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.
- Describe the basics of reimbursement within the U.S. healthcare system
- Describe the requirements for reimbursement for DSMT services
- Describe the requirements for reimbursement for MNT services
- 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
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
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.
Patty C. Telgener, RN, MBA
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:
Patty Telgener, RN, MBA
- Consultant: AADE, Dexcom, Medtronic
- 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.
Learners will have 6 months from the date of registration to complete the entire course.