Lecture Hall Nutrition | General

Diabetes Self Management - How to Increase Your Reimbursement Success

Available Credits
CME 0.75
CDR 1
ACPE 0.75

Mary Ann Hodorowicz
Mary Ann Hodorowicz, BS, MBA, RD, LDN, CDE
Registered, Licensed Dietitian
and Certified Diabetes Educator
System Requirements Method of Participation Disclosure Information

This presentation describes in detail the latest Medicare coverage guidelines for DSME, including: pre-DSME documentation requirements (physician referral and diagnostic lab criteria); beneficiary and provider eligibility; quality standards; utilization limits in the first and follow-up years; claim forms and recipients of; code use (CPT, ICD-9 and revenue codes); payment regulations and reimbursement rates; and use of the advance beneficiary notice. Guidelines for individual providers billing Medicare for DSME are also explained.

 Goal and Objective
After participating in this activity, the viewer should be better able to:
1. Describe the beneficiary eligibility criteria for Medicare DSME
2. Name 8 of the 19 Medicare reimbursement coverage guideline categories for DSME
3. Name the 2 CPT procedure codes for Medicare DSME
4. State the utilization limits in the first year and follow-up episodes of care for Medicare DSME.

Estimated time to complete this activity is 41 minutes.

Physicians, diabetes educators, and other health care professionals who treat patients with diabetes.
Accreditation and Designation of Credit
The Mount Sinai School of Medicine is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

The Mount Sinai School of Medicine designates this educational activity for a maximum of 0.75 AMA PRA Category 1 Credit(s)™. Physicians should only claim credit commensurate with the extent of their participation in the activity.

Release Date: 03/12/2008 Expiration Date: 12/31/2010
Peer Review: on 03/12/2008


PRESENT e-Learning Systems is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). Registered Dietitians (RDs) and Registered Dietetic Technicians (DTRs) will receive 1 continuing professional education units (CPEUs) for completion of this program/material.

Release Date: 03/06/2008 Expiration Date: 02/20/2011
Peer Review: on 03/06/2008


Nova Southeastern University College of Pharmacy is accredited by the Accreditation Council for Pharmacy Education as a provider of continuing pharmacy education. This program has been approved for 0.75 contact hours of General Pharmacy Continuing Education.

Release Date: 01/25/2010 Expiration Date: 10/01/2011
Peer Review: on 10/01/2009


System Requirements
Diabetes Self Management - How to Increase Your Reimbursement Success
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A Pentium-III class computer with a minimum of 256MB of system RAM is required to view Online Internet lectures. While a 56Kbps dial-up connection is supported, a Cable or DSL broadband Internet is strongly recommended for optimal video playback. You will need an up-to-date web browser such as Internet Explorer, Mozilla Firefox, or the AOL browser with Java and JavaScript enabled. Some lectures require the use of Internet Explorer to run and will not run with other browsers. Lectures may require the use of helper applications or plug-ins to access the materials. For example, most online lectures/presentations require either Adobe Flash Player or Windows Media Player (both free). To be able to print completion certificates Adobe Acrobat Reader must be installed.
Method of Participation
Diabetes Self Management - How to Increase Your Reimbursement Success
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Complete the 4 steps to earn CE/CME credit:
  • Complete and submit the required pre-test
  • View Lecture
  • Complete and submit post-test and program evaluation. Credit will be issued with a passing score of 70% or better.
  • Click Print Certificate.
Disclosure Information
Diabetes Self Management - How to Increase Your Reimbursement Success
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It is the policy of PRESENT e-Learning Systems to insure balance, independence, objectivity and scientific rigor in all its individually sponsored or jointly sponsored educational programs. All faculty participating in any PRESENT e-Learning Systems sponsored programs are expected to disclose to the program audience any real or apparent conflict(s) of interest that may have a direct bearing on the subject matter of the continuing education program. This pertains to relationships with pharmaceutical companies, biomedical device manufacturers, or other corporations whose products or services are related to the subject matter of the presentation topic. The intent of this policy is not to prevent a speaker with a potential conflict of interest from making a presentation. It is merely intended that any potential conflict should be identified openly so that the listeners may form their own judgments about the presentation with the full disclosure of the facts.
Mary Ann Hodorowicz, BS, MBA, RD, LDN, CDE has nothing to disclose