > > suited to address the details. Dietitians are the obvious choice. In

> > > > some cases, health coaches could play this role as well. But for this

> > > > strategy to work, there would need to be reimbursement for that

> > > > counseling as well.

> > > >

http://www.huffingtonpost.com/david-katz-md/obesity-counseling-reimbursement_b_1\

127032.html

> > > >

> > > > --

> > > > Thanks, Weaver MS RD LD Medical Nutritionist/Medical

> > > > Assistant http://mdrdtherapy.com Medifast Take Shape For Life! Power

> > > > To Choose Optimal Health! 404 875-9919 Health Coach ID 30020181

> > > > http://victoriaweavermsrdld.tsfl.com Senior Executive Agent Insurance

> > > > Producers of America LLC 3755 Marconi Dr Alpharetta GA 30005

> > > > Affordable Health/Life Insurance For Business CEOs & Self-Employeed!

> > > > National Group Protection/24 Hour World/On Job Coverage/Non-Profit

> > > > FREE Quote http://victoriaweaver.abbaplans.com View our new

> > > > Testimonial Video Life Insurance for Life!

> > > > http://www.anallianceforlife.com/clients/video.html

> > > >

> > > >

> > > >

> > > >

Link to comment
Share on other sites
Guest guest

Guest guest

Posted
Posted

With a potential 30% cut in Medicare for MDs or at best staying the same

(Congress " mulling " it over) is it worth the effort financially?

> **

>

>

> Hi All, just a quick question...for those of us who already work in a

> primary care office, how do we go about the billing part of this then? Do

> we bill like we normally would and have the MD sign off on our notes or

> co-sign for us? Or how does that work? Does anyone know? thanks - Ann

> Maher, RD

>

> ________________________________

>

> To: rd-usa

> Sent: Wednesday, December 7, 2011 10:56 AM

>

> Subject: Re: Reimbursement for Obesity Counseling: So What?

>

>

> Raphaela, I couldn't agree with you more that we need to strategize. Call

> me a " glass half full thinker " but I look at this as an opportunity for

> RD's. Previously, no practitioner (including MD's) could bill Medicare for

> obesity counseling. Now that this policy is taking effect it is crucial

> that RD's market themselves to primary offices to ensure that RD's DO

> provide the direct obesity counseling. I know of many RD's who are

> contracted with MD offices to provide MNT and the MD pays them out of what

> he bills Medicare and insurance, essentially meaning it takes away from

> his/her bottom line.

>

> Now that an MD can submit claims to Medicare for obesity counseling that

> is more money for them which in turn can be paid to the RD. We need be sure

> sure that when we contract with primary care offices we do not undercut our

> contracted rates! We know the MD is getting reimbursement and we should get

> a LARGE cut of that paid by the MD to provide the obesity counseling. I

> speak locally to RD's wanting to start a private practice or provide

> outpatient counseling and this can be a great way to earn income and not

> have to set up an office with overhead, etc.

>

> CMS states in the policy that auxilliary personnel can provide the direct

> counseling as long as the MD is present in the office suite or directly

> available to provide assistance or guidance. We should be aggressive to get

> to the MD's before they do let RN's and God forbid MA's provide the

> counseling. Just my thoughts...

>

> Kathleen Wall, RD, CDE

>

>

> > > > >

> > > > > I am totally baffled by this situation. Where is the ADA?

> Dietitians are the only health professionals trained in weight management.

> Why is the responsibility given to those untrained, particularly PA's and

> nurses? Why are we, once again, left out. Now I have to tell patients that

> Medicare will cover their weight management with a physician or their

> untrained staff but not me. What a horrendous situation.

> > > > >

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

> Behalf Of Weaver

> > > > > Sent: Tuesday, December 06, 2011 12:12 AM

> > > > > To: rd-usa

> > > > > Subject: Reimbursement for Obesity Counseling: So What?

> > > > >

> > > > >

> > > > >

> > > > > But even if all of this were to move forward in tandem, physicians

> > > > > would still be struggling to allocate time to weight management

> > > > > counseling and away from other matters. The solution to this is for

> > > > > physicians to initiate the counseling, and then defer to others

> better

> > > > > suited to address the details. Dietitians are the obvious choice.

> In

> > > > > some cases, health coaches could play this role as well. But for

> this

> > > > > strategy to work, there would need to be reimbursement for that

> > > > > counseling as well.

> > > > >

>

http://www.huffingtonpost.com/david-katz-md/obesity-counseling-reimbursement_b_1\

127032.html

> > > > >

> > > > > --

> > > > > Thanks, Weaver MS RD LD Medical Nutritionist/Medical

> > > > > Assistant http://mdrdtherapy.com Medifast Take Shape For Life!

> Power

> > > > > To Choose Optimal Health! 404 875-9919 Health Coach ID 30020181

> > > > > http://victoriaweavermsrdld.tsfl.com Senior Executive Agent

> Insurance

> > > > > Producers of America LLC 3755 Marconi Dr Alpharetta GA 30005

> > > > > Affordable Health/Life Insurance For Business CEOs &

> Self-Employeed!

> > > > > National Group Protection/24 Hour World/On Job Coverage/Non-Profit

> > > > > FREE Quote http://victoriaweaver.abbaplans.com View our new

> > > > > Testimonial Video Life Insurance for Life!

> > > > > http://www.anallianceforlife.com/clients/video.html

> > > > >

> > > > >

> > > > >

> > > > >

Link to comment
Share on other sites
Guest guest

Guest guest

Posted
Posted

With a potential 30% cut in Medicare for MDs or at best staying the same

(Congress " mulling " it over) is it worth the effort financially?

> **

>

>

> Hi All, just a quick question...for those of us who already work in a

> primary care office, how do we go about the billing part of this then? Do

> we bill like we normally would and have the MD sign off on our notes or

> co-sign for us? Or how does that work? Does anyone know? thanks - Ann

> Maher, RD

>

> ________________________________

>

> To: rd-usa

> Sent: Wednesday, December 7, 2011 10:56 AM

>

> Subject: Re: Reimbursement for Obesity Counseling: So What?

