Re: Need advice from RD's working in private practice

[Guest guest]

50% of revenue? What is the normal billing rate for those codes? What would

that translate to for you? What about no-shows? Do you just sit there and

not get paid?

Just a couple quick thoughts. . .

Jan

In a message dated 1/26/2009 8:48:33 A.M. Mountain Standard Time,

sbidini@... writes:

I have a new opportunity to work at a medical oncologist's office. I'm

hoping to get advice from RD's working in private practice.

The medical oncologist offered me 8 hours per week. His office staff

will schedule the patients and do all of the billing. The Dr will see

the pts after me and dictate after nutrition visits. They will bill the

patients under CPT 99211 and 99212 and give me 50% of the revenue from

these visits. They don't think that I need an NPI number because

they're billing under the doctor.

Any advice is greatly appreciated. I've already approached another

oncologist to work at a second location. I need to know what other RD's

are doing in this setting.

Sharlene Bidini, RD, CSO

Oncology Nutrition Specialist

Oakwood Center for Cancer Care

18101 Oakwood Blvd

Dearborn, MI 48124

Phone:

Jan Patenaude, RD, CLT

Consultant, Writer, Speaker

Director of Medical Nutrition

Signet Diagnostic Corporation

(Mountain Time)

Fax:

DineRight4@...

Mediator Release Testing and LEAP Diet Protocol for Irritable Bowel

Syndrome, Migraine, Fibromyalgia and more. Co-developer of Certified LEAP

Therapist

Training.

IMPORTANT - This e-mail message is intended only for the use of the

individual or entity to which it is addressed, and may contain information that

is

privileged, confidential and exempt from disclosure under applicable law. If

you have received this message in error, you are hereby notified that we do not

consent to any reading, dissemination, distribution or copying of this

e-mail message. If you have received this communication in error, please notify

the sender immediately by e-mail and telephone ( toll free) and

destroy the transmitted information.

E-mail transmission cannot be guaranteed to be secure or error-free as

information could be intercepted, corrupted, lost, destroyed, arrive late,

incomplete, or contain viruses. The sender therefore does not accept liability

for

any errors or omissions in the contents of this message, which arise as a

result of e-mail transmission.

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[Guest guest]

50% of revenue? What is the normal billing rate for those codes? What would

that translate to for you? What about no-shows? Do you just sit there and

not get paid?

Just a couple quick thoughts. . .

Jan

In a message dated 1/26/2009 8:48:33 A.M. Mountain Standard Time,

sbidini@... writes:

I have a new opportunity to work at a medical oncologist's office. I'm

hoping to get advice from RD's working in private practice.

The medical oncologist offered me 8 hours per week. His office staff

will schedule the patients and do all of the billing. The Dr will see

the pts after me and dictate after nutrition visits. They will bill the

patients under CPT 99211 and 99212 and give me 50% of the revenue from

these visits. They don't think that I need an NPI number because

they're billing under the doctor.

Any advice is greatly appreciated. I've already approached another

oncologist to work at a second location. I need to know what other RD's

are doing in this setting.

Sharlene Bidini, RD, CSO

Oncology Nutrition Specialist

Oakwood Center for Cancer Care

18101 Oakwood Blvd

Dearborn, MI 48124

Phone:

Jan Patenaude, RD, CLT

Consultant, Writer, Speaker

Director of Medical Nutrition

Signet Diagnostic Corporation

(Mountain Time)

Fax:

DineRight4@...

Mediator Release Testing and LEAP Diet Protocol for Irritable Bowel

Syndrome, Migraine, Fibromyalgia and more. Co-developer of Certified LEAP

Therapist

Training.

IMPORTANT - This e-mail message is intended only for the use of the

individual or entity to which it is addressed, and may contain information that

is

privileged, confidential and exempt from disclosure under applicable law. If

you have received this message in error, you are hereby notified that we do not

consent to any reading, dissemination, distribution or copying of this

e-mail message. If you have received this communication in error, please notify

the sender immediately by e-mail and telephone ( toll free) and

destroy the transmitted information.

E-mail transmission cannot be guaranteed to be secure or error-free as

information could be intercepted, corrupted, lost, destroyed, arrive late,

incomplete, or contain viruses. The sender therefore does not accept liability

for

any errors or omissions in the contents of this message, which arise as a

result of e-mail transmission.

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cemailfooterNO62)

[Guest guest]

50% of revenue? What is the normal billing rate for those codes? What would

that translate to for you? What about no-shows? Do you just sit there and

not get paid?

Just a couple quick thoughts. . .

Jan

In a message dated 1/26/2009 8:48:33 A.M. Mountain Standard Time,

sbidini@... writes:

I have a new opportunity to work at a medical oncologist's office. I'm

hoping to get advice from RD's working in private practice.

The medical oncologist offered me 8 hours per week. His office staff

will schedule the patients and do all of the billing. The Dr will see

the pts after me and dictate after nutrition visits. They will bill the

patients under CPT 99211 and 99212 and give me 50% of the revenue from

these visits. They don't think that I need an NPI number because

they're billing under the doctor.

Any advice is greatly appreciated. I've already approached another

oncologist to work at a second location. I need to know what other RD's

are doing in this setting.

Sharlene Bidini, RD, CSO

Oncology Nutrition Specialist

Oakwood Center for Cancer Care

18101 Oakwood Blvd

Dearborn, MI 48124

Phone:

Jan Patenaude, RD, CLT

Consultant, Writer, Speaker

Director of Medical Nutrition

Signet Diagnostic Corporation

(Mountain Time)

Fax:

DineRight4@...

Mediator Release Testing and LEAP Diet Protocol for Irritable Bowel

Syndrome, Migraine, Fibromyalgia and more. Co-developer of Certified LEAP

Therapist

Training.

IMPORTANT - This e-mail message is intended only for the use of the

individual or entity to which it is addressed, and may contain information that

is

privileged, confidential and exempt from disclosure under applicable law. If

you have received this message in error, you are hereby notified that we do not

consent to any reading, dissemination, distribution or copying of this

e-mail message. If you have received this communication in error, please notify

the sender immediately by e-mail and telephone ( toll free) and

destroy the transmitted information.

E-mail transmission cannot be guaranteed to be secure or error-free as

information could be intercepted, corrupted, lost, destroyed, arrive late,

incomplete, or contain viruses. The sender therefore does not accept liability

for

any errors or omissions in the contents of this message, which arise as a

result of e-mail transmission.

**************A Good Credit Score is 700 or Above. See yours in just 2 easy

steps!

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cemailfooterNO62)

[Guest guest]

You know... after being in private practice bearing all the expenses.... 50%

ain't bad

Sincerely,

Michal Hogan, RD, LD, CLT

NutritionResults.com

In a message dated 1/26/2009 11:48:34 A.M. Eastern Standard Time,

Dineright4@... writes:

50% of revenue? What is the normal billing rate for those codes? What would

that translate to for you? What about no-shows? Do you just sit there and

not get paid?

Just a couple quick thoughts. . .

Jan

In a message dated 1/26/2009 8:48:33 A.M. Mountain Standard Time,

_sbidini@..._ (mailto:sbidini@...) writes:

I have a new opportunity to work at a medical oncologist's office. I'm

hoping to get advice from RD's working in private practice.

The medical oncologist offered me 8 hours per week. His office staff

will schedule the patients and do all of the billing. The Dr will see

the pts after me and dictate after nutrition visits. They will bill the

patients under CPT 99211 and 99212 and give me 50% of the revenue from

these visits. They don't think that I need an NPI number because

they're billing under the doctor.

Any advice is greatly appreciated. I've already approached another

oncologist to work at a second location. I need to know what other RD's

are doing in this setting.

Sharlene Bidini, RD, CSO

Oncology Nutrition Specialist

Oakwood Center for Cancer Care

18101 Oakwood Blvd

Dearborn, MI 48124

Phone:

Jan Patenaude, RD, CLT

Consultant, Writer, Speaker

Director of Medical Nutrition

Signet Diagnostic Corporation

(Mountain Time)

Fax:

_DineRight4@..._ (mailto:DineRight4@...)

Mediator Release Testing and LEAP Diet Protocol for Irritable Bowel

Syndrome, Migraine, Fibromyalgia and more. Co-developer of Certified LEAP

Therapist

Training.

IMPORTANT - This e-mail message is intended only for the use of the

individual or entity to which it is addressed, and may contain information

that is

privileged, confidential and exempt from disclosure under applicable law. If

you have received this message in error, you are hereby notified that we do

not

consent to any reading, dissemination, distribution or copying of this

e-mail message. If you have received this communication in error, please

notify

the sender immediately by e-mail and telephone ( toll free) and

destroy the transmitted information.

