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A Computer-Based Platform for Aiding Clinicians in Eating Disorder Analysis and Diagnosis

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Registered dietitians' coding practices and patterns of code use.

Jane V White¹, Keith T Ayoob, Melinda A Benedict

¹Department of Family Medicine, University of Tennessee, Knoxville, TN 37920-1511, USA. jwhite13@utk.edu <jwhite13@utk.edu>

Journal of the American Dietetic Association

|July 1, 2008

Summary

This summary is machine-generated.

Registered dietitians (RDs) need better understanding of medical nutrition therapy (MNT) codes for proper reimbursement. Many RDs lack knowledge, impacting accurate billing and practice management.

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Area of Science:

Health Services Research
Nutrition Policy
Professional Practice Management

Background:

Coding, coverage, and reimbursement are critical for the clinical practice of dietetics.
Understanding the use and challenges of medical nutrition therapy (MNT) procedure codes is essential for registered dietitians (RDs).

Purpose of the Study:

To assess the knowledge and utilization of MNT procedure codes among registered dietitians.
To identify barriers to code use and reimbursement for nutrition services.
To determine the need for additional procedure codes for current and emerging MNT services.

Main Methods:

A targeted, cross-sectional Internet survey was conducted.
Participants included RDs with Medicare Part B provider status, RDs from a professional database, and self-selected RDs.
Data collected included knowledge/use of MNT codes, reimbursement barriers, and practice demographics.

Main Results:

MNT is reimbursed for various conditions, but many RDs in clinical settings lack adequate knowledge of MNT codes.
Code selection is often handled by non-RD personnel in clinical settings.
Self-employed RDs are more independent in billing and more likely to use private payers, while clinic-based RDs primarily use Medicare.

Conclusions:

RDs require enhanced knowledge of coding and reimbursement procedures for effective practice management.
Accountability for both clinical and business aspects of nutrition practice is crucial.
This study provides foundational insights into MNT code utilization and reimbursement challenges.