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DISCONTINUED_DSMT Reimbursement: Essentials, 3rd Edition

DISCONTINUED_DSMT Reimbursement: Essentials, 3rd Edition

Quick Overview
This online, self-paced, 5-module course addresses the basics of reimbursement for diabetes self-management training/education programs. Starting with an overview of the payer mix in the U.S. health ...
Edition: 3rd
Year published: 2018
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`````````Title of the Program: Diabetes Self-Management Training: Reimbursement Essentials, 3rd Edition
Date, Time and Location of the program: July 22, 2018-July 22, 2021; Online Course

Program Overview:
DSMES programs frequently have their reimbursement claims denied by CMS / private
payers, resulting in additional staff time correcting and resubmitting claims and in lost revenue. In addition,
program staff are often unaware of the other reimbursable services, aside from DSMES, and/or they do not know the rules for securing reimbursement. 
Learning Outcome: Upon completion of the course, learners will be able to identify the range of reimbursable services that can be provided by a DSMES program and properly code and bill for those services.
Learning Objectives:
  • Identify the reimbursement stakeholders.
  • Describe the healthcare payer mix.
  • Explain the Medicare Program & its components.
  • Explain the distinctions between CPT® codes, HCPCS codes, secondary codes, and ICD-10 Codes.
  • Describe the DSMT services under Medicare.
  • Describe the MNT services under Medicare.
  • Explain the impact of education on prediabetes.
  • Identify additional reimbursable services for DSMEs programs.
  • Describe the DME competitive bidding categories.
  • Describe the DME competitive bidding process.
Activity Type: Knowledge-based
Intended Audience: The AADE Online Courses are knowledge-based activities designed for individual or groups
of diabetes educators, including RNs, RDs, Pharmacists, Nurse Practitioners, Clinical Nurse Specialists, Physician Assistants, MDs, and other health care providers interested in staying up to date on current practices of care for
their patients with diabetes and other related conditions.
Patty Telgener, MBA, RN
VP of Reimbursement
Emerson Consultants
Excelsior, MN
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 2.5 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). 

Registered Dietitians

The American Association of Diabetes Educators, (AM001) is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). CDR Credentialed Practitioners will receive 2.5 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.

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 2.5 contact hours (.25 CEU’s) of continuing education credit.

ACPE Universal Activity Number: 0069-0000-18-191-H01-P

Effective Dates: 7/22/2018 – 7/22/2021

Certified Diabetes Educators: To satisfy the requirements for renewal of certification for the National Certification Board of Diabetes Educators (NCBDE), continuing education activities must be diabetes related and approved
by a provider on the NCBDE list of Approved Providers ( NCBDE does not approve continuing education. The American Association of Diabetes Educators (AADE) is on the NCBDE list of Approved Providers.
Board Certified Advanced Diabetes Management (BC-ADM): AADE is the administering body for
the Advanced Diabetes Management credentials. Continuing education programs offered by AADE can be used toward fulfilling BC-ADM Certification and recertification requirements.
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 activity content (e.g. authors, presenters, and
program planners) with products or services from a commercial interest with which s/he has 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 the presentation.
Relevant disclosures (or lack thereof) among education activity planners and faculty are as follows:
Speaker disclosures:
Patty Telgener, MBA, RN-Consultant,
Senseonic, Dexcom, Medtronics
Patty Telgener, MBA, RN-Consultant, Senseonic, Dexcom, Medtronics
Jodi Lavin-Tompkins, MSN, RN, CDE, BC-ADM, AADE, Chicago, IL – has no relevant financial disclosures to report
Disclosure of Relevant Financial Relationships and Mechanism to Identify and Resolved Conflicts of Interest: The Nurse Planner conducted a review educational activity to evaluate for potential bias, balance in presentation, evidence-based content or other indicators of integrity, and absence of bias, AND reviewing participant
feedback to evaluate for commercial bias in the activity.
Successful Completion: To receive a Statement of Credit you must attend the entire session. Your Statement of
Credit will be issued electronically immediately upon submission of the evaluation form. 

Course Modules:

Module 1: Reimbursement Overview
Module 2: Reimbursement for DSMT
Module 3: Reimbursement for MNT  
Module 4: Prediabetes
Module 5: Additional Reimbursable Services 
AADE Members: $119.00
Non-members: $169.00
Volume discounts are available and will be automatically applied at check-out when the desired quantity is selected.

• For groups of 3-9, a 10% discount is available.
• For groups of 10-14, a 15% discount is available.
• For groups of 15+, a 20% discount is available.

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