E-mail transmission cannot be guaranteed to be secure or error-free as

information could be intercepted, corrupted, lost, destroyed, arrive late,

incomplete, or contain viruses. The sender therefore does not accept

liability for

any errors or omissions in the contents of this message, which arise as a

result of e-mail transmission.

************************<WBR>**A Good Credit Score is 700 or Above. See your

steps!

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://pr.ahttp://pr.atwolahttp://pr.atwolahttp://pr.atwolhttp://prhttp://prht_

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**************A Good Credit Score is 700 or Above. See yours in just 2 easy

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cemailfooterNO62)

[Guest guest]

You know... after being in private practice bearing all the expenses.... 50%

ain't bad

Sincerely,

Michal Hogan, RD, LD, CLT

NutritionResults.com

In a message dated 1/26/2009 11:48:34 A.M. Eastern Standard Time,

Dineright4@... writes:

50% of revenue? What is the normal billing rate for those codes? What would

that translate to for you? What about no-shows? Do you just sit there and

not get paid?

Just a couple quick thoughts. . .

Jan

In a message dated 1/26/2009 8:48:33 A.M. Mountain Standard Time,

_sbidini@..._ (mailto:sbidini@...) writes:

I have a new opportunity to work at a medical oncologist's office. I'm

hoping to get advice from RD's working in private practice.

The medical oncologist offered me 8 hours per week. His office staff

will schedule the patients and do all of the billing. The Dr will see

the pts after me and dictate after nutrition visits. They will bill the

patients under CPT 99211 and 99212 and give me 50% of the revenue from

these visits. They don't think that I need an NPI number because

they're billing under the doctor.

Any advice is greatly appreciated. I've already approached another

oncologist to work at a second location. I need to know what other RD's

are doing in this setting.

Sharlene Bidini, RD, CSO

Oncology Nutrition Specialist

Oakwood Center for Cancer Care

18101 Oakwood Blvd

Dearborn, MI 48124

Phone:

Jan Patenaude, RD, CLT

Consultant, Writer, Speaker

Director of Medical Nutrition

Signet Diagnostic Corporation

(Mountain Time)

Fax:

_DineRight4@..._ (mailto:DineRight4@...)

Mediator Release Testing and LEAP Diet Protocol for Irritable Bowel

Syndrome, Migraine, Fibromyalgia and more. Co-developer of Certified LEAP

Therapist

Training.

IMPORTANT - This e-mail message is intended only for the use of the

individual or entity to which it is addressed, and may contain information

that is

privileged, confidential and exempt from disclosure under applicable law. If

you have received this message in error, you are hereby notified that we do

not

consent to any reading, dissemination, distribution or copying of this

e-mail message. If you have received this communication in error, please

notify

the sender immediately by e-mail and telephone ( toll free) and

destroy the transmitted information.

E-mail transmission cannot be guaranteed to be secure or error-free as

information could be intercepted, corrupted, lost, destroyed, arrive late,

incomplete, or contain viruses. The sender therefore does not accept

liability for

any errors or omissions in the contents of this message, which arise as a

result of e-mail transmission.

************************<WBR>**A Good Credit Score is 700 or Above. See your

steps!

(_http://pr.atwola.http://pr.atwhttp://pr.atwolahttp://pr.atwolahttp://pr.http

://pr.ahttp://pr.atwolahttp://pr.atwolahttp://pr.atwolhttp://prhttp://prht_

(http://pr.atwola.com/promoclk/100000075x1215855013x1201028747/aol?redir=http://

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cemailfooterNO62)

[Non-text portions of this message have been removed]

**************A Good Credit Score is 700 or Above. See yours in just 2 easy

steps!

(http://pr.atwola.com/promoclk/100000075x1215855013x1201028747/aol?redir=http://\

www.freecreditreport.com/pm/default.aspx?sc=668072%26hmpgID=62%26bcd=De

cemailfooterNO62)

[Guest guest]

You know... after being in private practice bearing all the expenses.... 50%

ain't bad

Sincerely,

Michal Hogan, RD, LD, CLT

NutritionResults.com

In a message dated 1/26/2009 11:48:34 A.M. Eastern Standard Time,

Dineright4@... writes:

50% of revenue? What is the normal billing rate for those codes? What would

that translate to for you? What about no-shows? Do you just sit there and

not get paid?

Just a couple quick thoughts. . .

Jan

In a message dated 1/26/2009 8:48:33 A.M. Mountain Standard Time,

_sbidini@..._ (mailto:sbidini@...) writes:

I have a new opportunity to work at a medical oncologist's office. I'm

hoping to get advice from RD's working in private practice.

The medical oncologist offered me 8 hours per week. His office staff

will schedule the patients and do all of the billing. The Dr will see

the pts after me and dictate after nutrition visits. They will bill the

patients under CPT 99211 and 99212 and give me 50% of the revenue from

these visits. They don't think that I need an NPI number because

they're billing under the doctor.

Any advice is greatly appreciated. I've already approached another

oncologist to work at a second location. I need to know what other RD's

are doing in this setting.

Sharlene Bidini, RD, CSO

Oncology Nutrition Specialist

Oakwood Center for Cancer Care

18101 Oakwood Blvd

Dearborn, MI 48124

Phone:

Jan Patenaude, RD, CLT

Consultant, Writer, Speaker

Director of Medical Nutrition

Signet Diagnostic Corporation

(Mountain Time)

Fax:

_DineRight4@..._ (mailto:DineRight4@...)

Mediator Release Testing and LEAP Diet Protocol for Irritable Bowel

Syndrome, Migraine, Fibromyalgia and more. Co-developer of Certified LEAP

Therapist

Training.

IMPORTANT - This e-mail message is intended only for the use of the

individual or entity to which it is addressed, and may contain information

that is

privileged, confidential and exempt from disclosure under applicable law. If

you have received this message in error, you are hereby notified that we do

not

consent to any reading, dissemination, distribution or copying of this

e-mail message. If you have received this communication in error, please

notify

the sender immediately by e-mail and telephone ( toll free) and

destroy the transmitted information.

E-mail transmission cannot be guaranteed to be secure or error-free as

information could be intercepted, corrupted, lost, destroyed, arrive late,

incomplete, or contain viruses. The sender therefore does not accept

liability for

any errors or omissions in the contents of this message, which arise as a

result of e-mail transmission.

************************<WBR>**A Good Credit Score is 700 or Above. See your

steps!

(_http://pr.atwola.http://pr.atwhttp://pr.atwolahttp://pr.atwolahttp://pr.http

://pr.ahttp://pr.atwolahttp://pr.atwolahttp://pr.atwolhttp://prhttp://prht_

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[Non-text portions of this message have been removed]

**************A Good Credit Score is 700 or Above. See yours in just 2 easy

steps!

(http://pr.atwola.com/promoclk/100000075x1215855013x1201028747/aol?redir=http://\

www.freecreditreport.com/pm/default.aspx?sc=668072%26hmpgID=62%26bcd=De

cemailfooterNO62)

[Guest guest]

Hi Sharlene,

I work in private practice in a PCP's office. Technically 99211 and 99212 are

very limited/limited office visit and pay very little. I do not know what the

reimbursement is in your area but we use them when the office visit is 15 mins

or less. I can not see you and the Dr seeing a patient in that time. RD's only

visits are supposed to use 98702 and 97803 for MNT. We need to have an NPI and

be contracted with most insurances. Depending on the insurance some require us

to bill under our own NPI and some we bill under the Dr's NPI. It gets confusing

but I would first check into the reimbursement in your area for the codes.

Technically if he is seeing the patient after then you can bill an office visit

99212-99215 and the patient pays a copay as if they are just seeing the doctor.

hope this helps 

Loew, M.S., RD, LD

23 Stiles Rd Suite 213

Salem, NH 03079

P:

F:

jeloew@...

Subject: Need advice from RD's working in private practice

To: rd-usa

Date: Monday, January 26, 2009, 10:48 AM

I have a new opportunity to work at a medical oncologist's office. I'm

hoping to get advice from RD's working in private practice.

The medical oncologist offered me 8 hours per week. His office staff

will schedule the patients and do all of the billing. The Dr will see

the pts after me and dictate after nutrition visits. They will bill the

patients under CPT 99211 and 99212 and give me 50% of the revenue from

these visits. They don't think that I need an NPI number because

they're billing under the doctor.