>

>

> Raphaela, I couldn't agree with you more that we need to strategize. Call

> me a " glass half full thinker " but I look at this as an opportunity for

> RD's. Previously, no practitioner (including MD's) could bill Medicare for

> obesity counseling. Now that this policy is taking effect it is crucial

> that RD's market themselves to primary offices to ensure that RD's DO

> provide the direct obesity counseling. I know of many RD's who are

> contracted with MD offices to provide MNT and the MD pays them out of what

> he bills Medicare and insurance, essentially meaning it takes away from

> his/her bottom line.

>

> Now that an MD can submit claims to Medicare for obesity counseling that

> is more money for them which in turn can be paid to the RD. We need be sure

> sure that when we contract with primary care offices we do not undercut our

> contracted rates! We know the MD is getting reimbursement and we should get

> a LARGE cut of that paid by the MD to provide the obesity counseling. I

> speak locally to RD's wanting to start a private practice or provide

> outpatient counseling and this can be a great way to earn income and not

> have to set up an office with overhead, etc.

>

> CMS states in the policy that auxilliary personnel can provide the direct

> counseling as long as the MD is present in the office suite or directly

> available to provide assistance or guidance. We should be aggressive to get

> to the MD's before they do let RN's and God forbid MA's provide the

> counseling. Just my thoughts...

>

> Kathleen Wall, RD, CDE

>

>

> > > > >

> > > > > I am totally baffled by this situation. Where is the ADA?

> Dietitians are the only health professionals trained in weight management.

> Why is the responsibility given to those untrained, particularly PA's and

> nurses? Why are we, once again, left out. Now I have to tell patients that

> Medicare will cover their weight management with a physician or their

> untrained staff but not me. What a horrendous situation.

> > > > >

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

> Behalf Of Weaver

> > > > > Sent: Tuesday, December 06, 2011 12:12 AM

> > > > > To: rd-usa

> > > > > Subject: Reimbursement for Obesity Counseling: So What?

> > > > >

> > > > >

> > > > >

> > > > > But even if all of this were to move forward in tandem, physicians

> > > > > would still be struggling to allocate time to weight management

> > > > > counseling and away from other matters. The solution to this is for

> > > > > physicians to initiate the counseling, and then defer to others

> better

> > > > > suited to address the details. Dietitians are the obvious choice.

> In

> > > > > some cases, health coaches could play this role as well. But for

> this

> > > > > strategy to work, there would need to be reimbursement for that

> > > > > counseling as well.

> > > > >

>

http://www.huffingtonpost.com/david-katz-md/obesity-counseling-reimbursement_b_1\

127032.html

> > > > >

> > > > > --

> > > > > Thanks, Weaver MS RD LD Medical Nutritionist/Medical

> > > > > Assistant http://mdrdtherapy.com Medifast Take Shape For Life!

> Power

> > > > > To Choose Optimal Health! 404 875-9919 Health Coach ID 30020181

> > > > > http://victoriaweavermsrdld.tsfl.com Senior Executive Agent

> Insurance

> > > > > Producers of America LLC 3755 Marconi Dr Alpharetta GA 30005

> > > > > Affordable Health/Life Insurance For Business CEOs &

> Self-Employeed!

> > > > > National Group Protection/24 Hour World/On Job Coverage/Non-Profit

> > > > > FREE Quote http://victoriaweaver.abbaplans.com View our new

> > > > > Testimonial Video Life Insurance for Life!

> > > > > http://www.anallianceforlife.com/clients/video.html

> > > > >

> > > > >

> > > > >

> > > > >

Link to comment
Share on other sites
Guest guest

Guest guest

Posted
Posted

With a potential 30% cut in Medicare for MDs or at best staying the same

(Congress " mulling " it over) is it worth the effort financially?

> **

>

>

> Hi All, just a quick question...for those of us who already work in a

> primary care office, how do we go about the billing part of this then? Do

> we bill like we normally would and have the MD sign off on our notes or

> co-sign for us? Or how does that work? Does anyone know? thanks - Ann

> Maher, RD

>

> ________________________________

>

> To: rd-usa

> Sent: Wednesday, December 7, 2011 10:56 AM

>

> Subject: Re: Reimbursement for Obesity Counseling: So What?

>

>

> Raphaela, I couldn't agree with you more that we need to strategize. Call

> me a " glass half full thinker " but I look at this as an opportunity for

> RD's. Previously, no practitioner (including MD's) could bill Medicare for

> obesity counseling. Now that this policy is taking effect it is crucial

> that RD's market themselves to primary offices to ensure that RD's DO

> provide the direct obesity counseling. I know of many RD's who are

> contracted with MD offices to provide MNT and the MD pays them out of what

> he bills Medicare and insurance, essentially meaning it takes away from

> his/her bottom line.

>

> Now that an MD can submit claims to Medicare for obesity counseling that

> is more money for them which in turn can be paid to the RD. We need be sure

> sure that when we contract with primary care offices we do not undercut our

> contracted rates! We know the MD is getting reimbursement and we should get

> a LARGE cut of that paid by the MD to provide the obesity counseling. I

> speak locally to RD's wanting to start a private practice or provide

> outpatient counseling and this can be a great way to earn income and not

> have to set up an office with overhead, etc.

>

> CMS states in the policy that auxilliary personnel can provide the direct

> counseling as long as the MD is present in the office suite or directly

> available to provide assistance or guidance. We should be aggressive to get

> to the MD's before they do let RN's and God forbid MA's provide the

> counseling. Just my thoughts...

>

> Kathleen Wall, RD, CDE

>

>

> > > > >

> > > > > I am totally baffled by this situation. Where is the ADA?

> Dietitians are the only health professionals trained in weight management.

> Why is the responsibility given to those untrained, particularly PA's and

> nurses? Why are we, once again, left out. Now I have to tell patients that

> Medicare will cover their weight management with a physician or their

> untrained staff but not me. What a horrendous situation.

> > > > >

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

> Behalf Of Weaver

> > > > > Sent: Tuesday, December 06, 2011 12:12 AM

> > > > > To: rd-usa

> > > > > Subject: Reimbursement for Obesity Counseling: So What?

