DSMT Reimbursement: Essentials

The Diabetes Reimbursement: Essentials course is a self-paced, 4-module online course that addresses the basics of reimbursement for diabetes self-management training / education programs.

Starting with an overview of the payer mix in the U.S. healthcare system, the course addresses DSMT and MNT benefits and the key distinctions between the two, clarifies the Centers for Medicare and Medicaid Services (CMS) rules and regulations, and reviews the key CPT and E/M codes and how to use them to maximize reimbursement for services provided by your DSMT program. The course concludes with a review of additional services that can expand your program mix while providing additional revenue streams. Content is presented in a practical and professional manner in order to maximize learning and problem soliving.

All participants will be required to pass the Final Exam with a score of 70% or better in order to receive the 3 hours of CE.

Course Objectives:
  1. Describe the basics of reimbursement within the U.S. healthcare system
  2. Describe the requirements for reimbursement for DSMT services
  3. Describe the requirements for reimbursement for MNT services
  4. Identify additional, services that can be included in the diabetes education programs and explain how to be reimbursed for these services

Module 1: Reimbursement Overview

  • Identify stakeholders in U.S. Healthcare System
  • Identify primary and secondary payers in US Healthcare system
  • Describe medical documentation relevant to reimbursement

Module 2: Reimbursement for Diabetes Self-Management Training (DSMT)

  • Differentiate between the practice models for provision of DSMT
  • Explain requirements for Medicare-approved providers
  • Identify and correctly use reimbursement codes for DSMT services
  • Explain requirements for off-site DSMT programs

Module 3: Reimbursement for Medical Nutrition Therapy (MNT)

  • Define the MNT benefit
  • Identify who can bill for MNT services
  • Identify and correctly use reimbursement codes for MNT services
  • Explain distinctions between DSMT and MNT services and reimbursement

Module 4: Telehealth, Preventive Services, and Kidney Disease Education (KDE)

  • Define telehealth/telemedicine
  • Explain billing for telehealth services
  • Define kidney disease education (KDE) benefit
  • Identify and correctly use codes for KDE reimbursement
  • Explain Medicare Diabetes Screening Services
  • Explain Continuous Glucose Monitoring (CGM) Services
  • Identify and correctly use CGM codes for reimbursement of CGM services
  • Explain Shared Medical Appointments (SMAs)
  • Describe impact of U.S. healthcare reform on provision of services to people with diabetes


Discounted Member price: $140.00
Nonmember price: $190.00

Register For Insulin Pump Therapy Course

Bulk discounts are now offered for groups. Please note discount prices vary depending on a registrant’s status as a AADE member or non-member.

  • For groups of 3-5, a 10% discount is available. The discount pricing makes the course $126.00 for AADE members, and $171.00 for non-members.
  • For groups of 6-10, a 15% discount is available. The discount pricing makes the course $119.00 for AADE members, and $161.50 for non-members.

To register a bulk discount or to get pricing for groups of 11 or larger, please contact AADE’s Member Services team at 800-338-3633 x 100 or membership@aadenet.org.

Please note: Course registrations are nontransferable, and registration information must be processed in the name of the individual taking the course. AADE Members cannot register a colleague to receive the Member discount.

Faculty

Patty C. Telgener, RN, MBA

Accreditation Statements

ANCC logo

Registered Nurses

The American Association of Diabetes Educators is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

This educational program will provide 3 contact hours of continuing education credit.

AADE is accredited as a provider of continuing nursing education by the California Board of Registered Nursing (CEP # 10977).

CDR logo

Registered Dietitians

The American Association of Diabetes Educators, (AM001) is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). Registered dietitians (RDs) and dietetic technicians, registered (DTRs) will receive 3 continuing professional education units (CPEUs) for completion of this program. Continuing Professional Education Provider Accreditation does not constitute endorsement by CDR of a provider, program, or materials.

ACPE logo

Registered Pharmacists

The American Association of Diabetes Educators is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This program provides 3 contact hours (0.3 CEUs) of continuing education credit.

ACPE Universal Program Number: 0069-0000-13-466-H01-P
Effective Dates: 06/20/2013 to 06/20/2016



Faculty Disclosures

It is the policy of the American Association of Diabetes Educators to require that anyone who has an opportunity to affect continuing education activities content (e.g. authors, presenters and program planners) with products or services from a commercial interest with which s/he has financial relationships, discloses those financial relationship/s with commercial entities to participants. Disclosure of a relationship is not intended to suggest or condone bias in any presentation, but is made to provide participants with information that might be of potential importance to their evaluation of a presentation.

Relevant disclosures (or lack thereof) among educational activity planners and faculty are as follows:

Speaker:

  • Patty Telgener, RN, MBA
    • Consultant: AADE, Dexcom, Medtronic

Planners:

  • Margaret Maloney, AADE, Chicago, IL, has no relevant financial disclosures to report
  • Jill S. Walsh, AADE, Chicago, IL, has no relevant financial disclosures to report

The approval of this educational offering by the AADE does not imply endorsement of specific therapies, treatments, or products discussed in the presentations.

CE Credit Information

To receive a Statement of Credit, you must review the full content of the program, complete the course evaluation and pass the Final Exam with a score of 70% or better. Statements of Credit will be issued electronically following completion of the course and exam. Upon successful completion of the entire course and the post-test, learners will receive 3 hours of continuing education credit and a Statement of Credit.

Course Availability

Learners will have 6 months from the date of registration to complete the entire course.