Any advice is greatly appreciated. I've already approached another

oncologist to work at a second location. I need to know what other RD's

are doing in this setting.

Sharlene Bidini, RD, CSO

Oncology Nutrition Specialist

Oakwood Center for Cancer Care

18101 Oakwood Blvd

Dearborn, MI 48124

Phone:

[Guest guest]

Hi Sharlene.

I am in private practice in my own office. I do not need an NPI number and

I use the RD codes listed below. Out of network coverage, for those who

have it, is usually good.

I do understand why you and the physician want to bill under his name and

code. Payment is essential. The problem that I see is the absence of

recognition for dietitians. Unless we are billing as dietitians, we often

go unregnized for our expertise and value. Please do not take offense, this

is just my personal perspective.

If all your expenses are covered, 50% of billable fees seems reasonable.

Good luck,

Mazarin, MS, RD, CNS

_____

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

Loew

Sent: Monday, January 26, 2009 11:00 AM

To: rd-usa

Subject: Re: Need advice from RD's working in private practice

Hi Sharlene,

I work in private practice in a PCP's office. Technically 99211 and 99212

are very limited/limited office visit and pay very little. I do not know

what the reimbursement is in your area but we use them when the office visit

is 15 mins or less. I can not see you and the Dr seeing a patient in that

time. RD's only visits are supposed to use 98702 and 97803 for MNT. We need

to have an NPI and be contracted with most insurances. Depending on the

insurance some require us to bill under our own NPI and some we bill under

the Dr's NPI. It gets confusing but I would first check into the

reimbursement in your area for the codes. Technically if he is seeing the

patient after then you can bill an office visit 99212-99215 and the patient

pays a copay as if they are just seeing the doctor. hope this helps

Loew, M.S., RD, LD

23 Stiles Rd Suite 213

Salem, NH 03079

P:

F:

jeloewyahoo (DOT) <mailto:jeloew%40yahoo.com> com

From: sharlenebidini <sbidinihotmail (DOT) <mailto:sbidini%40hotmail.com> com>

Subject: Need advice from RD's working in private practice

To: rd-usayahoogroups (DOT) <mailto:rd-usa%40yahoogroups.com> com

Date: Monday, January 26, 2009, 10:48 AM

I have a new opportunity to work at a medical oncologist's office. I'm

hoping to get advice from RD's working in private practice.

The medical oncologist offered me 8 hours per week. His office staff

will schedule the patients and do all of the billing. The Dr will see

the pts after me and dictate after nutrition visits. They will bill the

patients under CPT 99211 and 99212 and give me 50% of the revenue from

these visits. They don't think that I need an NPI number because

they're billing under the doctor.

Any advice is greatly appreciated. I've already approached another

oncologist to work at a second location. I need to know what other RD's

are doing in this setting.

Sharlene Bidini, RD, CSO

Oncology Nutrition Specialist

Oakwood Center for Cancer Care

18101 Oakwood Blvd

Dearborn, MI 48124

Phone:

[Guest guest]

Hi Sharlene.

I am in private practice in my own office. I do not need an NPI number and

I use the RD codes listed below. Out of network coverage, for those who

have it, is usually good.

I do understand why you and the physician want to bill under his name and

code. Payment is essential. The problem that I see is the absence of

recognition for dietitians. Unless we are billing as dietitians, we often

go unregnized for our expertise and value. Please do not take offense, this

is just my personal perspective.

If all your expenses are covered, 50% of billable fees seems reasonable.

Good luck,

Mazarin, MS, RD, CNS

_____

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

Loew

Sent: Monday, January 26, 2009 11:00 AM

To: rd-usa

Subject: Re: Need advice from RD's working in private practice

Hi Sharlene,

I work in private practice in a PCP's office. Technically 99211 and 99212

are very limited/limited office visit and pay very little. I do not know

what the reimbursement is in your area but we use them when the office visit

is 15 mins or less. I can not see you and the Dr seeing a patient in that

time. RD's only visits are supposed to use 98702 and 97803 for MNT. We need

to have an NPI and be contracted with most insurances. Depending on the

insurance some require us to bill under our own NPI and some we bill under

the Dr's NPI. It gets confusing but I would first check into the

reimbursement in your area for the codes. Technically if he is seeing the

patient after then you can bill an office visit 99212-99215 and the patient

pays a copay as if they are just seeing the doctor. hope this helps

Loew, M.S., RD, LD

23 Stiles Rd Suite 213

Salem, NH 03079

P:

F:

jeloewyahoo (DOT) <mailto:jeloew%40yahoo.com> com

From: sharlenebidini <sbidinihotmail (DOT) <mailto:sbidini%40hotmail.com> com>

Subject: Need advice from RD's working in private practice

To: rd-usayahoogroups (DOT) <mailto:rd-usa%40yahoogroups.com> com

Date: Monday, January 26, 2009, 10:48 AM

I have a new opportunity to work at a medical oncologist's office. I'm

hoping to get advice from RD's working in private practice.

The medical oncologist offered me 8 hours per week. His office staff

will schedule the patients and do all of the billing. The Dr will see

the pts after me and dictate after nutrition visits. They will bill the

patients under CPT 99211 and 99212 and give me 50% of the revenue from

these visits. They don't think that I need an NPI number because

they're billing under the doctor.

Any advice is greatly appreciated. I've already approached another

oncologist to work at a second location. I need to know what other RD's

are doing in this setting.

Sharlene Bidini, RD, CSO

Oncology Nutrition Specialist

Oakwood Center for Cancer Care

18101 Oakwood Blvd

Dearborn, MI 48124

Phone:

[Guest guest]

Hi Sharlene.

I am in private practice in my own office. I do not need an NPI number and

I use the RD codes listed below. Out of network coverage, for those who

have it, is usually good.

I do understand why you and the physician want to bill under his name and

code. Payment is essential. The problem that I see is the absence of

recognition for dietitians. Unless we are billing as dietitians, we often

go unregnized for our expertise and value. Please do not take offense, this

is just my personal perspective.

If all your expenses are covered, 50% of billable fees seems reasonable.

Good luck,

Mazarin, MS, RD, CNS

_____

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

Loew

Sent: Monday, January 26, 2009 11:00 AM

To: rd-usa

Subject: Re: Need advice from RD's working in private practice

Hi Sharlene,

I work in private practice in a PCP's office. Technically 99211 and 99212

are very limited/limited office visit and pay very little. I do not know

what the reimbursement is in your area but we use them when the office visit

is 15 mins or less. I can not see you and the Dr seeing a patient in that

time. RD's only visits are supposed to use 98702 and 97803 for MNT. We need

to have an NPI and be contracted with most insurances. Depending on the

insurance some require us to bill under our own NPI and some we bill under

the Dr's NPI. It gets confusing but I would first check into the

reimbursement in your area for the codes. Technically if he is seeing the

patient after then you can bill an office visit 99212-99215 and the patient

pays a copay as if they are just seeing the doctor. hope this helps

Loew, M.S., RD, LD

23 Stiles Rd Suite 213

Salem, NH 03079

P:

F:

jeloewyahoo (DOT) <mailto:jeloew%40yahoo.com> com

From: sharlenebidini <sbidinihotmail (DOT) <mailto:sbidini%40hotmail.com> com>

Subject: Need advice from RD's working in private practice

To: rd-usayahoogroups (DOT) <mailto:rd-usa%40yahoogroups.com> com

Date: Monday, January 26, 2009, 10:48 AM

I have a new opportunity to work at a medical oncologist's office. I'm

hoping to get advice from RD's working in private practice.

The medical oncologist offered me 8 hours per week. His office staff

will schedule the patients and do all of the billing. The Dr will see

the pts after me and dictate after nutrition visits. They will bill the

patients under CPT 99211 and 99212 and give me 50% of the revenue from

these visits. They don't think that I need an NPI number because

they're billing under the doctor.

Any advice is greatly appreciated. I've already approached another

oncologist to work at a second location. I need to know what other RD's

are doing in this setting.

