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Related Experiment Videos

Assessing fees for nutritional counseling

N Cross

    Journal of the American Dietetic Association
    |July 1, 1981
    PubMed
    Summary
    This summary is machine-generated.

    Most hospitals charge for outpatient nutritional counseling, but few charge for inpatients. Further research is needed to establish the cost-effectiveness of nutrition services for insurance reimbursement.

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    Area of Science:

    • Dietetics
    • Healthcare Management
    • Health Economics

    Background:

    • Nutritional counseling services are increasingly recognized for their role in patient health outcomes.
    • Current practices for fee assessment in hospital-based dietetic departments vary significantly.
    • Limited reimbursement from government and private insurers poses a challenge for nutrition services.

    Purpose of the Study:

    • To analyze current fee assessment practices for nutritional counseling in hospital settings.
    • To provide recommendations for establishing fees for nutritional counseling services.
    • To highlight the need for further research to support broader insurance reimbursement.

    Main Methods:

    • A survey of hospital dietetic departments in the South and Midwest regions of the United States was conducted.

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  • Data on fee structures for outpatient and inpatient nutritional counseling were collected and analyzed.
  • Fee assessment recommendations were developed based on the survey findings.
  • Main Results:

    • Approximately 50% of surveyed hospitals charged for outpatient diet instruction, whereas only 9% charged for inpatients.
    • The fees for nutritional counseling ranged from $2.50 to $25 per instruction, with an average of $12.57 per hour.
    • Nutritional counseling is not widely reimbursed by Medicare, Medicaid, or private insurance.

    Conclusions:

    • Defining routine nutritional care is essential for developing consistent fee assessment strategies.
    • Demonstrating the cost-effectiveness of nutrition services is crucial for securing reimbursement from government and private health insurance.
    • Additional studies are required to establish the cost-benefit ratio of nutrition services to facilitate routine reimbursement.