SOLVED| GRADED A+
What is/are the roles of an RD? Clinical manager: directs activities of clinical RD's, diet techs
& diet assistants
RD: provides nutrition care for pts
DTR: dietetic technician; assists the clinical RD
Dietetic Assistant/diet clerk: assists clinical RD &/or diet tech in some routine aspects of
nutritional care
What is the screening & referral system? NOT part of NCP; identifies those
individuals/groups who would benefit from nutritional care provided by practitioners
What is the outcomes Management System? Used to evaluate the effectiveness & efficiency
of the entire NCP when nutrition care is provided to a number of patients
What are some dietary intake methods? Food frequency questionnaire, 24-hour recall, diet
record
What is the difference b/w nutrition assessment & nutrition screening? Assessment: a
systematic method for obtaining, verifying & interpreting data needed to identify nutrition-
related probs, their causes & significance
,Screening: process of identifying pts, cts, or groups who may have a nutrition diagnosis &
benefit from nutrition assessment & intervention by a registered dietitian
Conversions
lbs to kg
inches to cm
Inches to meters lbs to kg: lbs / 2.2 = kg
inches to cm: inches x 2.54cm = cm
Inches to meters: inches / 39.37
% IBW calculation % IBW = Current weight / IBW x 100
Limitations of interpretation of malnutrition
1. diagnostic criteria lacks full v___
2. Poor s____, s___ & inter-observer r___
3. Multiple d____ resulting in widespread confusion
4. L__ modern appreciation for role of i__ response
5. Clinically relevant malnutrition is often present b____ it can be detected by routine labs or
physical findings 1. validity
2. specificity, sensitivity, reliability
3. definitions
4. lack, inflammatory
,5. before
Coding & Billing & reimbursement
1. Coding: The process of transforming d____ of medical d____ & procedures into universal
medical code n__
2. Billing: a p___ practice in which a health care provider submits & follows up on claims with
health i ___companies in order to receive payment for services rendered
3. Reimbursement: a method of p___, usually by a third party payer for medical treatment or
hospital costs descriptions, diagnoses, numbers
payment, insurance
payment
Flow of how hospitals get reimbursed by medicare
1. Medicare will pay dietitians who enroll to obtain p____ status in medicare program
regardless of if they provide MNT services in an i____ practice setting, hospital o___ setting or
any other setting, EXCEPT for services provided to patients in an i____ stay in a hospital
provider, independent, outpatient, inpatient
RD Services that can be reimbursed under Medicare in outpatient setting
1. D___, p____ & post-transplant r___ disease diabetes, pre-dialysis, renal
Medicare Part A Covers
1. I__ hospital stays
, 2. Care in a skilled n___ facility
3. H__ health care
4. H___ care inpatient
nursing
home
hospice
Medicare Part B Covers
1. Medically n___ services: services needed to d___ or t___ a condition
2. P___ services: health care to prevent i__ (ex. flu) or to d___ it at an early stage, when
treatment is most likely to work best necessary, diagnose, treat
preventative, illness, diagnose
Roles of RD, MD & Coder
1. RD has to properly a___ patient & that they are m____ & convince MD to make a d____
2. MD is responsible to perform a medical d____
3. Coder is responsible for deciphering the description of the medical d____ into a universal
medical c__ n___ assess, malnourished, diagnosis
diagnosis
diagnosis, code number