Sharlene Bidini, RD, CSO

Oncology Nutrition Specialist

Oakwood Center for Cancer Care

18101 Oakwood Blvd

Dearborn, MI 48124

Phone:

[Guest guest]

I have a nutrition clinic at my pediatric GI MD's office once a month.  Which

ever doc is in the office at the time will make a face-to-face visit before the

patient leaves; he fills out the billing paperwork (checks for an office visit),

the family pays the normal copay and he dictates based on my hand written notes

on the intake sheet.   We schedule 4 - 30 min visits. Sometimes there are no

shows but the office staff is pretty good about calling the day or two before

for reminders or cancellations.  The office keeps the copay and I get 100% of

what ever the insurance pays. In return, I do calorie-counts for them (about 4-5

per month). The dictation always states that the patient visited with the

dietitian but the billing is under the doctor visit (because the

insurance otherwise would not pay). This has worked out very well for the past 3

1/2 years.  I think we've only been denied payment once. 

 

Holly Lee Brewer, MS RD CDE

Pediatric Dietitian, Las Vegas, NV

Currently Maj Holly Brewer, USAFR BSC

Joint Base Balad, Iraq

Subject: Re: Need advice from RD's working in private practice

To: rd-usa

Date: Monday, January 26, 2009, 9:21 AM

You know... after being in private practice bearing all the expenses.... 50%

ain't bad

Sincerely,

Michal Hogan, RD, LD, CLT

NutritionResults. com

In a message dated 1/26/2009 11:48:34 A.M. Eastern Standard Time,

Dineright4aol (DOT) com writes:

50% of revenue? What is the normal billing rate for those codes? What would

that translate to for you? What about no-shows? Do you just sit there and

not get paid?

Just a couple quick thoughts. . .

Jan

In a message dated 1/26/2009 8:48:33 A.M. Mountain Standard Time,

_sbidinihotmail (DOT) sbi_ (mailto:sbidinihotmail (DOT) com) writes:

I have a new opportunity to work at a medical oncologist's office. I'm

hoping to get advice from RD's working in private practice.

The medical oncologist offered me 8 hours per week. His office staff

will schedule the patients and do all of the billing. The Dr will see

the pts after me and dictate after nutrition visits. They will bill the

patients under CPT 99211 and 99212 and give me 50% of the revenue from

these visits. They don't think that I need an NPI number because

they're billing under the doctor.

Any advice is greatly appreciated. I've already approached another

oncologist to work at a second location. I need to know what other RD's

are doing in this setting.

Sharlene Bidini, RD, CSO

Oncology Nutrition Specialist

Oakwood Center for Cancer Care

18101 Oakwood Blvd

Dearborn, MI 48124

Phone:

Jan Patenaude, RD, CLT

Consultant, Writer, Speaker

Director of Medical Nutrition

Signet Diagnostic Corporation

(Mountain Time)

Fax:

_DineRight4@ aol.Din_ (mailto:DineRight4aol (DOT) com)

Recent Activity

 1

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Search Ads

Get new customers.

List your web site

in Yahoo! Search.

Sitebuilder

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quickly & easily

with Sitebuilder.

Find helpful tips

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Groups team blog.

..

[Guest guest]

LOL.....It's under the doc office code that the doc does not have to be face to

face. Using the office visit code gives more flexability thats all. LOL....do

not let the doc go to lunch or step outside for some sun....oh my!

Thanks, Weaver MS RD LD Medical Nutrition

www.linkedin.com/pub/6/833/688 www.mdrdtherapy.com

Senior Account Executive America's Business Benefit Association

Non Profit Organization Provides Help to Business www.ABBAplans.com

Insurance Producers of America Agency www.ipa-america.com/products.aspx

Rated EXCELLENT by www.AMBEST.com Over 30 YEARS Longevity $1.3 BILLION in Assets

Healthcare www.phcs.com www.mygreatwest.com

10% Premium Reduction on Health Savings Account Set Up

www.treas.gov/offices/public-affairs/hsa/

2300 Lakeview Parkway 7th Floor Alpharetta, GA 30004

Affordable Health/Dental Insurance For Individual Business Owners &

Self-Employeed!

Access To NATIONAL GROUP Benefits

24 Hour WorldWide & On The Job Coverage

You May Not Be Singled Out For Rate Increase Or Cancellation

Unique Plans Help Satisfy Deductible & Disability

Get a Free Quote Today!

Re: Need advice from RD's working in private practice

> To: rd-usayahoogroups (DOT) com

> Date: Monday, January 26, 2009, 9:21 AM

>

>

>

>

>

>

> You know... after being in private practice bearing all the expenses....

50%

> ain't bad

>

>

> Sincerely,

> Michal Hogan, RD, LD, CLT

>

> NutritionResults. com

>

>

> In a message dated 1/26/2009 11:48:34 A.M. Eastern Standard Time,

> Dineright4aol (DOT) com writes:

>

> 50% of revenue? What is the normal billing rate for those codes? What would

> that translate to for you? What about no-shows? Do you just sit there and

> not get paid?

>

> Just a couple quick thoughts. . .

>

> Jan

>

> In a message dated 1/26/2009 8:48:33 A.M. Mountain Standard Time,

> _sbidinihotmail (DOT) sbi_ (mailto:sbidini@ hotmail. com) writes:

>

> I have a new opportunity to work at a medical oncologist's office. I'm

> hoping to get advice from RD's working in private practice.

> The medical oncologist offered me 8 hours per week. His office staff

> will schedule the patients and do all of the billing. The Dr will see

> the pts after me and dictate after nutrition visits. They will bill the

> patients under CPT 99211 and 99212 and give me 50% of the revenue from

> these visits. They don't think that I need an NPI number because

> they're billing under the doctor.

> Any advice is greatly appreciated. I've already approached another

> oncologist to work at a second location. I need to know what other RD's

> are doing in this setting.

>

> Sharlene Bidini, RD, CSO

> Oncology Nutrition Specialist

> Oakwood Center for Cancer Care

> 18101 Oakwood Blvd

> Dearborn, MI 48124

> Phone:

>

> Jan Patenaude, RD, CLT

> Consultant, Writer, Speaker

> Director of Medical Nutrition

> Signet Diagnostic Corporation

> (Mountain Time)

> Fax:

> _DineRight4@ aol.Din_ (mailto:DineRight4@ aol. com)

>

>

>

>

>

> Recent Activity

>

>

> 1

> New MembersVisit Your Group

>

>

> Search Ads

> Get new customers.

> List your web site

> in Yahoo! Search.

>

> Sitebuilder

> Build a web site

> quickly & easily

> with Sitebuilder.

>

> Find helpful tips

> for Moderators

> on the Yahoo!

> Groups team blog.

> .

>

>

>

>

>

>

>

>

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>

>

>

>

>

>

>

>

>

[Guest guest]

LOL.....It's under the doc office code that the doc does not have to be face to

face. Using the office visit code gives more flexability thats all. LOL....do

not let the doc go to lunch or step outside for some sun....oh my!

Thanks, Weaver MS RD LD Medical Nutrition

www.linkedin.com/pub/6/833/688 www.mdrdtherapy.com

Senior Account Executive America's Business Benefit Association

Non Profit Organization Provides Help to Business www.ABBAplans.com

Insurance Producers of America Agency www.ipa-america.com/products.aspx

Rated EXCELLENT by www.AMBEST.com Over 30 YEARS Longevity $1.3 BILLION in Assets

Healthcare www.phcs.com www.mygreatwest.com

10% Premium Reduction on Health Savings Account Set Up

www.treas.gov/offices/public-affairs/hsa/

2300 Lakeview Parkway 7th Floor Alpharetta, GA 30004

Affordable Health/Dental Insurance For Individual Business Owners &

Self-Employeed!

Access To NATIONAL GROUP Benefits

24 Hour WorldWide & On The Job Coverage

You May Not Be Singled Out For Rate Increase Or Cancellation

Unique Plans Help Satisfy Deductible & Disability

Get a Free Quote Today!

Re: Need advice from RD's working in private practice

> To: rd-usayahoogroups (DOT) com

> Date: Monday, January 26, 2009, 9:21 AM

>

>

>

>

>

>

> You know... after being in private practice bearing all the expenses....

50%

> ain't bad

>

>

> Sincerely,

> Michal Hogan, RD, LD, CLT

>

> NutritionResults. com

>

>

> In a message dated 1/26/2009 11:48:34 A.M. Eastern Standard Time,

> Dineright4aol (DOT) com writes:

>

> 50% of revenue? What is the normal billing rate for those codes? What would

> that translate to for you? What about no-shows? Do you just sit there and

> not get paid?

>

> Just a couple quick thoughts. . .

>

> Jan

>

> In a message dated 1/26/2009 8:48:33 A.M. Mountain Standard Time,

> _sbidinihotmail (DOT) sbi_ (mailto:sbidini@ hotmail. com) writes:

>

> I have a new opportunity to work at a medical oncologist's office. I'm

> hoping to get advice from RD's working in private practice.

