Implementing Successful Lifestyle Medicine Reimbursement
Lifestyle Medicine is the transformative, sustainable care model that delivers on the four overarching HP2020 goals, but it will never become a reality unless financially viable. This workshop will guide the participant to assess, plan, and execute their own reimbursement strategy; build a sustainable reimbursement plan; and identify next steps for making Lifestyle Medicine a profitable career.
Following a brief Intro to the workshop, Meagan Grega, MD, FACLM will review key points of the Reimbursement Roadmap, including how to use the tool to customize your own LM reimbursement proforma.
A presentation by John Gobble, DrPH, RDN, FACLM will discuss strategies for reimbursement for Medical Nutrition Therapy and ways to bill for Intensive Therapeutic Lifestyle Change services including experiences/insights billing for CHIP.
A presentation by Ted Barnett, MD, FACLM will discuss his experience/strategies for billing group visits as part of his 15 day Jumpstart program and CHIP, and review billing for one-on-one provider visits with patients as a specialist (instead of as a primary care physician), including his recent jump into Telehealth for these services.
A presentation by Padmaja Patel, MD will discuss her experience/strategies for billing for various appointment types and services in the Midland Health Lifestyle Medicine clinic, which is associated with a hospital system.
A presentation by David Donohue, MD, FACP will discuss his experience/strategies for billing for various appointment types and services in his independent primary care Internal Medicine practice, Progressive Health of Delaware, and updates from the ACLM Lifestyle Medicine Provider Network.
Interactive Workgroups: Participants will break up into chat rooms moderated by one of our faculty/presenters; prepare a concept outline for ideas about the type of LM services they may see themselves incorporating into their practices and potential strategies to bill for them based on the information they learned from the presenters.
Panel Discussion: Our panel of experts will discuss the novel ideas generated from the interactive workgroups and questions from participants. The panel will include Ted Barnett, MD, FACLM, David Donohue, MD, FACP, John Gobble, DrPH, RDN, FACLM, Padmaja Patel, MD and moderated by Meagan Grega, MD, FACLM.
- Identify the basic requirements for health plan reimbursements.
- Describe at least 3 reimbursement models
- Discuss appropriate billing and diagnosis code requirements for successful claims
- Build a reimbursement proforma appropriate for a profitable LM practice plan
- Describe the reimbursement experiences of at least 2 successful LM providers
Price $90 members | $120 non-members