Expectations &
Frequently Asked Questions
WHAT TO EXPECT & HOW TO PREPARE FOR YOUR FIRST VISIT
We require that ALL INTAKE PAPERWORK BE COMPLEted prior to your scheduled visit with us.
A link to complete all necessary intake forms will be securely sent to you through email following scheduling your initial visit on our electronic medical record platform to ensure security and privacy. Depending on when you schedule your appointment, you will only have a limited time to complete these forms prior to our initial visit to ensure a smooth, seamless ability to provide medical care.
If you do not receive an email with the intake forms within 24 hours of scheduling your appointment with us, please email us here to notify us so we may send those forms to you promptly.
What to Bring To Your First Visit
Yourself!
A photo ID
Any recent or pertinent lab work
Any food or blood sugar logs you would like to share
What To Expect During Your First Visit
Plan for you first visit to be at around 60 minutes long in which much of the time will be discussing and exploring you, your health, and what you would like to accomplish together. We will review:
Past Medical History
Family History
Current Diagnoses
Recent Lab Work
Medications and Supplements
Anthropometrics (eg. Height, Weight, BMI, etc.)
Short-Term and Long-Term Goals
Potential Barriers to Achieving Your Goals
Specific Nutrition Recommendations
Items to Monitor and Review At Later Visits
Nutrition therapy, just like any therapy, is a collaborative effort and we will work together with you to set the stage for success. Your nutrition care plan will be based on your goals, preferences, medical history, lifestyle, and food preferences. We will determine an appropriate timeline for you so you can see the results you dream of on a timeline that is realistic, sustainable, and enjoyable.
Follow-up appointments are strongly encouraged for ongoing support, education, and goal adjustments to support progression, accountability, and optimization. We strongly recommend scheduling a follow-up session during or after your initial session to ensure ongoing progression is achieved.
Your first visit is the most important step in your health and wellness journey! From finding the courage, motivation, and commitment to signing up to setting yourself on the right path to sustainable, enjoyable, and meaningful change, it is a milestone in and of itself!
Our goal is to make sure you feel as comfortable, confident, and prepared for your journey ahead that we will forge together. We have laid out some information that will help you understand the process of working with a nutrition and exercise professional and what to expect after scheduling your first visit.
How To Check For Insurance Coverage For Medical Nutrition Therapy
It is important to understand your insurance coverage, including your co-pays, co-insurance, and deductibles. It is your responsibility to check if our services are covered by your insurance plan prior to your first visit. Failure to properly check prior to our sessions may lead to unexpected out-of-pocket expenses and denial of reimbursement.
To verify your insurance benefits for nutrition counseling, call the number on the back of your insurance card and ask them the following questions:
What are my out-of-network nutrition benefits?
Do I have benefits for nutritional counseling using CPT codes 97802 and 97803 with diagnosis code Z71.3?
Do I have coverage with an overweight, obesity, or heart disease diagnosis (same CPT codes)? If so, which diagnoses?
Do I have a deductible to meet before insurance covers my sessions? If so, how much have I met so far?
Will I have a Co-Pay or Co-Insurance for out-of-network specialist visits?
Is a doctor’s referral required for insurance coverage?
Is there a limit on the number of nutrition counseling visits I receive coverage for per year?
Are video-audio telehealth visits included in coverage?
Can I get a reference number for this call today for future reference?
*Be aware, information given by your insurance company is NOT a guarantee of coverage. Reviewing your coverages with your insurance company and retaining that reference number will be your best line of defense should they decide to deny your claim.
Good Faith Estimates
Under the law, health care providers need to give clients who don’t have insurance or who are not using insurance an estimate of the expected charges for medical services, including nutrition services. You have the right to ask for and receive a Good Faith Estimate for the total expected cost of any non-emergency healthcare services, including nutrition services. You can ask the health care provider for a Good Faith Estimate before you schedule a service, or at any time during treatment. If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill. Make sure to save a copy or picture of your Good Faith Estimate. For questions or more information about your right to a Good Faith Estimate, how to dispute a bill, or see your estimate, visit www.cms.gov/nosurprises or call (800) 368-1019.
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At this time, we are not contracted with any private insurance companies and, therefore, we cannot directly bill your insurance company for our completed services. Therefore, we provide insurance receipts, also known as Superbills, that you can provide to your insurance provider to seek reimbursement for specialist out-of-network services. Most clients are successful in receiving reimbursement from their insurance company upon timely submission.
While insurance is a wonderful luxury and a major convenience in receiving medical services, on the flip side of the coin is the constantly shifting demands from insurance providers to receive reimbursement approval, increasing denial of services for reasons only to fight over for months on end, and declining reimbursement rates for Dietitian professionals for MNT services across the state and country. We value and respect you, your time, and your financial situation; however, we also need to ensure our employees are paid fairly for their high-quality expertise and services. We aim to provide the highest level of care and support for all of our clients, and having a consistent and reliable financial funding source is the foundation in allowing us to do that day after day.