> The medical oncologist offered me 8 hours per week. His office staff

> will schedule the patients and do all of the billing. The Dr will see

> the pts after me and dictate after nutrition visits. They will bill the

> patients under CPT 99211 and 99212 and give me 50% of the revenue from

> these visits. They don't think that I need an NPI number because

> they're billing under the doctor.

> Any advice is greatly appreciated. I've already approached another

> oncologist to work at a second location. I need to know what other RD's

> are doing in this setting.

>

> Sharlene Bidini, RD, CSO

> Oncology Nutrition Specialist

> Oakwood Center for Cancer Care

> 18101 Oakwood Blvd

> Dearborn, MI 48124

> Phone:

>

> Jan Patenaude, RD, CLT

> Consultant, Writer, Speaker

> Director of Medical Nutrition

> Signet Diagnostic Corporation

> (Mountain Time)

> Fax:

> _DineRight4@ aol.Din_ (mailto:DineRight4@ aol. com)

>

>

>

>

>

> Recent Activity

>

>

> 1

> New MembersVisit Your Group

>

>

> Search Ads

> Get new customers.

> List your web site

> in Yahoo! Search.

>

> Sitebuilder

> Build a web site

> quickly & easily

> with Sitebuilder.

>

> Find helpful tips

> for Moderators

> on the Yahoo!

> Groups team blog.

> .

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

[Guest guest]

Still don't see why an RD should provide MNT under the doc- isn't that the dark

ages? Yes, we work together, but logistically it is more complex. We should be

billing and receiving the revenue. Glad that's what we are doing out in the NW.

Judy Simon

> LOL.....It's under the doc office code that the doc does not have to be face

to face. Using the office visit code gives more flexability thats all.

LOL....do not let the doc go to lunch or step outside for some sun....oh my!

> Thanks, Weaver MS RD LD Medical Nutrition

www.linkedin.com/pub/6/833/688 www.mdrdtherapy.com

> Senior Account Executive America's Business Benefit Association

> Non Profit Organization Provides Help to Business www.ABBAplans.com

> Insurance Producers of America Agency www.ipa-america.com/products.aspx

> Rated EXCELLENT by www.AMBEST.com Over 30 YEARS Longevity $1.3 BILLION in

Assets

> Healthcare www.phcs.com www.mygreatwest.com

> 10% Premium Reduction on Health Savings Account Set Up

www.treas.gov/offices/public-affairs/hsa/

> 2300 Lakeview Parkway 7th Floor Alpharetta, GA 30004

> Affordable Health/Dental Insurance For Individual Business Owners &

Self-Employeed!

> Access To NATIONAL GROUP Benefits

> 24 Hour WorldWide & On The Job Coverage

> You May Not Be Singled Out For Rate Increase Or Cancellation

> Unique Plans Help Satisfy Deductible & Disability

> Get a Free Quote Today!

> Re: Need advice from RD's working in private practice

> > To: rd-usayahoogroups (DOT) com

> > Date: Monday, January 26, 2009, 9:21 AM

> >

> >

> >

> >

> >

> >

> > You know... after being in private practice bearing all the expenses....

> 50%

> > ain't bad

> >

> >

> > Sincerely,

> > Michal Hogan, RD, LD, CLT

> >

> > NutritionResults. com

> >

> >

> > In a message dated 1/26/2009 11:48:34 A.M. Eastern Standard Time,

> > Dineright4aol (DOT) com writes:

> >

> > 50% of revenue? What is the normal billing rate for those codes? What would

> > that translate to for you? What about no-shows? Do you just sit there and

> > not get paid?

> >

> > Just a couple quick thoughts. . .

> >

> > Jan

> >

> > In a message dated 1/26/2009 8:48:33 A.M. Mountain Standard Time,

> > _sbidinihotmail (DOT) sbi_ (mailto:sbidini@ hotmail. com) writes:

> >

> > I have a new opportunity to work at a medical oncologist's office. I'm

> > hoping to get advice from RD's working in private practice.

> > The medical oncologist offered me 8 hours per week. His office staff

> > will schedule the patients and do all of the billing. The Dr will see

> > the pts after me and dictate after nutrition visits. They will bill the

> > patients under CPT 99211 and 99212 and give me 50% of the revenue from

> > these visits. They don't think that I need an NPI number because

> > they're billing under the doctor.

> > Any advice is greatly appreciated. I've already approached another

> > oncologist to work at a second location. I need to know what other RD's

> > are doing in this setting.

> >

> > Sharlene Bidini, RD, CSO

> > Oncology Nutrition Specialist

> > Oakwood Center for Cancer Care

> > 18101 Oakwood Blvd

> > Dearborn, MI 48124

> > Phone:

> >

> > Jan Patenaude, RD, CLT

> > Consultant, Writer, Speaker

> > Director of Medical Nutrition

> > Signet Diagnostic Corporation

> > (Mountain Time)

> > Fax:

> > _DineRight4@ aol.Din_ (mailto:DineRight4@ aol. com)

> >

> >

> >

> >

> >

> > Recent Activity

> >

> >

> > 1

> > New MembersVisit Your Group

> >

> >

> > Search Ads

> > Get new customers.

> > List your web site

> > in Yahoo! Search.

> >

> > Sitebuilder

> > Build a web site

> > quickly & easily

> > with Sitebuilder.

> >

> > Find helpful tips

> > for Moderators

> > on the Yahoo!

> > Groups team blog.

> > .

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

[Guest guest]

Still don't see why an RD should provide MNT under the doc- isn't that the dark

ages? Yes, we work together, but logistically it is more complex. We should be

billing and receiving the revenue. Glad that's what we are doing out in the NW.

Judy Simon

> LOL.....It's under the doc office code that the doc does not have to be face

to face. Using the office visit code gives more flexability thats all.

LOL....do not let the doc go to lunch or step outside for some sun....oh my!

> Thanks, Weaver MS RD LD Medical Nutrition

www.linkedin.com/pub/6/833/688 www.mdrdtherapy.com

> Senior Account Executive America's Business Benefit Association

> Non Profit Organization Provides Help to Business www.ABBAplans.com

> Insurance Producers of America Agency www.ipa-america.com/products.aspx

> Rated EXCELLENT by www.AMBEST.com Over 30 YEARS Longevity $1.3 BILLION in

Assets

> Healthcare www.phcs.com www.mygreatwest.com

> 10% Premium Reduction on Health Savings Account Set Up

www.treas.gov/offices/public-affairs/hsa/

> 2300 Lakeview Parkway 7th Floor Alpharetta, GA 30004

> Affordable Health/Dental Insurance For Individual Business Owners &

Self-Employeed!

> Access To NATIONAL GROUP Benefits

> 24 Hour WorldWide & On The Job Coverage

> You May Not Be Singled Out For Rate Increase Or Cancellation

> Unique Plans Help Satisfy Deductible & Disability

> Get a Free Quote Today!

> Re: Need advice from RD's working in private practice

> > To: rd-usayahoogroups (DOT) com

> > Date: Monday, January 26, 2009, 9:21 AM

> >

> >

> >

> >

> >

> >

> > You know... after being in private practice bearing all the expenses....

> 50%

> > ain't bad

> >

> >

> > Sincerely,

> > Michal Hogan, RD, LD, CLT

> >

> > NutritionResults. com

> >

> >

> > In a message dated 1/26/2009 11:48:34 A.M. Eastern Standard Time,

> > Dineright4aol (DOT) com writes:

> >

> > 50% of revenue? What is the normal billing rate for those codes? What would

> > that translate to for you? What about no-shows? Do you just sit there and

> > not get paid?

> >

> > Just a couple quick thoughts. . .

> >

> > Jan

> >

> > In a message dated 1/26/2009 8:48:33 A.M. Mountain Standard Time,

> > _sbidinihotmail (DOT) sbi_ (mailto:sbidini@ hotmail. com) writes:

> >

> > I have a new opportunity to work at a medical oncologist's office. I'm

> > hoping to get advice from RD's working in private practice.

> > The medical oncologist offered me 8 hours per week. His office staff

> > will schedule the patients and do all of the billing. The Dr will see

> > the pts after me and dictate after nutrition visits. They will bill the

> > patients under CPT 99211 and 99212 and give me 50% of the revenue from

> > these visits. They don't think that I need an NPI number because

> > they're billing under the doctor.

> > Any advice is greatly appreciated. I've already approached another

> > oncologist to work at a second location. I need to know what other RD's

> > are doing in this setting.

