working in a physician's office: compensation and billing

[Guest guest]

Hello,

I currently working as a nutritionist in a medical clinic and my current

position is full time, salaried with benefits. I have an opportunity to work

one day per week in a physician's office. I am having conversations with two

physicians. One would like to bill fee for service ($150.00 for one hour) and

the other would like to bill insurance, (I believe that the reimbursement rate

in Massachusetts is about $85.00 per hour). I would mostly be seeing patients

individually for MTN, including recommending functional nutritional testing,

recommending supplements. I would also help with marketing, occasionally write

articles for website / newsletter. I would like to hear from other dietitians in

similar settings regarding compensation and have a few questions:

1. What rate of compensation (range) might I expect?

2. Do you receive salary or percentage of receipts?

3. Does anyone have a busy practice using the fee for service model?

4. What percentage of anticipated receipts do you receive assuming a full

schedule do you receive? What percentage of your paid time is allowed for

clinical time vs time for administrative and other work?

5. Any creative ways to generate revenue and increase compensation?

3. Do you bill MTN under your name or the physician's?

Thank you; feedback is greatly appreciated.

[Guest guest]

How do you become a LEAP therapist? Is it something recognized by the CDR/AND?

Do you have the link to Margie's website, I would love to check out the links

about billing as my hospital is trying to figure out what services we can bill

for when it comes to weight loss/weight management with my outpatients.

Thanks!!

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

Dineright4@...

Sent: Wednesday, May 09, 2012 9:56 AM

To: rd-usa

Subject: Re: working in a physician's office: compensation and billing

Not my area of expertise, but a few things I do recall.

1. A colleague, if I remember right, said insurance reimbursement for RDs

was closer to $40/15 min unit or $160 an hour?? I know it was WELL over

100/hour. A consultant RD cannot make a living at $85/hour after overhead,

taxes, expenses, etc.

Insurance companies are negotiable folks!! If one offers that low, it's

JUST their opening offer. Negotiate higher. Margie Geiser and Michal Hogan

did some great webinars on the topic. Check out Margie's website. (Maybe they

can provide the link.)

2. If you also have functional nutrition training/background, you may

be/should be worth more than somebody with just an RD.

3. I think % of receipts is illegal. Check your state laws.

4. Creative ways to create revenue? Yes. Become a LEAP Therapist as well.

It's a great niche that helps to get clients well that the docs don't know

what to do with.

I know one Supermarket RD that increased revenues for her position over

$50,000 in one year as a LEAP Therapist. Her store manager loves and

supports her. She loves her work. She's getting a ton of referrals from happy

clients and happy docs. (And, she does NOT do full-time private consultations.)

Jan Patenaude, RD, CLT

Director of Medical Nutrition

Signet Diagnostic Corp.

Telecommuting Nationwide

(Mountain Time)

Fax:

DineRight4@...<mailto:DineRight4%40aol.com>

Certified LEAP Therapist (CLT) and specialist in inflammation caused by

non-IgE food sensitivity - which causes IBS, migraine, fibromyalgia,

arthritis and more. Co-author of the Certified LEAP Therapist Training Course.

_http://health.groups.yahoo.com/group/rd-usa/files/CLT-MRT%20Articles%20-Mor

e%20info%20-Certified%20LEAP%20Therapist/_

(http://health.groups.yahoo.com/group/rd-usa/files/CLT-MRT%20Articles%20-More%20\

info%20-Certified%20LEAP%20Th

erapist/)

Your email is important to me. If you send me an important email, and I

don't respond in 2 business days, PLEASE give me a call. Some weeks, I get

buried in email and I do not mean to ignore your email.

In a message dated 5/9/2012 6:27:34 A.M. Mountain Daylight Time,

rd-usa <mailto:rd-usa%40yahoogroups.com> writes:

_working in a physician's office: compensation and billing _

(http://groups.yahoo.com/group/rd-usa/message/28373;_ylc=X3oDMTJzcmxyNzVyBF9TAzk\

3MzU5NzE1BG

dycElkAzEwMDM1NTQ3BGdycHNwSWQDMTcwNTA2MTIwOQRtc2dJZAMyODM3MwRzZWMDZG1zZwRzbG

sDdm1zZwRzdGltZQMxMzM2NTY2NDUx)

Posted by: " susanna_christina "

_scarroll@...<mailto:_scarroll%40marinocenter.org> _

(mailto:scarroll@...<mailto:scarroll%40marinocenter.org>?Subject=

Re:%20working%20in%20a%20physician's%20office:%20compensation%20and%20billing)

_susanna_christina _

(http://profiles.yahoo.com/susanna_christina)

Tue May 8, 2012 5:47 pm (PDT)

Hello,

I currently working as a nutritionist in a medical clinic and my current

position is full time, salaried with benefits. I have an opportunity to work

one day per week in a physician's office. I am having conversations with

two physicians. One would like to bill fee for service ($150.00 for one

hour) and the other would like to bill insurance, (I believe that the

reimbursement rate in Massachusetts is about $85.00 per hour). I would mostly be

seeing patients individually for MTN, including recommending functional

nutritional testing, recommending supplements. I would also help with marketing,

occasionally write articles for website / newsletter. I would like to hear

from other dietitians in similar settings regarding compensation and have a

few questions:

1. What rate of compensation (range) might I expect?

2. Do you receive salary or percentage of receipts?

3. Does anyone have a busy practice using the fee for service model?

4. What percentage of anticipated receipts do you receive assuming a full

schedule do you receive? What percentage of your paid time is allowed for

clinical time vs time for administrative and other work?

5. Any creative ways to generate revenue and increase compensation?

3. Do you bill MTN under your name or the physician's?

Thank you; feedback is greatly appreciated.