If another RD referred you to my program, you MUST enter their affiliate code at checkout when you make a purchase. Failure to do so at checkout will forfeit the discount. I can't retroactively apply any discounts once you have purchased.
In addition to the training, you get six months of access to:
A private Facebook page where we celebrate wins, ask questions & dive deep into the reimbursement process
Plus ... you receive access to LIVE office hours.
In addition, you receive all the resources & forms to get started in your insurance-based practice.
Florida & Michigan RDS: Unfortunately, it has come to my attention that getting credentialed in these states is virtually impossible. Therefore, at this time, I will not be accepting any RDs from these states into my reimbursement group coaching programs.
MODULE 1: PRE-CREDENTIALING
- Identify the importance of an NPI Type 1 & NPI Type 2
- Determine how to obtain an NPI Type 1 & NPI Type 2
- Identify the importance of Malpractice Insurance & purchase the one that best suits the needs of your practice
- Successfully complete the CAQH application
MODULE 2: CREDENTIALING
- Determine which insurance companies to apply to become credentialed with based on your state
- Understand the importance of building your insurance provider number ‘database’
- Apply for credentialing
- Evaluate an insurance contract & fee schedule
MODULE 3: CPT CODES, ICD CODES & PREVENTATIVE CODING
- Determine which CPT codes dietitians can bill insurance with to maximize their reimbursement rates
- Identify the ICD 10 Codes dietitians can use to maximize both their patient’s MNT benefits and their reimbursement rates
- Define the necessary modifiers to be used on claims to ensure they get paid promptly
- Define the application of the Affordable Care Act (ACA) for dietitians
- Interpret preventative coding in the setting of the ACA
MODULE 4: VERIFYING PATIENT MNT BENEFITS
- Define the importance of verification of a patient’s MNT benefits
- Identify the information needed to verify a patient’s MNT benefits
- Summarize how to document a patient’s MNT benefits
- Identify the information needed to collect from the patient at the initial visit to successfully bill insurance
- Determine which insurance companies typically require a referral for MNT
MODULE 5: INSURANCE BILLING BASICS
- Identify what you can bill insurance for
- Identify what you can bill the patient for
- Summarize the typical fees collected at an insurance-based patient visit
MODULE 6: THE CMS 1500 FORM
- Identify the important areas on a CMS 1500 form
- Successfully electronically fill out a CMS 1500 form
MODULE 7: SUBMITTING INSURANCE CLAIMS
- Identify the 3 different places for where you can submit insurance claims
- Identify the major EMRs designed for RDs
- Successfully set up an account in Office Ally
- Submit claims using Office Ally
- Understand how to successfully determine the next steps for insurance claim rejections
MODULE 8: HOW TO SET UP, BILL & CORRECT REJECTIONS IN SIMPLE PRACTICE
- Determine how to set up the back-end of Simple Practice
- Identify the 3 main reasons why Simple Practice is a good choice for insurance-based practices
- Understand how to correct rejected claims in Simple Practice
MODULE 9: HOW TO READ AN EXPLANATION OF PAYMENT (EOP)
- Define the importance of an EOP
- Identify the critical components of an EOP
- Determine where/how to locate an EOP
- Recognize what to do with an EOP once you have read it
- Determine how to set up electronic payments with each of the major insurance companies
MODULE 10: HOW TO MAXIMIZE YOUR PATIENT’S INSURANCE BENEFITS – GROUP COUNSELING, CORPORATE WELLNESS & REFERRAL NETWORKS
- Explain how to utilize group counseling in your practice to maximize your reimbursement rates using a health-insurance based model
- Identify how to develop key alliances with local business to administer corporate wellness programs using a health-insurance based model
- Build strong alliances with local doctors who treat your target patient population
MODULE 11: Medicare Basics
- Identify who qualifies for Medicare
- Identify what RDs can bill Medicare for
- Summarize the 3 different Medicare enrollment applications
- Recognize the 6 unique billing factors of Medicare
MODULE 12: DOCUMENTATION OF AN INSURANCE CLAIM
- Identify the key criteria required for insurance-based documentation
- Identify the critical mistakes not to make when documenting in your insurance-based practice
In my program, you will receive resources on telehealth, basic info on licensure, basic info on taxes & what is expected from a documentation standpoint.
- I understand this is a SELF-PACED program, it's my responsibility to watch the trainings, complete the work & implement the steps in the reimbursement process.
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This course is provided for informational and educational purposes only. It is not intended as legal, billing, coding, or insurance advice. While every effort has been made to ensure the accuracy of the information, Amy Krystock LLC makes no guarantees or warranties, express or implied, about the completeness, reliability, or applicability of this content to your individual practice.
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Use of this resource does not establish a provider-client relationship or guarantee reimbursement from any insurance company.
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By downloading or using this resource, you agree not to hold Amy Krystock LLC liable for any claim, loss, or damages resulting from its use.
- I understand if within the first 30-days the program doesn't deliver on its promises or I feel like the program was different than described I can email Amy, state these deficits and ask for a refund for what I have paid.
- I understand the money back guarantee is only valid if I feel like like program itself was not consistent with what was portrayed. This money back guarantee is NOT valid if the participant falls upon financial hardship or for any other internal personal reason(s).
- I am not a dietitian who intends to bill insurance and resides in either Florida or Michigan.
- If I understand if I choose to credential in a state in which I don't reside in I am personally responsible for navigating the potential tax and legal implications of doing so. Amy will provide coaching advice as if I reside in that state. She will not provide any legal or tax advice regarding doing business in a different state.
- I acknowledge Amy will guide me through the reimbursement process BUT I am fully responsible for executing the tasks requested of me.
- I understand that all states function differently when it comes to reimbursement & that I may need to seek additional support from my Reimbursement Rep with state-specific questions.
- I understand any questions I have regarding reimbursement will be addressed in the Facebook community or during office hours and NOT directed at Amy's private email.
- I understand while the program is 6 months in length once my six months has ended I don't have access to the course materials
- I understand I have access to the FB page for 6 months from the time I enroll in the program.
- I understand I have access to the LIVE calls for 6 months from the time I enroll in the program.
- I understand once my six months have been completed, options will be available to me for continued access and support to the program at a discounted rate but if I choose not renew I acknowledge I lose access upon my 6-month completion of the program.
- I understand that once I sign up for this program, NO REFUNDS (INCLUDING IF I USED THE WRONG CREDIT CARD) will be issued.