> > > > >

> > > > >

> > > > >

> > > > > But even if all of this were to move forward in tandem, physicians

> > > > > would still be struggling to allocate time to weight management

> > > > > counseling and away from other matters. The solution to this is for

> > > > > physicians to initiate the counseling, and then defer to others

> better

> > > > > suited to address the details. Dietitians are the obvious choice.

> In

> > > > > some cases, health coaches could play this role as well. But for

> this

> > > > > strategy to work, there would need to be reimbursement for that

> > > > > counseling as well.

> > > > >

>

http://www.huffingtonpost.com/david-katz-md/obesity-counseling-reimbursement_b_1\

127032.html

> > > > >

> > > > > --

> > > > > Thanks, Weaver MS RD LD Medical Nutritionist/Medical

> > > > > Assistant http://mdrdtherapy.com Medifast Take Shape For Life!

> Power

> > > > > To Choose Optimal Health! 404 875-9919 Health Coach ID 30020181

> > > > > http://victoriaweavermsrdld.tsfl.com Senior Executive Agent

> Insurance

> > > > > Producers of America LLC 3755 Marconi Dr Alpharetta GA 30005

> > > > > Affordable Health/Life Insurance For Business CEOs &

> Self-Employeed!

> > > > > National Group Protection/24 Hour World/On Job Coverage/Non-Profit

> > > > > FREE Quote http://victoriaweaver.abbaplans.com View our new

> > > > > Testimonial Video Life Insurance for Life!

> > > > > http://www.anallianceforlife.com/clients/video.html

> > > > >

> > > > >

> > > > >

> > > > >

Link to comment
Share on other sites
Guest guest

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Posted
Posted

Personally I do feel it would be worth it even with the cuts...We have to start

somewhere.... - Ann Maher

________________________________

To: rd-usa

Sent: Wednesday, December 7, 2011 11:27 AM

Subject: Re: Re: Reimbursement for Obesity Counseling: So What?

With a potential 30% cut in Medicare for MDs or at best staying the same

(Congress " mulling " it over) is it worth the effort financially?

> **

>

>

> Hi All, just a quick question...for those of us who already work in a

> primary care office, how do we go about the billing part of this then? Do

> we bill like we normally would and have the MD sign off on our notes or

> co-sign for us? Or how does that work? Does anyone know? thanks - Ann

> Maher, RD

>

> ________________________________

>

> To: rd-usa

> Sent: Wednesday, December 7, 2011 10:56 AM

>

> Subject: Re: Reimbursement for Obesity Counseling: So What?

>

>

> Raphaela, I couldn't agree with you more that we need to strategize. Call

> me a " glass half full thinker " but I look at this as an opportunity for

> RD's. Previously, no practitioner (including MD's) could bill Medicare for

> obesity counseling. Now that this policy is taking effect it is crucial

> that RD's market themselves to primary offices to ensure that RD's DO

> provide the direct obesity counseling. I know of many RD's who are

> contracted with MD offices to provide MNT and the MD pays them out of what

> he bills Medicare and insurance, essentially meaning it takes away from

> his/her bottom line.

>

> Now that an MD can submit claims to Medicare for obesity counseling that

> is more money for them which in turn can be paid to the RD. We need be sure

> sure that when we contract with primary care offices we do not undercut our

> contracted rates! We know the MD is getting reimbursement and we should get

> a LARGE cut of that paid by the MD to provide the obesity counseling. I

> speak locally to RD's wanting to start a private practice or provide

> outpatient counseling and this can be a great way to earn income and not

> have to set up an office with overhead, etc.

>

> CMS states in the policy that auxilliary personnel can provide the direct

> counseling as long as the MD is present in the office suite or directly

> available to provide assistance or guidance. We should be aggressive to get

> to the MD's before they do let RN's and God forbid MA's provide the

> counseling. Just my thoughts...

>

> Kathleen Wall, RD, CDE

>

>

> > > > >

> > > > > I am totally baffled by this situation. Where is the ADA?

> Dietitians are the only health professionals trained in weight management.

> Why is the responsibility given to those untrained, particularly PA's and

> nurses? Why are we, once again, left out. Now I have to tell patients that

> Medicare will cover their weight management with a physician or their

> untrained staff but not me. What a horrendous situation.

> > > > >

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

> Behalf Of Weaver

> > > > > Sent: Tuesday, December 06, 2011 12:12 AM

> > > > > To: rd-usa

> > > > > Subject: Reimbursement for Obesity Counseling: So What?

> > > > >

> > > > >

> > > > >

> > > > > But even if all of this were to move forward in tandem, physicians

> > > > > would still be struggling to allocate time to weight management

> > > > > counseling and away from other matters. The solution to this is for

> > > > > physicians to initiate the counseling, and then defer to others

> better

> > > > > suited to address the details. Dietitians are the obvious choice.

> In

> > > > > some cases, health coaches could play this role as well. But for

> this

> > > > > strategy to work, there would need to be reimbursement for that

> > > > > counseling as well.

> > > > >

>

http://www.huffingtonpost.com/david-katz-md/obesity-counseling-reimbursement_b_1\

127032.html

> > > > >

> > > > > --

> > > > > Thanks, Weaver MS RD LD Medical Nutritionist/Medical

> > > > > Assistant http://mdrdtherapy.com Medifast Take Shape For Life!

> Power

> > > > > To Choose Optimal Health! 404 875-9919 Health Coach ID 30020181

> > > > > http://victoriaweavermsrdld.tsfl.com Senior Executive Agent

> Insurance

> > > > > Producers of America LLC 3755 Marconi Dr Alpharetta GA 30005

> > > > > Affordable Health/Life Insurance For Business CEOs &

> Self-Employeed!

> > > > > National Group Protection/24 Hour World/On Job Coverage/Non-Profit

> > > > > FREE Quote http://victoriaweaver.abbaplans.com View our new

> > > > > Testimonial Video Life Insurance for Life!

> > > > > http://www.anallianceforlife.com/clients/video.html

> > > > >

> > > > >

> > > > >

> > > > >

Link to comment
Share on other sites
Guest guest

Guest guest

Posted
Posted

Personally I do feel it would be worth it even with the cuts...We have to start

somewhere.... - Ann Maher

________________________________

To: rd-usa

Sent: Wednesday, December 7, 2011 11:27 AM

Subject: Re: Re: Reimbursement for Obesity Counseling: So What?

