Dietitian Direction

Procedure Codes G0447 & G0473: Billing for Intensive Behavioral Therapy for Obesity

Intensive Behavioral Therapy (IBT) for obesity is a preventive benefit for Medicare beneficiaries that have a body mass index (BMI) of 30 or greater. The service involves a nutrition assessment, as well as interventions on diet and exercise, for weight loss. There are many nuances and specifics for billing this benefit.

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Products and Tools for a Dietitian Private Practice

I’m sharing all my favorite things in my private practice! For EHRs, finances, insurance and furniture recommendations – I got you!

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Dietitian Liability Insurance

As healthcare professionals, it’s important that dietitians protect themselves legally. It can be scary to think about, but if you are caring for patients, you need to cover yourself in the case of a lawsuit.

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ADIME Charting Format

ADIME is a format of medical charting that stands for assessment, diagnosis, intervention, monitoring and evaluation. ADIME charting is specifically for dietitians as it mimics the steps of the Nutrition Care Process (NCP). Read more for an example, if it is required to use and how to adopt it into your practice.

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PES Statements for Constipation

Patients with constipation can have a wide variety of nutrition problems and etiologies. There is no “right” or “wrong” PES statement, but make sure yours is specific to the patient using the data you collected in your assessment. There are many potential nutrition diagnoses across all the domains that can pertain to patients with constipation.

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PES Statements for Cancer

Patients with cancer can have a wide variety of nutrition problems and etiologies. There is no “right” or “wrong” PES statement, but make sure yours is specific to the patient using the data you collected in your assessment. There are many potential nutrition diagnoses across all the domains that can pertain to patients with cancer.

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PES Statements for Malnutrition

The eNCPT uses malnutrition definitions from the 2012 AND/ASPEN consensus statement on malnutrition, so be sure to keep these guidelines in mind when deciding on a nutrition diagnosis. Other nutrition diagnoses from other domains can be applicable to patients with malnutrition as well. Make sure your PES statement is specific to the patient using the data you collected in your assessment.

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PES Statements for Hypertension

Patients with hypertension can have a wide variety of nutrition problems and etiologies. There is no “right” or “wrong” PES statement, but make sure yours is specific to the patient using the data you collected in your assessment. There are many potential nutrition diagnoses across all the domains that can pertain to patients with hypertension.

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PES Statements for Diabetes

Diabetes is a complex disease that can have a wide variety of nutrition diagnoses across all the domains. While there is no “right” or “wrong” PES statement, but make sure yours is specific to the patient. Nutrition diagnosis should ideally be resolved, or at least improved, through a nutrition intervention provided by the dietitian.

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PES Statements for Obesity

Obesity is a complex disease that can have a wide variety of nutrition problems and etiologies. There is no “right” or “wrong” PES statement, but make sure yours is specific to the patient using the data you collected in your assessment. There are many potential nutrition diagnoses across all the domains that can pertain to patients with obesity.

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