PUTTING DIABETES EDUCATION IN PRIMARY CARE将糖尿病教育的初级保健.pptVIP

99078* Physician educational services rendered to patients in group setting (prenatal, obesity, or diabetic instruction) Check with the insurer Determining DSMT Fees For most DSMT programs, the facilitys contracting/payer relations department negotiates all fees with commercial payers, including DSMT fees. The facility (hospital, clinic, or doctors office) annually determines pricing for their services or procedures by setting prices just higher than what their best commercial payer paid the previous year. The reason for this is that insurers will usually adjust each year for cost increases * Many resources are available some of which we have already used * AADE has worked hard to make resources available One of the main resources is found on the AADE web site Modules may be purchased separately. Module 1 is free to AADE members. ? Module 1: Reimbursement Overview ? Module 2: Diabetes Self-Management Training ? Module 3: Medical Nutrition Therapy ? Module 4: Guidelines for Pharmacy Programs Marketing Review above Ask the Expert Get your reimbursement questions answered. Available 24 x 7 to AADE members only, this is an invaluable tool for your DSMT/E programs. I have used this one recently, it is free and I received an answer in 24 hours, not the answer I wanted but the one I expected. * This is a brand new tool by AADE that will help you to overcome the obstacles to reimbursement for diabetes self-management education/training programs. Each booklet focuses on a specific practice model: ? Hospital Outpatient Programs ? Physician-Based Programs ? Independent or /Freestanding Programs ? Pharmacy-Based Programs Diabetes Services Order Form Most insurance providers and Medicare require a physician referral for diabetes services. The AADE and the American Dietetic Association have developed materials designed to provide information and assist physicians and other qualified non-physician practitioners in making referrals for diabetes service