With a potential 30% cut in Medicare for MDs or at best staying the same

(Congress " mulling " it over) is it worth the effort financially?

> **

>

>

> Hi All, just a quick question...for those of us who already work in a

> primary care office, how do we go about the billing part of this then? Do

> we bill like we normally would and have the MD sign off on our notes or

> co-sign for us? Or how does that work? Does anyone know? thanks - Ann

> Maher, RD

>

> ________________________________

>

> To: rd-usa

> Sent: Wednesday, December 7, 2011 10:56 AM

>

> Subject: Re: Reimbursement for Obesity Counseling: So What?

>

>

> Raphaela, I couldn't agree with you more that we need to strategize. Call

> me a " glass half full thinker " but I look at this as an opportunity for

> RD's. Previously, no practitioner (including MD's) could bill Medicare for

> obesity counseling. Now that this policy is taking effect it is crucial

> that RD's market themselves to primary offices to ensure that RD's DO

> provide the direct obesity counseling. I know of many RD's who are

> contracted with MD offices to provide MNT and the MD pays them out of what

> he bills Medicare and insurance, essentially meaning it takes away from

> his/her bottom line.

>

> Now that an MD can submit claims to Medicare for obesity counseling that

> is more money for them which in turn can be paid to the RD. We need be sure

> sure that when we contract with primary care offices we do not undercut our

> contracted rates! We know the MD is getting reimbursement and we should get

> a LARGE cut of that paid by the MD to provide the obesity counseling. I

> speak locally to RD's wanting to start a private practice or provide

> outpatient counseling and this can be a great way to earn income and not

> have to set up an office with overhead, etc.

>

> CMS states in the policy that auxilliary personnel can provide the direct

> counseling as long as the MD is present in the office suite or directly

> available to provide assistance or guidance. We should be aggressive to get

> to the MD's before they do let RN's and God forbid MA's provide the

> counseling. Just my thoughts...

>

> Kathleen Wall, RD, CDE

>

>

> > > > >

> > > > > I am totally baffled by this situation. Where is the ADA?

> Dietitians are the only health professionals trained in weight management.

> Why is the responsibility given to those untrained, particularly PA's and

> nurses? Why are we, once again, left out. Now I have to tell patients that

> Medicare will cover their weight management with a physician or their

> untrained staff but not me. What a horrendous situation.

> > > > >

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

> Behalf Of Weaver

> > > > > Sent: Tuesday, December 06, 2011 12:12 AM

> > > > > To: rd-usa

> > > > > Subject: Reimbursement for Obesity Counseling: So What?

> > > > >

> > > > >

> > > > >

> > > > > But even if all of this were to move forward in tandem, physicians

> > > > > would still be struggling to allocate time to weight management

> > > > > counseling and away from other matters. The solution to this is for

> > > > > physicians to initiate the counseling, and then defer to others

> better

> > > > > suited to address the details. Dietitians are the obvious choice.

> In

> > > > > some cases, health coaches could play this role as well. But for

> this

> > > > > strategy to work, there would need to be reimbursement for that

> > > > > counseling as well.

> > > > >

>

http://www.huffingtonpost.com/david-katz-md/obesity-counseling-reimbursement_b_1\

127032.html

> > > > >

> > > > > --

> > > > > Thanks, Weaver MS RD LD Medical Nutritionist/Medical

> > > > > Assistant http://mdrdtherapy.com Medifast Take Shape For Life!

> Power

> > > > > To Choose Optimal Health! 404 875-9919 Health Coach ID 30020181

> > > > > http://victoriaweavermsrdld.tsfl.com Senior Executive Agent

> Insurance

> > > > > Producers of America LLC 3755 Marconi Dr Alpharetta GA 30005

> > > > > Affordable Health/Life Insurance For Business CEOs &

> Self-Employeed!

> > > > > National Group Protection/24 Hour World/On Job Coverage/Non-Profit

> > > > > FREE Quote http://victoriaweaver.abbaplans.com View our new

> > > > > Testimonial Video Life Insurance for Life!

> > > > > http://www.anallianceforlife.com/clients/video.html

> > > > >

> > > > >

> > > > >

> > > > >

Link to comment
Share on other sites
Guest guest

Guest guest

Posted
Posted

I just wonder if given all the cuts the doctors would be facing in

reimbursement, if they wouldn't look at this as opportunity to " bill " for

more services, therefore doing it themselves. I'm sure this is the most

pessimistic view of doctors, but working under CMS guidelines, I've seen

crazy things.

> **

>

>

> Personally I do feel it would be worth it even with the cuts...We have to

> start somewhere.... - Ann Maher

>

> ________________________________

>

> To: rd-usa

> Sent: Wednesday, December 7, 2011 11:27 AM

>

> Subject: Re: Re: Reimbursement for Obesity Counseling: So What?

>

> With a potential 30% cut in Medicare for MDs or at best staying the same

> (Congress " mulling " it over) is it worth the effort financially?

>

>

>

> > **

> >

> >

> > Hi All, just a quick question...for those of us who already work in a

> > primary care office, how do we go about the billing part of this then? Do

> > we bill like we normally would and have the MD sign off on our notes or

> > co-sign for us? Or how does that work? Does anyone know? thanks - Ann

> > Maher, RD

> >

> > ________________________________

> >

> > To: rd-usa

> > Sent: Wednesday, December 7, 2011 10:56 AM

> >

> > Subject: Re: Reimbursement for Obesity Counseling: So What?

> >

> >

> > Raphaela, I couldn't agree with you more that we need to strategize. Call

> > me a " glass half full thinker " but I look at this as an opportunity for

> > RD's. Previously, no practitioner (including MD's) could bill Medicare

> for

> > obesity counseling. Now that this policy is taking effect it is crucial

> > that RD's market themselves to primary offices to ensure that RD's DO

> > provide the direct obesity counseling. I know of many RD's who are

> > contracted with MD offices to provide MNT and the MD pays them out of

> what

> > he bills Medicare and insurance, essentially meaning it takes away from

> > his/her bottom line.

