Registered Dietitians' Coding Practices and Patterns of Code Use

Jane White, Keith T. Ayoob, Melinda A. Benedict, Michele D. Chynoweth, Mary Gregoire, Robert L. Howard, Audrey McCool, Scott Parrott, Susan H. Ramsey, Charlotte Thiessen, Kim N. Thomsen, Tori Bender, Esther Myers, Pam Michael

Research output: Contribution to journalArticle

1 Citation (Scopus)

Abstract

Coding, coverage, and reimbursement are vital to the clinical segment of our profession. The objective of this study was to assess understanding and use of the medical nutrition therapy (MNT) procedure codes. Its design was a targeted, cross-sectional, Internet survey. Participants were registered dietitians (RDs) preselected based on Medicare Part B provider status, randomly selected RDs from the American Dietetic Association database based on clinical practice designation, and self-selected RDs. Parameters assessed were knowledge and use of existing MNT and/or alternative procedure codes, barriers to code use/compensation, need for additional codes for existing/emerging services, and practice demographics. Results suggest that MNT is being reimbursed for a variety of diseases and conditions. Many RDs working in clinic settings are undereducated about code use of any kind, reporting that code selection frequently is determined not by the RD providing the service, but by "someone else." Self-employed RDs are less likely to rely on others to administrate paperwork required for reimbursement, including selection of procedure codes for billable nutrition services. Self-employed RDs are more likely to be reimbursed by private or commercial payers and RDs working in clinic settings are more likely to be reimbursed by Medicare; however, the proportion of Medicare providers in both groups is high. RDs must be knowledgeable and accountable for both the business and clinical side of their nutrition practices; using correct codes and following payers' claims processing policies and procedures. This survey and analysis is a first step in understanding the complex web of relationships between clinical practice, MNT code use, and reimbursement.

Original languageEnglish (US)
Pages (from-to)1242-1248
Number of pages7
JournalJournal of the American Dietetic Association
Volume108
Issue number7
DOIs
StatePublished - Jul 1 2008

Fingerprint

Nutritionists
dietitians
Nutrition Therapy
diet therapy
Medicare
Medicare Part B
nutrition
Dietetics
dietetics
Internet
demographic statistics
Cross-Sectional Studies
Demography
Databases

All Science Journal Classification (ASJC) codes

  • Food Science
  • Medicine(all)

Cite this

White, J., Ayoob, K. T., Benedict, M. A., Chynoweth, M. D., Gregoire, M., Howard, R. L., ... Michael, P. (2008). Registered Dietitians' Coding Practices and Patterns of Code Use. Journal of the American Dietetic Association, 108(7), 1242-1248. https://doi.org/10.1016/j.jada.2008.04.015

Registered Dietitians' Coding Practices and Patterns of Code Use. / White, Jane; Ayoob, Keith T.; Benedict, Melinda A.; Chynoweth, Michele D.; Gregoire, Mary; Howard, Robert L.; McCool, Audrey; Parrott, Scott; Ramsey, Susan H.; Thiessen, Charlotte; Thomsen, Kim N.; Bender, Tori; Myers, Esther; Michael, Pam.

In: Journal of the American Dietetic Association, Vol. 108, No. 7, 01.07.2008, p. 1242-1248.

Research output: Contribution to journalArticle

White, J, Ayoob, KT, Benedict, MA, Chynoweth, MD, Gregoire, M, Howard, RL, McCool, A, Parrott, S, Ramsey, SH, Thiessen, C, Thomsen, KN, Bender, T, Myers, E & Michael, P 2008, 'Registered Dietitians' Coding Practices and Patterns of Code Use', Journal of the American Dietetic Association, vol. 108, no. 7, pp. 1242-1248. https://doi.org/10.1016/j.jada.2008.04.015
White, Jane ; Ayoob, Keith T. ; Benedict, Melinda A. ; Chynoweth, Michele D. ; Gregoire, Mary ; Howard, Robert L. ; McCool, Audrey ; Parrott, Scott ; Ramsey, Susan H. ; Thiessen, Charlotte ; Thomsen, Kim N. ; Bender, Tori ; Myers, Esther ; Michael, Pam. / Registered Dietitians' Coding Practices and Patterns of Code Use. In: Journal of the American Dietetic Association. 2008 ; Vol. 108, No. 7. pp. 1242-1248.
@article{348bfccf81a749dfac43b2e3b910614d,
title = "Registered Dietitians' Coding Practices and Patterns of Code Use",
abstract = "Coding, coverage, and reimbursement are vital to the clinical segment of our profession. The objective of this study was to assess understanding and use of the medical nutrition therapy (MNT) procedure codes. Its design was a targeted, cross-sectional, Internet survey. Participants were registered dietitians (RDs) preselected based on Medicare Part B provider status, randomly selected RDs from the American Dietetic Association database based on clinical practice designation, and self-selected RDs. Parameters assessed were knowledge and use of existing MNT and/or alternative procedure codes, barriers to code use/compensation, need for additional codes for existing/emerging services, and practice demographics. Results suggest that MNT is being reimbursed for a variety of diseases and conditions. Many RDs working in clinic settings are undereducated about code use of any kind, reporting that code selection frequently is determined not by the RD providing the service, but by {"}someone else.{"} Self-employed RDs are less likely to rely on others to administrate paperwork required for reimbursement, including selection of procedure codes for billable nutrition services. Self-employed RDs are more likely to be reimbursed by private or commercial payers and RDs working in clinic settings are more likely to be reimbursed by Medicare; however, the proportion of Medicare providers in both groups is high. RDs must be knowledgeable and accountable for both the business and clinical side of their nutrition practices; using correct codes and following payers' claims processing policies and procedures. This survey and analysis is a first step in understanding the complex web of relationships between clinical practice, MNT code use, and reimbursement.",
author = "Jane White and Ayoob, {Keith T.} and Benedict, {Melinda A.} and Chynoweth, {Michele D.} and Mary Gregoire and Howard, {Robert L.} and Audrey McCool and Scott Parrott and Ramsey, {Susan H.} and Charlotte Thiessen and Thomsen, {Kim N.} and Tori Bender and Esther Myers and Pam Michael",
year = "2008",
month = "7",
day = "1",
doi = "10.1016/j.jada.2008.04.015",
language = "English (US)",
volume = "108",
pages = "1242--1248",
journal = "Journal of the Academy of Nutrition and Dietetics",
issn = "2212-2672",
publisher = "Elsevier USA",
number = "7",