> >

> > Sharlene Bidini, RD, CSO

> > Oncology Nutrition Specialist

> > Oakwood Center for Cancer Care

> > 18101 Oakwood Blvd

> > Dearborn, MI 48124

> > Phone:

> >

> > Jan Patenaude, RD, CLT

> > Consultant, Writer, Speaker

> > Director of Medical Nutrition

> > Signet Diagnostic Corporation

> > (Mountain Time)

> > Fax:

> > _DineRight4@ aol.Din_ (mailto:DineRight4@ aol. com)

> >

> >

> >

> >

> >

> > Recent Activity

> >

> >

> > 1

> > New MembersVisit Your Group

> >

> >

> > Search Ads

> > Get new customers.

> > List your web site

> > in Yahoo! Search.

> >

> > Sitebuilder

> > Build a web site

> > quickly & easily

> > with Sitebuilder.

> >

> > Find helpful tips

> > for Moderators

> > on the Yahoo!

> > Groups team blog.

> > .

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

[Guest guest]

Still don't see why an RD should provide MNT under the doc- isn't that the dark

ages? Yes, we work together, but logistically it is more complex. We should be

billing and receiving the revenue. Glad that's what we are doing out in the NW.

Judy Simon

> LOL.....It's under the doc office code that the doc does not have to be face

to face. Using the office visit code gives more flexability thats all.

LOL....do not let the doc go to lunch or step outside for some sun....oh my!

> Thanks, Weaver MS RD LD Medical Nutrition

www.linkedin.com/pub/6/833/688 www.mdrdtherapy.com

> Senior Account Executive America's Business Benefit Association

> Non Profit Organization Provides Help to Business www.ABBAplans.com

> Insurance Producers of America Agency www.ipa-america.com/products.aspx

> Rated EXCELLENT by www.AMBEST.com Over 30 YEARS Longevity $1.3 BILLION in

Assets

> Healthcare www.phcs.com www.mygreatwest.com

> 10% Premium Reduction on Health Savings Account Set Up

www.treas.gov/offices/public-affairs/hsa/

> 2300 Lakeview Parkway 7th Floor Alpharetta, GA 30004

> Affordable Health/Dental Insurance For Individual Business Owners &

Self-Employeed!

> Access To NATIONAL GROUP Benefits

> 24 Hour WorldWide & On The Job Coverage

> You May Not Be Singled Out For Rate Increase Or Cancellation

> Unique Plans Help Satisfy Deductible & Disability

> Get a Free Quote Today!

> Re: Need advice from RD's working in private practice

> > To: rd-usayahoogroups (DOT) com

> > Date: Monday, January 26, 2009, 9:21 AM

> >

> >

> >

> >

> >

> >

> > You know... after being in private practice bearing all the expenses....

> 50%

> > ain't bad

> >

> >

> > Sincerely,

> > Michal Hogan, RD, LD, CLT

> >

> > NutritionResults. com

> >

> >

> > In a message dated 1/26/2009 11:48:34 A.M. Eastern Standard Time,

> > Dineright4aol (DOT) com writes:

> >

> > 50% of revenue? What is the normal billing rate for those codes? What would

> > that translate to for you? What about no-shows? Do you just sit there and

> > not get paid?

> >

> > Just a couple quick thoughts. . .

> >

> > Jan

> >

> > In a message dated 1/26/2009 8:48:33 A.M. Mountain Standard Time,

> > _sbidinihotmail (DOT) sbi_ (mailto:sbidini@ hotmail. com) writes:

> >

> > I have a new opportunity to work at a medical oncologist's office. I'm

> > hoping to get advice from RD's working in private practice.

> > The medical oncologist offered me 8 hours per week. His office staff

> > will schedule the patients and do all of the billing. The Dr will see

> > the pts after me and dictate after nutrition visits. They will bill the

> > patients under CPT 99211 and 99212 and give me 50% of the revenue from

> > these visits. They don't think that I need an NPI number because

> > they're billing under the doctor.

> > Any advice is greatly appreciated. I've already approached another

> > oncologist to work at a second location. I need to know what other RD's

> > are doing in this setting.

> >

> > Sharlene Bidini, RD, CSO

> > Oncology Nutrition Specialist

> > Oakwood Center for Cancer Care

> > 18101 Oakwood Blvd

> > Dearborn, MI 48124

> > Phone:

> >

> > Jan Patenaude, RD, CLT

> > Consultant, Writer, Speaker

> > Director of Medical Nutrition

> > Signet Diagnostic Corporation

> > (Mountain Time)

> > Fax:

> > _DineRight4@ aol.Din_ (mailto:DineRight4@ aol. com)

> >

> >

> >

> >

> >

> > Recent Activity

> >

> >

> > 1

> > New MembersVisit Your Group

> >

> >

> > Search Ads

> > Get new customers.

> > List your web site

> > in Yahoo! Search.

> >

> > Sitebuilder

> > Build a web site

> > quickly & easily

> > with Sitebuilder.

> >

> > Find helpful tips

> > for Moderators

> > on the Yahoo!

> > Groups team blog.

> > .

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

[Guest guest]

I think this is just the crux of the issue for MNT. Lying under the radar and

just getting paid by MD is an easier sell but not for the viability of the

profession long term. It boils down to money and getting paid for our work. No

one is really listening because this issue isn't being handled at the top level

of ADA but within local state associations. I find it hard to believe that other

professions like the medical, dental and chiropractic associations don't work on

insurance issues for their members at the national level. We are always circling

around this issue and depending on who answers-there is always a different

answer. I'm sure there are legal ways that our national organization can work

with carriers on a national level.

Thank you,

Nodvin

Re: Need advice from RD's working in private practice

Still don't see why an RD should provide MNT under the doc- isn't that the dark

ages? Yes, we work together, but logistically it is more complex. We should be

billing and receiving the revenue. Glad that's what we are doing out in the NW.

Judy Simon

> LOL.....It's under the doc office code that the doc does not have to be face

to face. Using the office visit code gives more flexability thats all.

LOL....do not let the doc go to lunch or step outside for some sun....oh my!

> Thanks, Weaver MS RD LD Medical Nutrition

www.linkedin.com/pub/6/833/688 www.mdrdtherapy.com

> Senior Account Executive America's Business Benefit Association

> Non Profit Organization Provides Help to Business www.ABBAplans.com

> Insurance Producers of America Agency www.ipa-america.com/products.aspx

> Rated EXCELLENT by www.AMBEST.com Over 30 YEARS Longevity $1.3 BILLION in

Assets

> Healthcare www.phcs.com www.mygreatwest.com

> 10% Premium Reduction on Health Savings Account Set Up

www.treas.gov/offices/public-affairs/hsa/

> 2300 Lakeview Parkway 7th Floor Alpharetta, GA 30004

> Affordable Health/Dental Insurance For Individual Business Owners &

Self-Employeed!

> Access To NATIONAL GROUP Benefits

> 24 Hour WorldWide & On The Job Coverage

> You May Not Be Singled Out For Rate Increase Or Cancellation

> Unique Plans Help Satisfy Deductible & Disability

> Get a Free Quote Today!

> Re: Need advice from RD's working in private practice

> > To: rd-usayahoogroups (DOT) com

> > Date: Monday, January 26, 2009, 9:21 AM

> >

> >

> >

> >

> >

> >

> > You know... after being in private practice bearing all the expenses....

> 50%

> > ain't bad

> >

> >

> > Sincerely,

> > Michal Hogan, RD, LD, CLT

> >

> > NutritionResults. com

> >

> >

> > In a message dated 1/26/2009 11:48:34 A.M. Eastern Standard Time,

> > Dineright4aol (DOT) com writes:

> >

> > 50% of revenue? What is the normal billing rate for those codes? What would

> > that translate to for you? What about no-shows? Do you just sit there and

> > not get paid?

> >

> > Just a couple quick thoughts. . .

> >

> > Jan

> >

> > In a message dated 1/26/2009 8:48:33 A.M. Mountain Standard Time,

> > _sbidinihotmail (DOT) sbi_ (mailto:sbidini@ hotmail. com) writes:

> >

> > I have a new opportunity to work at a medical oncologist's office. I'm

> > hoping to get advice from RD's working in private practice.

> > The medical oncologist offered me 8 hours per week. His office staff

> > will schedule the patients and do all of the billing. The Dr will see

> > the pts after me and dictate after nutrition visits. They will bill the

> > patients under CPT 99211 and 99212 and give me 50% of the revenue from

> > these visits. They don't think that I need an NPI number because

> > they're billing under the doctor.