> >

> > Now that an MD can submit claims to Medicare for obesity counseling that

> > is more money for them which in turn can be paid to the RD. We need be

> sure

> > sure that when we contract with primary care offices we do not undercut

> our

> > contracted rates! We know the MD is getting reimbursement and we should

> get

> > a LARGE cut of that paid by the MD to provide the obesity counseling. I

> > speak locally to RD's wanting to start a private practice or provide

> > outpatient counseling and this can be a great way to earn income and not

> > have to set up an office with overhead, etc.

> >

> > CMS states in the policy that auxilliary personnel can provide the direct

> > counseling as long as the MD is present in the office suite or directly

> > available to provide assistance or guidance. We should be aggressive to

> get

> > to the MD's before they do let RN's and God forbid MA's provide the

> > counseling. Just my thoughts...

> >

> > Kathleen Wall, RD, CDE

> >

> >

> > > > > >

> > > > > > I am totally baffled by this situation. Where is the ADA?

> > Dietitians are the only health professionals trained in weight

> management.

> > Why is the responsibility given to those untrained, particularly PA's and

> > nurses? Why are we, once again, left out. Now I have to tell patients

> that

> > Medicare will cover their weight management with a physician or their

> > untrained staff but not me. What a horrendous situation.

> > > > > >

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

> > Behalf Of Weaver

> > > > > > Sent: Tuesday, December 06, 2011 12:12 AM

> > > > > > To: rd-usa

> > > > > > Subject: Reimbursement for Obesity Counseling: So What?

> > > > > >

> > > > > >

> > > > > >

> > > > > > But even if all of this were to move forward in tandem,

> physicians

> > > > > > would still be struggling to allocate time to weight management

> > > > > > counseling and away from other matters. The solution to this is

> for

> > > > > > physicians to initiate the counseling, and then defer to others

> > better

> > > > > > suited to address the details. Dietitians are the obvious choice.

> > In

> > > > > > some cases, health coaches could play this role as well. But for

> > this

> > > > > > strategy to work, there would need to be reimbursement for that

> > > > > > counseling as well.

> > > > > >

> >

>

http://www.huffingtonpost.com/david-katz-md/obesity-counseling-reimbursement_b_1\

127032.html

> > > > > >

> > > > > > --

> > > > > > Thanks, Weaver MS RD LD Medical Nutritionist/Medical

> > > > > > Assistant http://mdrdtherapy.com Medifast Take Shape For Life!

> > Power

> > > > > > To Choose Optimal Health! 404 875-9919 Health Coach ID 30020181

> > > > > > http://victoriaweavermsrdld.tsfl.com Senior Executive Agent

> > Insurance

> > > > > > Producers of America LLC 3755 Marconi Dr Alpharetta GA 30005

> > > > > > Affordable Health/Life Insurance For Business CEOs &

> > Self-Employeed!

> > > > > > National Group Protection/24 Hour World/On Job

> Coverage/Non-Profit

> > > > > > FREE Quote http://victoriaweaver.abbaplans.com View our new

> > > > > > Testimonial Video Life Insurance for Life!

> > > > > > http://www.anallianceforlife.com/clients/video.html

> > > > > >

> > > > > >

> > > > > >

> > > > > >

Link to comment
Share on other sites
Guest guest

Guest guest

Posted
Posted

Considering the time needed:reimbursement rate ratio, I sincerely doubt it.

Holly

----------

Holly Lee Brewer, MS RD CDE

Pediatric Dietitian, Diabetes Educator

Medical Nutrition Therapist, Las Vegas, NV

Maj Holly Brewer, USAFR BSC http://hollyinbalad.blogspot.com

301st MDS, NAS JRB Fort Worth (Carswell), TX

Joint Base Balad, Iraq (Jan-Jul 2009)

>________________________________

>

>To: rd-usa

>Sent: Wednesday, December 7, 2011 8:33 PM

>Subject: Re: Re: Reimbursement for Obesity Counseling: So What?

>

>I just wonder if given all the cuts the doctors would be facing in

>reimbursement, if they wouldn't look at this as opportunity to " bill " for

>more services, therefore doing it themselves.  I'm sure this is the most

>pessimistic view of doctors, but working under CMS guidelines, I've seen

>crazy things.

>

>

>

>> **

>>

>>

>> Personally I do feel it would be worth it even with the cuts...We have to

>> start somewhere.... - Ann Maher

>>

>> ________________________________

>>

>> To: rd-usa

>> Sent: Wednesday, December 7, 2011 11:27 AM

>>

>> Subject: Re: Re: Reimbursement for Obesity Counseling: So What?

>>

>> With a potential 30% cut in Medicare for MDs or at best staying the same

>> (Congress " mulling " it over) is it worth the effort financially?

>>

>>

>>

>> > **

>> >

>> >

>> > Hi All, just a quick question...for those of us who already work in a

>> > primary care office, how do we go about the billing part of this then? Do

>> > we bill like we normally would and have the MD sign off on our notes or

>> > co-sign for us? Or how does that work? Does anyone know? thanks - Ann

>> > Maher, RD

>> >

>> > ________________________________

>> >

>> > To: rd-usa

>> > Sent: Wednesday, December 7, 2011 10:56 AM

>> >

>> > Subject: Re: Reimbursement for Obesity Counseling: So What?

>> >

>> >

>> > Raphaela, I couldn't agree with you more that we need to strategize. Call

>> > me a " glass half full thinker " but I look at this as an opportunity for

>> > RD's. Previously, no practitioner (including MD's) could bill Medicare

>> for

>> > obesity counseling. Now that this policy is taking effect it is crucial

>> > that RD's market themselves to primary offices to ensure that RD's DO

>> > provide the direct obesity counseling. I know of many RD's who are

>> > contracted with MD offices to provide MNT and the MD pays them out of

>> what

>> > he bills Medicare and insurance, essentially meaning it takes away from

>> > his/her bottom line.