}

TY - JOUR

T1 - Registered Dietitians' Coding Practices and Patterns of Code Use

AU - White, Jane

AU - Ayoob, Keith T.

AU - Benedict, Melinda A.

AU - Chynoweth, Michele D.

AU - Gregoire, Mary

AU - Howard, Robert L.

AU - McCool, Audrey

AU - Parrott, Scott

AU - Ramsey, Susan H.

AU - Thiessen, Charlotte

AU - Thomsen, Kim N.

AU - Bender, Tori

AU - Myers, Esther

AU - Michael, Pam

PY - 2008/7/1

Y1 - 2008/7/1

N2 - Coding, coverage, and reimbursement are vital to the clinical segment of our profession. The objective of this study was to assess understanding and use of the medical nutrition therapy (MNT) procedure codes. Its design was a targeted, cross-sectional, Internet survey. Participants were registered dietitians (RDs) preselected based on Medicare Part B provider status, randomly selected RDs from the American Dietetic Association database based on clinical practice designation, and self-selected RDs. Parameters assessed were knowledge and use of existing MNT and/or alternative procedure codes, barriers to code use/compensation, need for additional codes for existing/emerging services, and practice demographics. Results suggest that MNT is being reimbursed for a variety of diseases and conditions. Many RDs working in clinic settings are undereducated about code use of any kind, reporting that code selection frequently is determined not by the RD providing the service, but by "someone else." Self-employed RDs are less likely to rely on others to administrate paperwork required for reimbursement, including selection of procedure codes for billable nutrition services. Self-employed RDs are more likely to be reimbursed by private or commercial payers and RDs working in clinic settings are more likely to be reimbursed by Medicare; however, the proportion of Medicare providers in both groups is high. RDs must be knowledgeable and accountable for both the business and clinical side of their nutrition practices; using correct codes and following payers' claims processing policies and procedures. This survey and analysis is a first step in understanding the complex web of relationships between clinical practice, MNT code use, and reimbursement.

AB - Coding, coverage, and reimbursement are vital to the clinical segment of our profession. The objective of this study was to assess understanding and use of the medical nutrition therapy (MNT) procedure codes. Its design was a targeted, cross-sectional, Internet survey. Participants were registered dietitians (RDs) preselected based on Medicare Part B provider status, randomly selected RDs from the American Dietetic Association database based on clinical practice designation, and self-selected RDs. Parameters assessed were knowledge and use of existing MNT and/or alternative procedure codes, barriers to code use/compensation, need for additional codes for existing/emerging services, and practice demographics. Results suggest that MNT is being reimbursed for a variety of diseases and conditions. Many RDs working in clinic settings are undereducated about code use of any kind, reporting that code selection frequently is determined not by the RD providing the service, but by "someone else." Self-employed RDs are less likely to rely on others to administrate paperwork required for reimbursement, including selection of procedure codes for billable nutrition services. Self-employed RDs are more likely to be reimbursed by private or commercial payers and RDs working in clinic settings are more likely to be reimbursed by Medicare; however, the proportion of Medicare providers in both groups is high. RDs must be knowledgeable and accountable for both the business and clinical side of their nutrition practices; using correct codes and following payers' claims processing policies and procedures. This survey and analysis is a first step in understanding the complex web of relationships between clinical practice, MNT code use, and reimbursement.

UR - http://www.scopus.com/inward/record.url?scp=45449099090&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=45449099090&partnerID=8YFLogxK

U2 - 10.1016/j.jada.2008.04.015

DO - 10.1016/j.jada.2008.04.015

M3 - Article

VL - 108

SP - 1242

EP - 1248

JO - Journal of the Academy of Nutrition and Dietetics

JF - Journal of the Academy of Nutrition and Dietetics

SN - 2212-2672

IS - 7

ER -