$99.00

Terms and Conditions 

By completing this purchase you agree to the following terms & conditions regarding the digital product The Reimbursement Dietitian's Starter Pack: 

  •  NO REFUNDS will be issued.  
  • This product CANNOT be exchanged for credit or other digital products. 
  • Doesn't include any coaches services furnished by 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. 

 
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)
  • MNT Referral forms – one specifically for diabetes & the other blank so the MD can enter in their own ICD-10 codes (word)
  • 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)
  • A sample script to provide to your patients with exactly what to expect at their first nutrition visit (word)
  • Consent form - telehealth services (word)
  • Consent form - non-covered services (word)

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)