>> >

>> > Now that an MD can submit claims to Medicare for obesity counseling that

>> > is more money for them which in turn can be paid to the RD. We need be

>> sure

>> > sure that when we contract with primary care offices we do not undercut

>> our

>> > contracted rates! We know the MD is getting reimbursement and we should

>> get

>> > a LARGE cut of that paid by the MD to provide the obesity counseling. I

>> > speak locally to RD's wanting to start a private practice or provide

>> > outpatient counseling and this can be a great way to earn income and not

>> > have to set up an office with overhead, etc.

>> >

>> > CMS states in the policy that auxilliary personnel can provide the direct

>> > counseling as long as the MD is present in the office suite or directly

>> > available to provide assistance or guidance. We should be aggressive to

>> get

>> > to the MD's before they do let RN's and God forbid MA's provide the

>> > counseling. Just my thoughts...

>> >

>> > Kathleen Wall, RD, CDE

>> >

>> >

>> > > > > >

>> > > > > > I am totally baffled by this situation. Where is the ADA?

>> > Dietitians are the only health professionals trained in weight

>> management.

>> > Why is the responsibility given to those untrained, particularly PA's and

>> > nurses? Why are we, once again, left out. Now I have to tell patients

>> that

>> > Medicare will cover their weight management with a physician or their

>> > untrained staff but not me. What a horrendous situation.

>> > > > > >

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

>> > Behalf Of Weaver

>> > > > > > Sent: Tuesday, December 06, 2011 12:12 AM

>> > > > > > To: rd-usa

>> > > > > > Subject: Reimbursement for Obesity Counseling: So What?

>> > > > > >

>> > > > > >

>> > > > > >

>> > > > > > But even if all of this were to move forward in tandem,

>> physicians

>> > > > > > would still be struggling to allocate time to weight management

>> > > > > > counseling and away from other matters. The solution to this is

>> for

>> > > > > > physicians to initiate the counseling, and then defer to others

>> > better

>> > > > > > suited to address the details. Dietitians are the obvious choice.

>> > In

>> > > > > > some cases, health coaches could play this role as well. But for

>> > this

>> > > > > > strategy to work, there would need to be reimbursement for that

>> > > > > > counseling as well.

>> > > > > >

>> >

>>

http://www.huffingtonpost.com/david-katz-md/obesity-counseling-reimbursement_b_1\

127032.html

>>

>> --

>> Ortiz, MS, RD

>> The Frugal Dietitian <http://www.thefrugaldietitian.com>

>> Check out my blog: mixture of deals and nutrition

>> Join me on Facebook <http://www.facebook.com/TheFrugalDietitian?ref=ts>

>> Join me on Twitter <http://twitter.com/frugaldietitian>

>> Enter the $400 CASH giveaway <http://thefrugaldietitian.com/?p=31482> from

>> The Frugal Dietitian and other bloggers

>>

>

>

> 

Link to comment
Share on other sites
Guest guest

Guest guest

Posted
Posted

Considering the time needed:reimbursement rate ratio, I sincerely doubt it.

Holly

----------

Holly Lee Brewer, MS RD CDE

Pediatric Dietitian, Diabetes Educator

Medical Nutrition Therapist, Las Vegas, NV

Maj Holly Brewer, USAFR BSC http://hollyinbalad.blogspot.com

301st MDS, NAS JRB Fort Worth (Carswell), TX

Joint Base Balad, Iraq (Jan-Jul 2009)

>________________________________

>

>To: rd-usa

>Sent: Wednesday, December 7, 2011 8:33 PM

>Subject: Re: Re: Reimbursement for Obesity Counseling: So What?

>

>I just wonder if given all the cuts the doctors would be facing in

>reimbursement, if they wouldn't look at this as opportunity to " bill " for

>more services, therefore doing it themselves.  I'm sure this is the most

>pessimistic view of doctors, but working under CMS guidelines, I've seen

>crazy things.

>

>

>

>> **

>>

>>

>> Personally I do feel it would be worth it even with the cuts...We have to

>> start somewhere.... - Ann Maher

>>

>> ________________________________

>>

>> To: rd-usa

>> Sent: Wednesday, December 7, 2011 11:27 AM

>>

>> Subject: Re: Re: Reimbursement for Obesity Counseling: So What?

>>

>> With a potential 30% cut in Medicare for MDs or at best staying the same

>> (Congress " mulling " it over) is it worth the effort financially?

>>

>>

>>

>> > **

>> >

>> >

>> > Hi All, just a quick question...for those of us who already work in a

>> > primary care office, how do we go about the billing part of this then? Do

>> > we bill like we normally would and have the MD sign off on our notes or

>> > co-sign for us? Or how does that work? Does anyone know? thanks - Ann

>> > Maher, RD

>> >

>> > ________________________________

>> >

>> > To: rd-usa

>> > Sent: Wednesday, December 7, 2011 10:56 AM

>> >

>> > Subject: Re: Reimbursement for Obesity Counseling: So What?

>> >

>> >

>> > Raphaela, I couldn't agree with you more that we need to strategize. Call

>> > me a " glass half full thinker " but I look at this as an opportunity for

>> > RD's. Previously, no practitioner (including MD's) could bill Medicare

>> for

>> > obesity counseling. Now that this policy is taking effect it is crucial

>> > that RD's market themselves to primary offices to ensure that RD's DO

>> > provide the direct obesity counseling. I know of many RD's who are

>> > contracted with MD offices to provide MNT and the MD pays them out of

>> what

>> > he bills Medicare and insurance, essentially meaning it takes away from

>> > his/her bottom line.

>> >

>> > Now that an MD can submit claims to Medicare for obesity counseling that

>> > is more money for them which in turn can be paid to the RD. We need be

>> sure

>> > sure that when we contract with primary care offices we do not undercut

>> our

>> > contracted rates! We know the MD is getting reimbursement and we should

>> get

>> > a LARGE cut of that paid by the MD to provide the obesity counseling. I

>> > speak locally to RD's wanting to start a private practice or provide

>> > outpatient counseling and this can be a great way to earn income and not

>> > have to set up an office with overhead, etc.

