$149.00

Terms and Conditions of Your Purchase

You are purchasing the REPLAY of a recorded webinar. You will have access to the recording for 365 days.


This Starter Pack is NOT eligible for CEUs.


The Starter Pack is > 120 minutes in duration.

 

This purchase DOES NOT entitle or grant you permission to contact Amy Plano, The Reimbursement Dietitian, via social media, email, business phone, or any other platform of this nature to ask questions about the content addressed in the Starter Pack.

 

The information provided in the Starter Pack is for information only and does not constitute any type of working professional relationship with Amy Krystock LLC DBA Amy Plano, The Reimbursement Dietitian.

 

This resource is provided for informational and educational purposes only. This information is not intended to be considered legal, billing, coding, or insurance advice. While every effort has been made to ensure the accuracy of the information, Amy Krystock LLC DBA Amy Plano, The Reimbursement Dietitian, makes no guarantees or warranties, express or implied, about the completeness, reliability, or applicability of this content to your individual practice.

 

Use of this resource does not establish a provider-client relationship or guarantee reimbursement from any insurance company.

 

By downloading or using this resource, you agree not to hold Amy Krystock LLC DBA Amy Plano, The Reimbursement Dietitian, liable for any claim, loss, or damages resulting from its use.

 

By making this purchase, you fully understand that you are not permitted to copy, reproduce, redistribute, alter, modify, share with a third party, display the content publicly, or create derivative works of the Starter Pack.

 

You understand you may not modify and use the Starter Pack for business use without attribution to Amy Krystock LLC DBA Amy Plano, The Reimbursement Dietitian.

 

All sales of the Starter Pack are final. No refunds are allowed due to the immediate access and nature of digital products.

 

You acknowledge that the content of the Starter Pack is based on Amy Plano's experience, knowledge, and research. The Reimbursement Dietitian has attempted to ensure the accuracy of the information; however, the Reimbursement Dietitian's Starter Pack may contain inaccuracies, typos, or other errors. Amy Krystock LLC DBA Amy Plano, The Reimbursement Dietitian, assumes no responsibility for such errors and omissions.

 

The Starter Pack is for informational purposes only and should not be considered legal or financial advice. Amy Krystock LLC DBA Amy Plano, The Reimbursement Dietitian, makes no guarantees you will attain a particular result and income using the ideas presented in the Starter Pack.

 

Your purchase and use of the Starter Pack does not establish a professional-working relationship between you and Amy Krystock LLC DBA Amy Plano, The Reimbursement Dietitian.

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The Reimbursement Starter Pack

NO NEED TO REINVENT THE WHEEL. ALL YOUR FORMS FOR AN INSURANCE-BASED PRIVATE PRACTICE ARE RIGHT HERE. 

 

I have done all the hard so you don’t have to. And most importantly I have worked out all the kinks. The resources in this pack have evolved tremendously over time. I have learned what works and have gotten rid of what didn’t. Therefore, you are getting the most relevant, up-to-date information to run your practice. Here are pretty much all the forms for a nutrition private practice you will ever need. 

 

BUT just to be CRYSTAL clear you are JUST getting access to important forms and resources to START your practice. This is by NO means a starter kick for accepting insurance. IT is instead a comprehensive offering of ever single resource/form you will need.

 

The Starter Pack is in no shape or form a replacement for my coaching program. 

 

And 'YES' when you join my coaching program you do receive access to this Starter Pack. 

 
BELOW IS AN OVERVIEW OF WHAT YOU WILL RECEIVE IN THE REIMBURSEMENT DIETITIAN STARTER PACK:
  • A customizable MNT superbill template (word) plus AWESOME bonus content ‘Everything you Ever Wanted to Know About MNT Superbills and More!’ (pdf)
  • A customizable HIPAA Privacy Practice Notice with Signature form (word), plus a HIPAA-compliant checklist for your practice 
  • MNT Referral forms – one specifically for diabetes and CKD (for Medicare), one pre-populated with the most common ICD 10 codes, and the other blank so the MD can enter in their own ICD-10 codes (word & pdf)
  • Business Associate Contract is a contract required between your organization and each of the individuals or entities identified in your Business Partner List who will use or disclose PHI on your behalf. This is also necessary if you hire Independent Contractors, Billers or anyone else who will have access to your PHI for your organization. 
  • Request to Access PHI Form Patients have the right to access a copy of their PHI maintained in a designated record set (medical records, billing records, and any other PHI that is used to make decisions about individuals) for as long as the organization maintains the information. The organization needs to have a formal process for requesting and releasing the information and this form allows the patient to submit a formal request for their PHI.
  • Four different customizable Nutrition Assessment forms – 2 adults forms, 1 pediatric form & 1 Diabetic form (word)
  • A ‘How to Prepare Yourself for Your Nutrition Visit’ packet complete with a customizable Patient Demographic Form & Liability Form (word)
  • A customizable Communication Guidelines form (word)
  • A Medical Records Request form (word)
  • Customizable receipts for payment for an Initial Nutrition Visit, a Follow-up Visit, Insurance Co-Pays & No call/show missed nutrition appointment (word)
  • A customizable Weight Tracking Log (word)
  • A sample script to provide to your patients for verifying their health insurance (word) plus a pdf with clickable boxes 
  • A sample script to provide your patients with exactly what to expect at their first nutrition visit (word)
  • Consent form - telehealth services (word)
  • Consent form - non-covered services (word)
  • Consent form - Consent to Receive Medical Nutrition Therapy (pdf)
  • A sample ABN Form for Medicare Providers 
  • A sample Credit Card Authorization Form
  • Access to my personal Practice Policies for The Plano Program Dietitians 
  • Fax Signature Language - using a fax cover sheet with the appropriate notices/disclaimers for all of the organization’s fax transmissions is a key component of the policies and procedures for Facsimile Machines. I provide you with the exact language to use on the bottom of your fax cover letters. 
  • Email Signature Language - using an email signature with the appropriate notices/disclaimers for all of the organization’s email transmissions is an important step. The email signature template takes into account best practices for email transmission. 

And if that content was not knock-your-socks-off awesome enough – I have decided to be extra generous and include even more resources to help you grow a killer nutrition private practice. These bonuses provide you with actual examples of products I use in my practice.

  • Bonus: A sample Rate Sheet for initial & follow-up visits (pdf)
  • Bonus: Sample rates for several Nutrition Packages (pdf & Word)
  • Bonus: Sample meal plans templates (pdf)