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Nutrition in Clinical Practice
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Nutrition Support Billing Practices: Results of a Nationwide Survey and Responses From the Health Care Financing Administration

Louis Flancbaum, MD, FACS

Department of Surgery, The Ohio State Uniuersity, Columbus

Jean C. Burge, PHD, RD

Department of Surgery, The Ohio State Uniuersity, Columbus

Patricia S. Choban, MD, FACS

Department of Surgery, The Ohio State Uniuersity, Columbus

In response to numerous changes in reimbursement for physician services, a survey was conducted of physician directors of nutrition support services to obtain information about current physician billing practices and reimbursement for nutrition support. Demographic data were obtained concerning the type of practice and institution, percent of time and income derived from nutrition support, and the source of individual billing practices. Responses to six clinical scenarios provided information about billing practices. The responses were collated, analyzed, and then compared with those of a senior official at the Health Care Financing Administration (HCFA). This report summarizes the results of the survey and the responses from HCFA. It is hoped that this information will be useful to nutrition support practitioners and administrators in understanding various aspects of billing for physician services for nutrition support.

Nutrition in Clinical Practice, Vol. 11, No. 3, 121-125 (1996)
DOI: 10.1177/0115426596011003121
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