>> >

>> > CMS states in the policy that auxilliary personnel can provide the direct

>> > counseling as long as the MD is present in the office suite or directly

>> > available to provide assistance or guidance. We should be aggressive to

>> get

>> > to the MD's before they do let RN's and God forbid MA's provide the

>> > counseling. Just my thoughts...

>> >

>> > Kathleen Wall, RD, CDE

>> >

>> >

>> > > > > >

>> > > > > > I am totally baffled by this situation. Where is the ADA?

>> > Dietitians are the only health professionals trained in weight

>> management.

>> > Why is the responsibility given to those untrained, particularly PA's and

>> > nurses? Why are we, once again, left out. Now I have to tell patients

>> that

>> > Medicare will cover their weight management with a physician or their

>> > untrained staff but not me. What a horrendous situation.

>> > > > > >

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

>> > Behalf Of Weaver

>> > > > > > Sent: Tuesday, December 06, 2011 12:12 AM

>> > > > > > To: rd-usa

>> > > > > > Subject: Reimbursement for Obesity Counseling: So What?

>> > > > > >

>> > > > > >

>> > > > > >

>> > > > > > But even if all of this were to move forward in tandem,

>> physicians

>> > > > > > would still be struggling to allocate time to weight management

>> > > > > > counseling and away from other matters. The solution to this is

>> for

>> > > > > > physicians to initiate the counseling, and then defer to others

>> > better

>> > > > > > suited to address the details. Dietitians are the obvious choice.

>> > In

>> > > > > > some cases, health coaches could play this role as well. But for

>> > this

>> > > > > > strategy to work, there would need to be reimbursement for that

>> > > > > > counseling as well.

>> > > > > >

>> >

>>

http://www.huffingtonpost.com/david-katz-md/obesity-counseling-reimbursement_b_1\

127032.html

>>

>> --

>> Ortiz, MS, RD

>> The Frugal Dietitian <http://www.thefrugaldietitian.com>

>> Check out my blog: mixture of deals and nutrition

>> Join me on Facebook <http://www.facebook.com/TheFrugalDietitian?ref=ts>

>> Join me on Twitter <http://twitter.com/frugaldietitian>

>> Enter the $400 CASH giveaway <http://thefrugaldietitian.com/?p=31482> from

>> The Frugal Dietitian and other bloggers

>>

>

>

> 

Link to comment
Share on other sites
Guest guest

Guest guest

Posted
Posted

Considering the time needed:reimbursement rate ratio, I sincerely doubt it.

Holly

----------

Holly Lee Brewer, MS RD CDE

Pediatric Dietitian, Diabetes Educator

Medical Nutrition Therapist, Las Vegas, NV

Maj Holly Brewer, USAFR BSC http://hollyinbalad.blogspot.com

301st MDS, NAS JRB Fort Worth (Carswell), TX

Joint Base Balad, Iraq (Jan-Jul 2009)

>________________________________

>

>To: rd-usa

>Sent: Wednesday, December 7, 2011 8:33 PM

>Subject: Re: Re: Reimbursement for Obesity Counseling: So What?

>

>I just wonder if given all the cuts the doctors would be facing in

>reimbursement, if they wouldn't look at this as opportunity to " bill " for

>more services, therefore doing it themselves.  I'm sure this is the most

>pessimistic view of doctors, but working under CMS guidelines, I've seen

>crazy things.

>

>

>

>> **

>>

>>

>> Personally I do feel it would be worth it even with the cuts...We have to

>> start somewhere.... - Ann Maher

>>

>> ________________________________

>>

>> To: rd-usa

>> Sent: Wednesday, December 7, 2011 11:27 AM

>>

>> Subject: Re: Re: Reimbursement for Obesity Counseling: So What?

>>

>> With a potential 30% cut in Medicare for MDs or at best staying the same

>> (Congress " mulling " it over) is it worth the effort financially?

>>

>>

>>

>> > **

>> >

>> >

>> > Hi All, just a quick question...for those of us who already work in a

>> > primary care office, how do we go about the billing part of this then? Do

>> > we bill like we normally would and have the MD sign off on our notes or

>> > co-sign for us? Or how does that work? Does anyone know? thanks - Ann

>> > Maher, RD

>> >

>> > ________________________________

>> >

>> > To: rd-usa

>> > Sent: Wednesday, December 7, 2011 10:56 AM

>> >

>> > Subject: Re: Reimbursement for Obesity Counseling: So What?

>> >

>> >

>> > Raphaela, I couldn't agree with you more that we need to strategize. Call

>> > me a " glass half full thinker " but I look at this as an opportunity for

>> > RD's. Previously, no practitioner (including MD's) could bill Medicare

>> for

>> > obesity counseling. Now that this policy is taking effect it is crucial

>> > that RD's market themselves to primary offices to ensure that RD's DO

>> > provide the direct obesity counseling. I know of many RD's who are

>> > contracted with MD offices to provide MNT and the MD pays them out of

>> what

>> > he bills Medicare and insurance, essentially meaning it takes away from

>> > his/her bottom line.

>> >

>> > Now that an MD can submit claims to Medicare for obesity counseling that

>> > is more money for them which in turn can be paid to the RD. We need be

>> sure

>> > sure that when we contract with primary care offices we do not undercut

>> our

>> > contracted rates! We know the MD is getting reimbursement and we should

>> get

>> > a LARGE cut of that paid by the MD to provide the obesity counseling. I

>> > speak locally to RD's wanting to start a private practice or provide

>> > outpatient counseling and this can be a great way to earn income and not

>> > have to set up an office with overhead, etc.

>> >

>> > CMS states in the policy that auxilliary personnel can provide the direct

>> > counseling as long as the MD is present in the office suite or directly

>> > available to provide assistance or guidance. We should be aggressive to

>> get

>> > to the MD's before they do let RN's and God forbid MA's provide the

>> > counseling. Just my thoughts...

>> >

>> > Kathleen Wall, RD, CDE

>> >

>> >

>> > > > > >

>> > > > > > I am totally baffled by this situation. Where is the ADA?

>> > Dietitians are the only health professionals trained in weight

>> management.

>> > Why is the responsibility given to those untrained, particularly PA's and

>> > nurses? Why are we, once again, left out. Now I have to tell patients

>> that

>> > Medicare will cover their weight management with a physician or their

>> > untrained staff but not me. What a horrendous situation.

