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Thread: Medicare covers screening and counseling for obesity

  1. #31


    AAPC: Back to School
    Medicare has now revised Intesive Behavioral Therapy (IBT) for Obesity, which now services can be furnished by auxiliary personnel. Our physicians are considering to have the dietitians to provide the service.
    So I would like to know if dietitans bill under their own number will claim deny because of speciality type according to Medlearn guidance only stated specialty types will be eligible to perform service. Therefore, we should probably bill under the physicians number and internal medicine speciality.

    Any suggestions??
    Thank you,

  2. #32


    I don't "see" registered dieticians as an acceptable specialty type for the IBT for Obesity.

  3. #33


    Our dieticians would be considered auxiliary personnel.

  4. #34


    MM7641 has a list of provider specialty types that will be reimbursed for G0447. Registered dieticians are not on the list. Nurse Practitioner, Certified Clinical Nurse Specialist and Physician Assistant are the auxillary providers that are eligible.

  5. #35


    I diagree NP, CCNS, PA are some of the providers speciality types claims will be paid, however, with the new revision auxillary personnel according to Medicare's Incident-to guidelines "Auxiliary personnel means any individuals who is acting under the supervision of a physician, regardless of whether the individual is an employee, leased employee, or independent contractor of the physician, or of the legal entity that employs or contracts with the physician.

    We have decided based on the incident-to rule were going to have the dieticitans provide the service under the supervision of the internist and bill under the internist number providing incident-to requirements are met.

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