> > Any advice is greatly appreciated. I've already approached another

> > oncologist to work at a second location. I need to know what other RD's

> > are doing in this setting.

> >

> > Sharlene Bidini, RD, CSO

> > Oncology Nutrition Specialist

> > Oakwood Center for Cancer Care

> > 18101 Oakwood Blvd

> > Dearborn, MI 48124

> > Phone:

> >

> > Jan Patenaude, RD, CLT

> > Consultant, Writer, Speaker

> > Director of Medical Nutrition

> > Signet Diagnostic Corporation

> > (Mountain Time)

> > Fax:

> > _DineRight4@ aol.Din_ (mailto:DineRight4@ aol. com)

> >

> >

> >

> >

> >

> > Recent Activity

> >

> >

> > 1

> > New MembersVisit Your Group

> >

> >

> > Search Ads

> > Get new customers.

> > List your web site

> > in Yahoo! Search.

> >

> > Sitebuilder

> > Build a web site

> > quickly & easily

> > with Sitebuilder.

> >

> > Find helpful tips

> > for Moderators

> > on the Yahoo!

> > Groups team blog.

> > .

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

[Guest guest]

I think this is just the crux of the issue for MNT. Lying under the radar and

just getting paid by MD is an easier sell but not for the viability of the

profession long term. It boils down to money and getting paid for our work. No

one is really listening because this issue isn't being handled at the top level

of ADA but within local state associations. I find it hard to believe that other

professions like the medical, dental and chiropractic associations don't work on

insurance issues for their members at the national level. We are always circling

around this issue and depending on who answers-there is always a different

answer. I'm sure there are legal ways that our national organization can work

with carriers on a national level.

Thank you,

Nodvin

Re: Need advice from RD's working in private practice

Still don't see why an RD should provide MNT under the doc- isn't that the dark

ages? Yes, we work together, but logistically it is more complex. We should be

billing and receiving the revenue. Glad that's what we are doing out in the NW.

Judy Simon

> LOL.....It's under the doc office code that the doc does not have to be face

to face. Using the office visit code gives more flexability thats all.

LOL....do not let the doc go to lunch or step outside for some sun....oh my!

> Thanks, Weaver MS RD LD Medical Nutrition

www.linkedin.com/pub/6/833/688 www.mdrdtherapy.com

> Senior Account Executive America's Business Benefit Association

> Non Profit Organization Provides Help to Business www.ABBAplans.com

> Insurance Producers of America Agency www.ipa-america.com/products.aspx

> Rated EXCELLENT by www.AMBEST.com Over 30 YEARS Longevity $1.3 BILLION in

Assets

> Healthcare www.phcs.com www.mygreatwest.com

> 10% Premium Reduction on Health Savings Account Set Up

www.treas.gov/offices/public-affairs/hsa/

> 2300 Lakeview Parkway 7th Floor Alpharetta, GA 30004

> Affordable Health/Dental Insurance For Individual Business Owners &

Self-Employeed!

> Access To NATIONAL GROUP Benefits

> 24 Hour WorldWide & On The Job Coverage

> You May Not Be Singled Out For Rate Increase Or Cancellation

> Unique Plans Help Satisfy Deductible & Disability

> Get a Free Quote Today!

> Re: Need advice from RD's working in private practice

> > To: rd-usayahoogroups (DOT) com

> > Date: Monday, January 26, 2009, 9:21 AM

> >

> >

> >

> >

> >

> >

> > You know... after being in private practice bearing all the expenses....

> 50%

> > ain't bad

> >

> >

> > Sincerely,

> > Michal Hogan, RD, LD, CLT

> >

> > NutritionResults. com

> >

> >

> > In a message dated 1/26/2009 11:48:34 A.M. Eastern Standard Time,

> > Dineright4aol (DOT) com writes:

> >

> > 50% of revenue? What is the normal billing rate for those codes? What would

> > that translate to for you? What about no-shows? Do you just sit there and

> > not get paid?

> >

> > Just a couple quick thoughts. . .

> >

> > Jan

> >

> > In a message dated 1/26/2009 8:48:33 A.M. Mountain Standard Time,

> > _sbidinihotmail (DOT) sbi_ (mailto:sbidini@ hotmail. com) writes:

> >

> > I have a new opportunity to work at a medical oncologist's office. I'm

> > hoping to get advice from RD's working in private practice.

> > The medical oncologist offered me 8 hours per week. His office staff

> > will schedule the patients and do all of the billing. The Dr will see

> > the pts after me and dictate after nutrition visits. They will bill the

> > patients under CPT 99211 and 99212 and give me 50% of the revenue from

> > these visits. They don't think that I need an NPI number because

> > they're billing under the doctor.

> > Any advice is greatly appreciated. I've already approached another

> > oncologist to work at a second location. I need to know what other RD's

> > are doing in this setting.

> >

> > Sharlene Bidini, RD, CSO

> > Oncology Nutrition Specialist

> > Oakwood Center for Cancer Care

> > 18101 Oakwood Blvd

> > Dearborn, MI 48124

> > Phone:

> >

> > Jan Patenaude, RD, CLT

> > Consultant, Writer, Speaker

> > Director of Medical Nutrition

> > Signet Diagnostic Corporation

> > (Mountain Time)

> > Fax:

> > _DineRight4@ aol.Din_ (mailto:DineRight4@ aol. com)

> >

> >

> >

> >

> >

> > Recent Activity

> >

> >

> > 1

> > New MembersVisit Your Group

> >

> >

> > Search Ads

> > Get new customers.

> > List your web site

> > in Yahoo! Search.

> >

> > Sitebuilder

> > Build a web site

> > quickly & easily

> > with Sitebuilder.

> >

> > Find helpful tips

> > for Moderators

> > on the Yahoo!

> > Groups team blog.

> > .

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

[Guest guest]

I think this is just the crux of the issue for MNT. Lying under the radar and

just getting paid by MD is an easier sell but not for the viability of the

profession long term. It boils down to money and getting paid for our work. No

one is really listening because this issue isn't being handled at the top level

of ADA but within local state associations. I find it hard to believe that other

professions like the medical, dental and chiropractic associations don't work on

insurance issues for their members at the national level. We are always circling

around this issue and depending on who answers-there is always a different

answer. I'm sure there are legal ways that our national organization can work

with carriers on a national level.

Thank you,

Nodvin

Re: Need advice from RD's working in private practice

Still don't see why an RD should provide MNT under the doc- isn't that the dark

ages? Yes, we work together, but logistically it is more complex. We should be

billing and receiving the revenue. Glad that's what we are doing out in the NW.

Judy Simon

> LOL.....It's under the doc office code that the doc does not have to be face

to face. Using the office visit code gives more flexability thats all.

LOL....do not let the doc go to lunch or step outside for some sun....oh my!

> Thanks, Weaver MS RD LD Medical Nutrition

www.linkedin.com/pub/6/833/688 www.mdrdtherapy.com

> Senior Account Executive America's Business Benefit Association

> Non Profit Organization Provides Help to Business www.ABBAplans.com

> Insurance Producers of America Agency www.ipa-america.com/products.aspx

> Rated EXCELLENT by www.AMBEST.com Over 30 YEARS Longevity $1.3 BILLION in

Assets

> Healthcare www.phcs.com www.mygreatwest.com

> 10% Premium Reduction on Health Savings Account Set Up

www.treas.gov/offices/public-affairs/hsa/

> 2300 Lakeview Parkway 7th Floor Alpharetta, GA 30004

> Affordable Health/Dental Insurance For Individual Business Owners &

Self-Employeed!

> Access To NATIONAL GROUP Benefits

> 24 Hour WorldWide & On The Job Coverage

> You May Not Be Singled Out For Rate Increase Or Cancellation

> Unique Plans Help Satisfy Deductible & Disability

> Get a Free Quote Today!

> Re: Need advice from RD's working in private practice

> > To: rd-usayahoogroups (DOT) com

> > Date: Monday, January 26, 2009, 9:21 AM

> >

> >

> >

> >

> >

> >

> > You know... after being in private practice bearing all the expenses....

> 50%

> > ain't bad

> >

> >

> > Sincerely,

> > Michal Hogan, RD, LD, CLT

> >

> > NutritionResults. com

> >

> >

> > In a message dated 1/26/2009 11:48:34 A.M. Eastern Standard Time,

> > Dineright4aol (DOT) com writes:

> >

> > 50% of revenue? What is the normal billing rate for those codes? What would

> > that translate to for you? What about no-shows? Do you just sit there and

> > not get paid?