>> > > > > >

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

>> > Behalf Of Weaver

>> > > > > > Sent: Tuesday, December 06, 2011 12:12 AM

>> > > > > > To: rd-usa

>> > > > > > Subject: Reimbursement for Obesity Counseling: So What?

>> > > > > >

>> > > > > >

>> > > > > >

>> > > > > > But even if all of this were to move forward in tandem,

>> physicians

>> > > > > > would still be struggling to allocate time to weight management

>> > > > > > counseling and away from other matters. The solution to this is

>> for

>> > > > > > physicians to initiate the counseling, and then defer to others

>> > better

>> > > > > > suited to address the details. Dietitians are the obvious choice.

>> > In

>> > > > > > some cases, health coaches could play this role as well. But for

>> > this

>> > > > > > strategy to work, there would need to be reimbursement for that

>> > > > > > counseling as well.

>> > > > > >

>> >

>>

http://www.huffingtonpost.com/david-katz-md/obesity-counseling-reimbursement_b_1\

127032.html

>>

>> --

>> Ortiz, MS, RD

>> The Frugal Dietitian <http://www.thefrugaldietitian.com>

>> Check out my blog: mixture of deals and nutrition

>> Join me on Facebook <http://www.facebook.com/TheFrugalDietitian?ref=ts>

>> Join me on Twitter <http://twitter.com/frugaldietitian>

>> Enter the $400 CASH giveaway <http://thefrugaldietitian.com/?p=31482> from

>> The Frugal Dietitian and other bloggers

>>

>

>

> 

Link to comment
Share on other sites
  • 2 weeks later...
Guest guest

Guest guest

Posted
Posted

Can anyone address how reimbursement can be made for services in the

hospital or is this outpatient.

In a message dated 12/6/2011 3:01:35 P.M. Eastern Standard Time,

hna@... writes:

Went to the ADA website and was unable to find the statement. Could you

please let us know where this statement is to be found. Better yet, please

just specify what actions were taken by the ADA prior to this Medicare

decision.

Hill, MS,RD,LD/N

Reimbursement for Obesity Counseling: So What?

>

>

>

> But even if all of this were to move forward in tandem, physicians

> would still be struggling to allocate time to weight management

> counseling and away from other matters. The solution to this is for

> physicians to initiate the counseling, and then defer to others better

> suited to address the details. Dietitians are the obvious choice. In

> some cases, health coaches could play this role as well. But for this

> strategy to work, there would need to be reimbursement for that

> counseling as well.

>

_http://www.huffingtonpost.com/david-katz-md/obesity-counseling-reimbursement_b_\

1127032.html_

(http://www.huffingtonpost.com/david-katz-md/obesity-counseling-reimbursement_b_\

1127032.html)

>

> --

> Thanks, Weaver MS RD LD Medical Nutritionist/Medical

> Assistant _http://mdrdtherapy.com_ (http://mdrdtherapy.com/) Medifast

Take Shape For Life! Power

> To Choose Optimal Health! 404 875-9919 Health Coach ID 30020181

> _http://victoriaweavermsrdld.tsfl.com_

(http://victoriaweavermsrdld.tsfl.com/) Senior Executive Agent Insurance

> Producers of America LLC 3755 Marconi Dr Alpharetta GA 30005

> Affordable Health/Life Insurance For Business CEOs & Self-Employeed!

> National Group Protection/24 Hour World/On Job Coverage/Non-Profit

> FREE Quote _http://victoriaweaver.abbaplans.com_

(http://victoriaweaver.abbaplans.com/) View our new

> Testimonial Video Life Insurance for Life!

> _http://www.anallianceforlife.com/clients/video.html_

(http://www.anallianceforlife.com/clients/video.html)

>

>

>

> [Non-text portions of this message have been removed]

>

[Non-text portions of this message have been removed]

Link to comment
Share on other sites
Guest guest

Guest guest

Posted
Posted

Can anyone address how reimbursement can be made for services in the

hospital or is this outpatient.

In a message dated 12/6/2011 3:01:35 P.M. Eastern Standard Time,

hna@... writes:

Went to the ADA website and was unable to find the statement. Could you

please let us know where this statement is to be found. Better yet, please

just specify what actions were taken by the ADA prior to this Medicare

decision.

Hill, MS,RD,LD/N

Reimbursement for Obesity Counseling: So What?

>

>

>

> But even if all of this were to move forward in tandem, physicians

> would still be struggling to allocate time to weight management

> counseling and away from other matters. The solution to this is for

> physicians to initiate the counseling, and then defer to others better

> suited to address the details. Dietitians are the obvious choice. In

> some cases, health coaches could play this role as well. But for this

> strategy to work, there would need to be reimbursement for that

> counseling as well.

>

_http://www.huffingtonpost.com/david-katz-md/obesity-counseling-reimbursement_b_\

1127032.html_

(http://www.huffingtonpost.com/david-katz-md/obesity-counseling-reimbursement_b_\

1127032.html)

>

> --

> Thanks, Weaver MS RD LD Medical Nutritionist/Medical

> Assistant _http://mdrdtherapy.com_ (http://mdrdtherapy.com/) Medifast

Take Shape For Life! Power

> To Choose Optimal Health! 404 875-9919 Health Coach ID 30020181

> _http://victoriaweavermsrdld.tsfl.com_

(http://victoriaweavermsrdld.tsfl.com/) Senior Executive Agent Insurance

> Producers of America LLC 3755 Marconi Dr Alpharetta GA 30005

> Affordable Health/Life Insurance For Business CEOs & Self-Employeed!

> National Group Protection/24 Hour World/On Job Coverage/Non-Profit

> FREE Quote _http://victoriaweaver.abbaplans.com_

(http://victoriaweaver.abbaplans.com/) View our new

> Testimonial Video Life Insurance for Life!

> _http://www.anallianceforlife.com/clients/video.html_

(http://www.anallianceforlife.com/clients/video.html)

>

>

>

> [Non-text portions of this message have been removed]

>

[Non-text portions of this message have been removed]

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