Founder of NutriScape.NET. As a dietitian since 1992, Steph Figon has had experiences in consulting, 15 years in clinical, and has operated a private practice nutrition counseling office for since 2011.
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As registered dietitians, we know exactly what nutrition related labs our clients need and how to interpret nutritional implications for each client. But, to get tested at a lab in the US, a licensed practitioner is required to write a prescription for the individual getting tested. It’s frustrating to our clients that, as dietitians, we can’t get these ordered without putting them through a time-consuming, and unnecessary doctor visit.
Now, Your Clients can Access Nutrition Related Labs
The “supermenu” bar at the very top of the NutriScape.NET site shows a link to the “Labs” page. This direct access to lab results can save your clients time and money while putting you and your client in control with fast results.
You can easily search for the particular lab test(s) your client needs.
Your clients use a simple web login to find a nearby testing center for specimen collection, to place their orders, and to view their results.
A great solution for your cash-pay clients or those with high insurance deductibles. Clients may use their Health Savings Account or Flex Spending Account card to pay for labs. They may also request a coded receipt to submit to insurance. Reimbursement policies will vary by insurance.
Patients don’t need an appointment with their doctor to get the lab results that will help you help them. A remote physician places the lab order electronically for your client immediately. And, if needed, a virtual medical consult is available.
Thousands of lab tests are available at thousands of testing centers in 47 states (excluding NY, RI, and NH).
These presentations do a great job presenting insights into the basic metabolic pathways that nutrition impacts. Understanding the biochemistry of nutrition is something we should all strive to keep up with. Few other free resources present as much content relevant to nutritional biochemistry.
With that said, Dr. Kalish is a chiropractic physician. Also, much of the material is outside our scope of practice, with discussion of herbs and specialized lab ordering. Each dietitian will need to think critically about what is being presented. In other words, The NutriScape Project doesn’t endorse the content.
There are a whole series of similar videos here. Comment below and let us know what you think about the reliability of this content.
One of the most stressful transitions in dietetics is going from didactic classroom learning, where everything is laid out and straight-forward, to the clinical setting, where nutrition and social factors interact with body systems in the settings of various diseases. Learning to see the whole picture involves integrating a foreign language of medical terms, and the seemingly endless complexity of intricate diagnoses and lab terms.
A Resource to Help You Put It All Together
Chubbyemu is a YouTube channel featuring Bernard Hsu, a physician who lays out medical cases of real patients. These are generally more interesting than the kind of cases you will see in person, but watching the whole series is a very practical and painless way of developing the knowledge base to make a comfortable transition into clinical dietetics.
Here are Some Typical Videos
Be sure to subscribe to the Chubbyemu channel to access hundreds of other videos. These are a few samples of the type of videos you will find. Enjoy.
The Keto Diet
2 Gallons of Coffee
Fifty Beers Per Day
Leftover Potato Salad
A Liter of Soy Sauce as a Colon Cleanse
A 14 Year Old Boy Ate 25 Laxative Brownies as a Joke
One of the main questions dietitians need to answer when starting a private practice is whether or not to offer insurance billing as a service to clients. Here are some of the issues to consider.
Psychology of Self-Pay
Over 40% of Americans would not be able to pay a $400 emergency expense out of pocket. Clients generally default to “No” when it comes to spending money. Clients are not sure what the benefits of working with you will be or whether it will truly be worth the cost. In this scenario, the dietitian must be more of a salesperson to get the client to see the legitimate worth of the partnership.
Psychology of Insurance Paying for Preventive Services
When nutrition services are covered by insurance, the client has already paid the insurance company for the nutrition counseling benefit. They may tend to see skipping a dietitian’s services as a waste of their resources. So when insurance pays for services, the client tends to default to “Yes”
Learning Nutrition Services Insurance Billing Is Challenging
The steps to becoming credentialed and contracted with insurance companies and learning insurance billing and coding are daunting for the new-comer to private practice. Most RDNs have had to learn by trial and error and that’s just not right.
Dietitians who have been through the start-up process will tell you that getting competent at billing as quickly as possible will allow your practice to achieve a profit much sooner.
A Solution for the Billing Beginner
Steve DellaCroche, RD at Nutrition Practice Management has put together an independent study program that walks you through the basics of setting up your billing.