Abstract
Attaining reimbursement for diabetes self-management training can be daunting. To some it may be enough to frighten them off. But for the strong of heart you should consider the options that are available to you. Billing for services directly to the patient as a fee for service is one option. Others undertake meeting the requirements as mandated by the Centers for Medicare and Medicaid Services. Presently, there are only a total of 2921 education sites in the United States recognized by the American Diabetes Association’s Education Recognition Program. Understanding the requirements is critical to developing programs for the unmet needs of the 19.2 million patients with diabetes.
Similar content being viewed by others
References and Recommended Reading
International Diabetes Federation: Did You Know? Available at http://www.idf.org/home/index.cfm?unode=3B96906B-C026-2FD3-87B73F80BC22682A. Accessed July 13, 2007.
International Diabetes Federation: Diabetes Prevalence. Available at http://www.idf.org/home/index.cfm?node=264. Accessed July 13, 2007.
CDC MMWR Weekly: National Diabetes Awareness Month–November 2006. Available at http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5543a1.htm. Accessed July 13, 2007.
1999–2001 National Health Interview Survey and 1999–2000 National Health and Nutrition Examination Survey estimates projected to year 2002. 2002 outpatient database of the Indian Health Service. Available at http://www.cdc.gov/diabetes/pubs/estimates.htm. Accessed August 9, 2007.
American Diabetes Association: Third-party reimbursement for diabetes care, self-management education, and supplies. Diabetes Care 2007, 30:S86–S87.
CDC: Publications and Products National Diabetes Fact Sheet—Cost of diabetes in the United States. Available at http://www.cdc.gov/diabetes/pubs/estimates.htm#costs. July 13, 2007.
Standards of Medical Care. Diabetes Care 2007, 30:S4–S41, 22.
U.S. Department of Health and Human Services: Healthy People 2010, edn 2. Washington, DC: U.S. Government Printing Office; 2000.
Siminerio LM, Piatt GA, Emerson S, et al.: Deploying the chronic care model to implement and sustain diabetes self-management programs training. Diabetes Educ 2006, 32:253–260.
American Association of Diabetes Educators: Who We Are. Available at http://www.aadenet.org/. Accessed July 13, 2007.
National Certification Board of Diabetes Educators. Available at http://www.ncbde.org/eligibility.cfm. Accessed July 13, 2007.
Powell MP, Glover SH, Probst JC, et al.: Barriers associated with the delivery of Medicare-reimbursed diabetes self-management education. Diabetes Educ 2005, 31:890–899.
Siminerio LM, Piatt GA, Emerson S, et al.: Deploying the chronic care model to implement and sustain diabetes self-management programs training. Diabetes Educ 2006, 32:253–260.
Funnell MM, Brown TL, Childs BP, et al.: National standards for diabetes self-management education. Diabetes Care 2007, 30:1630–1637.
Author information
Authors and Affiliations
Corresponding author
Rights and permissions
About this article
Cite this article
Czarnowski-Hill, J.V. Diabetes self-management education and third-party reimbursement: What are the options?. Curr Diab Rep 7, 381–385 (2007). https://doi.org/10.1007/s11892-007-0062-y
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11892-007-0062-y