Insurance Hacks Part III: Tips from RDNs!

Today we’re closing out our Insurance Hacks series with insurance hacks from dietitians themselves! Like Megan suggests below, sometimes the best tips come from your colleagues and peers themselves. Without further ado: 

Megan Boitano, MS, RD, CNSC, Founder & Chief InnovatoRD, RD2RD:
“Meet with an established local RD (more than one is even better) and get the ‘down-low’ on which insurers are best, codes, etc. I also hired a credentialing company that was recommended. It was money well spent.”

Sarah Koszyk, MA, RDN, founder of Family. Food. Fiesta.:
One tip Sarah offers to make claim filing run more smoothly is to write down the name of the person with whom you spoke when conducting an eligibility check, in addition to the date and time for your records. Make sure you confirm the ICD-10 and CPT codes you plan to submit with the representative. "This way, if the claim gets denied, you have proof when you call back to rectify," Koszyk says.

Mandy Enright, MS, RDN, RYT, owner of Nutrition Nuptials:
Enright suggests conducting eligibility checks "in batches" rather than making a single call to the insurance carrier for each check. She amasses a few new clients each week before placing the call, during which she'll ask for verification of patients' CPT and diagnosis codes, the number of units and visits that she can bill, whether there are any copays or referrals needed, whether her clients have a deductible to meet, and lastly, whether there are any diagnosis codes that insurance doesn't cover. Some companies will cover an initial RD visit just once in a client's lifetime, so make sure to check whether a patient has seen a dietitian in the past. Another carrier in her state of New Jersey will cover each RD visit only up to one hour.

"I once had a Medicare client who had already seen an RD at another facility," Enright says, "and thus a portion of my time was not eligible for reimbursement due to terms of my client's coverage, as he had maxed out his nutrition counseling benefits for the year."

Lesson learned; always ask Medicare beneficiaries whether they've seen an RD before coming to see you.

Lastly, Robyn Kievit Kirkman, FNP-BC, RDN, LDN, CSSD, CEDRD, suggests:
“Use Healthy Bytes! Life has gotten easier since Healthy Bytes – plus now I have my virtual assistant in place, knowing how to use the system!”

We couldn’t have said it better ourselves! 

A portion of the above content previously posted in Today’s Dietitian: Guide to Insurance and Reimbursement.

Please share your insurance hack below!