A vision of the future for physician practice in nutrition
- PMID: 21149840
- DOI: 10.1177/0148607110378306
A vision of the future for physician practice in nutrition
Abstract
One obstacle that may discourage physician trainees from pursuing a career in clinical nutrition is the perception that such physician practice does not generate sufficient income. A review of the history of Medicare and the current payment system for healthcare services by the U.S. government is essential to understand which members and what services provided by a nutrition support team (NST) will be reimbursed. Patients who require nutrition therapy tend to have multiple comorbidities, which should allow for a higher level of billing under evaluation and management codes. Despite the fact that an intact NST improves outcome and helps ensure patient safety, such teams may not be able to function independently and remain financially sustainable. Hospital administration should be mandated to support an institutional nutrition service. Strategies to define malnutrition and identify measures of quality nutrition care should help demonstrate the value and promote the importance of a functioning NST.
Similar articles
-
Optimizing integration of nutrition into patient care through physician leadership.JPEN J Parenter Enteral Nutr. 2010 Nov-Dec;34(6 Suppl):30S-9S. doi: 10.1177/0148607110373931. JPEN J Parenter Enteral Nutr. 2010. PMID: 21149833
-
Physician refer thyself: is Stark II, phase III the final voyage?Pain Physician. 2007 Nov;10(6):725-41. Pain Physician. 2007. PMID: 17987094 Review.
-
Physician payment 2008 for interventionalists: current state of health care policy.Pain Physician. 2007 Sep;10(5):607-26. Pain Physician. 2007. PMID: 17876359 Review.
-
An European survey of structure and organisation of nutrition support teams in Germany, Austria and Switzerland.Clin Nutr. 2005 Dec;24(6):1005-13. doi: 10.1016/j.clnu.2005.07.005. Epub 2005 Sep 6. Clin Nutr. 2005. PMID: 16143430
-
The adequacy of physician reimbursement for pediatric care under Medicaid.Pediatrics. 1991 Jun;87(6):909-20. Pediatrics. 1991. PMID: 2034498
Publication types
MeSH terms
LinkOut - more resources
Full Text Sources