> >

> > Just a couple quick thoughts. . .

> >

> > Jan

> >

> > In a message dated 1/26/2009 8:48:33 A.M. Mountain Standard Time,

> > _sbidinihotmail (DOT) sbi_ (mailto:sbidini@ hotmail. com) writes:

> >

> > I have a new opportunity to work at a medical oncologist's office. I'm

> > hoping to get advice from RD's working in private practice.

> > The medical oncologist offered me 8 hours per week. His office staff

> > will schedule the patients and do all of the billing. The Dr will see

> > the pts after me and dictate after nutrition visits. They will bill the

> > patients under CPT 99211 and 99212 and give me 50% of the revenue from

> > these visits. They don't think that I need an NPI number because

> > they're billing under the doctor.

> > Any advice is greatly appreciated. I've already approached another

> > oncologist to work at a second location. I need to know what other RD's

> > are doing in this setting.

> >

> > Sharlene Bidini, RD, CSO

> > Oncology Nutrition Specialist

> > Oakwood Center for Cancer Care

> > 18101 Oakwood Blvd

> > Dearborn, MI 48124

> > Phone:

> >

> > Jan Patenaude, RD, CLT

> > Consultant, Writer, Speaker

> > Director of Medical Nutrition

> > Signet Diagnostic Corporation

> > (Mountain Time)

> > Fax:

> > _DineRight4@ aol.Din_ (mailto:DineRight4@ aol. com)

> >

> >

> >

> >

> >

> > Recent Activity

> >

> >

> > 1

> > New MembersVisit Your Group

> >

> >

> > Search Ads

> > Get new customers.

> > List your web site

> > in Yahoo! Search.

> >

> > Sitebuilder

> > Build a web site

> > quickly & easily

> > with Sitebuilder.

> >

> > Find helpful tips

> > for Moderators

> > on the Yahoo!

> > Groups team blog.

> > .

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

[Guest guest]

Ah, there is the difference.  I am dealing with pediatrics.  For IBD/IBS,

Celiac, elevated LFTs (fatty liver aka Obesity referrals).   For this population

the coverage is very spotty at best.  The only insurance in Las Vegas that is

offering MNT coverage is Teacher's Health Trust (and I am a provider with them)

with a $20-30 copay for the total payment of $75 per visit, 6 visits per year. 

 

Holly Brewer

>>

>> From: NutritionResults@ aol.com <NutritionResults@ aol.com>

>> Subject: Re: Need advice from RD's working in private practice

>> To: rd-usayahoogroups (DOT) com

>> Date: Monday, January 26, 2009, 9:21 AM

>>

>>

>>

>

>

>

>

> Recent Activity

>

>

>  1

> New MembersVisit Your Group

>

>

> Biz Resources

> Y! Small Business

> Articles, tools,

> forms, and more.

>

> Ads on Yahoo!

> Learn more now.

> Reach customers

> searching for you.

>

> Find helpful tips

> for Moderators

> on the Yahoo!

> Groups team blog.

> .

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

[Guest guest]

Ah, there is the difference.  I am dealing with pediatrics.  For IBD/IBS,

Celiac, elevated LFTs (fatty liver aka Obesity referrals).   For this population

the coverage is very spotty at best.  The only insurance in Las Vegas that is

offering MNT coverage is Teacher's Health Trust (and I am a provider with them)

with a $20-30 copay for the total payment of $75 per visit, 6 visits per year. 

 

Holly Brewer

>>

>> From: NutritionResults@ aol.com <NutritionResults@ aol.com>

>> Subject: Re: Need advice from RD's working in private practice

>> To: rd-usayahoogroups (DOT) com

>> Date: Monday, January 26, 2009, 9:21 AM

>>

>>

>>

>

>

>

>

> Recent Activity

>

>

>  1

> New MembersVisit Your Group

>

>

> Biz Resources

> Y! Small Business

> Articles, tools,

> forms, and more.

>

> Ads on Yahoo!

> Learn more now.

> Reach customers

> searching for you.

>

> Find helpful tips

> for Moderators

> on the Yahoo!

> Groups team blog.

> .

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

[Guest guest]

Ah, there is the difference.  I am dealing with pediatrics.  For IBD/IBS,

Celiac, elevated LFTs (fatty liver aka Obesity referrals).   For this population

the coverage is very spotty at best.  The only insurance in Las Vegas that is

offering MNT coverage is Teacher's Health Trust (and I am a provider with them)

with a $20-30 copay for the total payment of $75 per visit, 6 visits per year. 

 

Holly Brewer

>>

>> From: NutritionResults@ aol.com <NutritionResults@ aol.com>

>> Subject: Re: Need advice from RD's working in private practice

>> To: rd-usayahoogroups (DOT) com

>> Date: Monday, January 26, 2009, 9:21 AM

>>

>>

>>

>

>

>

>

> Recent Activity

>

>

>  1

> New MembersVisit Your Group

>

>

> Biz Resources

> Y! Small Business

> Articles, tools,

> forms, and more.

>

> Ads on Yahoo!

> Learn more now.

> Reach customers

> searching for you.

>

> Find helpful tips

> for Moderators

> on the Yahoo!

> Groups team blog.

> .

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

[Guest guest]

the private insurances are " spotty " in their coverage but generally the big

insurances aren't at least in new england. BCBS, Harvard, Tufts (depending on

the plans) and medicare (DM and renal only) all have coverage. I have very few

rejections but yes it does not mean ALL the insurances have coverage but what I

was saying is that if you have not looked into it recently alot has changed just

in the last 2 years for coverage. thanks

Loew, M.S., RD, LD

23 Stiles Rd Suite 213

Salem, NH 03079

P:

F:

jeloew@...

>>

>> From: NutritionResults@ aol.com <NutritionResults@ aol.com>

>> Subject: Re: Need advice from RD's working in private practice

>> To: rd-usayahoogroups (DOT) com

>> Date: Monday, January 26, 2009, 9:21 AM

>>

>>

>>

>

>

>

>

> Recent Activity

>

>

>  1

> New MembersVisit Your Group

>

>

> Biz Resources

> Y! Small Business

> Articles, tools,

> forms, and more.

>

> Ads on Yahoo!

> Learn more now.

> Reach customers

> searching for you.

>

> Find helpful tips

> for Moderators

> on the Yahoo!

> Groups team blog.

> .

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

>

[Guest guest]

Thanks for the wonderful input!!! I appreciate all of the advice and

conversation on the topic. I posted this same question on a DPG list

serve and didn't get a single response. Thanks RD-USA!!

Sharlene Bidini, RD, CSO

Oncology Nutrition Specialist

> >>

> >> From: NutritionResults@ aol.com <NutritionResults@ aol.com>

> >> Subject: Re: Need advice from RD's working in private

practice

> >> To: rd-usayahoogroups (DOT) com

> >> Date: Monday, January 26, 2009, 9:21 AM

> >>

> >>

> >>

> >

> >

> >

> >

> > Recent Activity

> >

> >

> >  1

> > New MembersVisit Your Group

> >

> >

> > Biz Resources

> > Y! Small Business

> > Articles, tools,

> > forms, and more.

> >

> > Ads on Yahoo!

> > Learn more now.

> > Reach customers

> > searching for you.

> >

> > Find helpful tips

> > for Moderators

> > on the Yahoo!

> > Groups team blog.

> > .

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

[Guest guest]

Thanks for the wonderful input!!! I appreciate all of the advice and

conversation on the topic. I posted this same question on a DPG list

serve and didn't get a single response. Thanks RD-USA!!

Sharlene Bidini, RD, CSO

Oncology Nutrition Specialist

> >>

> >> From: NutritionResults@ aol.com <NutritionResults@ aol.com>

> >> Subject: Re: Need advice from RD's working in private

practice

> >> To: rd-usayahoogroups (DOT) com

> >> Date: Monday, January 26, 2009, 9:21 AM

> >>

> >>

> >>

> >

> >

> >

> >

> > Recent Activity

> >

> >

> >  1

> > New MembersVisit Your Group

> >

> >

> > Biz Resources

> > Y! Small Business

> > Articles, tools,

> > forms, and more.

> >

> > Ads on Yahoo!

> > Learn more now.

> > Reach customers

> > searching for you.

> >

> > Find helpful tips

> > for Moderators

> > on the Yahoo!

> > Groups team blog.

> > .

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >

> >