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You will owe the full amount of the listed price for the service upon scheduling your appointment or package. Late cancellation and no-show fees may apply should these events occur. Monthly payment plans are available for package deals only.
Most insurance companies offer benefits for diet and nutrition counseling (also known as Medical Nutrition Therapy or MNT for short) as part of your regular plan and often is subject to coinsurance, a deductible, and/or specialist copay. It is often times listed as a preventative benefit where visits are covered in full at no cost to the patient. Please note, some insurances only over a certain amount of visits per year, ranging from 3 up to unlimited visits per year.
It is your responsibility as a client to check with your insurance company before your appointment to verify coverage for Medical Nutrition Therapy. You, the patient, is ultimately responsible for any services provided and all costs associated that are not covered by your insurance.
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At this time, we do not provide individual discounts for our services or to certain populations. While we understand every person’s situation is unique, it is an ethical gray area to provide discounts on medical/health care services to sidestep infringement of Anti-Kickback Statues and the Federal Beneficiary Inducements Civil Monetary Penalty Statute.
While we do not provide additional discounts on our services, we do aggressively set our prices to be competitive with the market and offer up to a 10% discount when bundling services with a packaged deal.
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We offer flexible payment options to cater to our clients’ preferences and financial pictures.
Pay-Per-Session:
You are charged for each individual session at time of scheduling.
Once the session has been completed, refunds will no longer be allowed.
Packaged Services (with Discount):
If you opt for a services package, you will receive a discount on services up to 10% on total cost depending. on the package chosen.
Services included within a package must be completed within twice the duration of the timeframe purchased (ex. within 6 months for a 3 month package of 12 months for 6 month package) or else they will expire and you will not be eligible for a refund.
In the event you decide to discontinue your package services before completing all sessions, the following conditions will apply:
You will forfeit the discount originally applied to the sessions purchased.
A penalty will be enforced, requiring you to pay out-of-pocket the price difference between the discounted rate and the standard full price for the sessions already completed.
In the event you selected a payment plan, the remaining payments will be cancelled and you may be required to pay out-of-pocket to cover the cost of services already rendered if found to be insufficient on payments made prior to cancellation.
Please note that the refund amount will be calculated based on the sessions remaining and the price difference, if applicable, at the time of cancellation. Our goal is ensure fairness, flexibility, and client satisfaction while protecting our services from misuse or abuse.
If you have further questions or concerns regarding our refund policy, please feel free to contact us directly or schedule a Momentum meeting to explore which payment option may be best for you. Your confidence and satisfaction is our utmost priority.
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All services must be cancelled 24 hours prior to your scheduled appointment time. In the event you cancel within 24 hours of your appointment, you will be refunded the appointment cost minus the late cancellation fee depending on the service purchased. Failure to show up to an appointment within 15 minutes of the scheduled time will result in cancellation of the appointment and the full cost of the service will be charged. Please review the terms and conditions of each service prior to purchase in order to ensure you understand your rights.
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While both an RDN and a Nutritionist are food and nutrition experts, they are not equal in scope or expertise. In Washington state, both of the professional titles of “Dietitian” and “Nutritionist” are regulated by the Department of Health and require certain qualifications in order to obtain and utilize. This just muddies the water more!
For Nutritionists, they require a graduate degree in nutrition and a professional certification from either the Board for Certification of Nutrition Specialists or the Clinical Nutrition Certification Board. This is not true for all states as many states in the US do not regulate the Nutritionist title and therefore anyone can call themselves a Nutritionist without any formal or previous experience, degrees, or qualifications. Nutritionists are not required to have any supervised practical experience or formally demonstrate expertise in various fields of nutrition such as food service, clinical nutrition, and public health. Nutritionists also do not have a professional code of ethics that they are are bound to abide by in addition to no requirements for continued education to stay up to date on the latest nutrition research and recommendations.
Registered Dietitian Nutritionists are required to obtain a graduate degree from only a select number of accredited university programs, complete at least 1,200 hours of supervised practice across multiple fields of nutrition, and demonstrate competency in order to sit for accreditation examination and pass in order to become a Dietitian. Because RDNs are recognized as healthcare/medical professionals, they are able to bill insurance for Medical Nutrition Therapy (MNT) services in addition to prescribing therapeutic diets and manage supplementation nutrition (IV or Tube Feeding) per state regulations while Nutritionists are not. Therefore, working with a RDN indicates higher caliber and quality guidance and support for health and nutrition management and care that can be reimbursed through insurance.
In summary, while all Registered Dietitian Nutritionists are Nutritionists, not all Nutritionists are Registered Dietitian Nutritionists.
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We can communicate with other members of your care team if you allow us to do so. You may grant us authorization and permission to communicate with other members of your care team by completing the Patient Authorization for Use Disclosure of Health Information form. You may revoke permission or adjust whom you would like us to communicate with at any time by contacting us directly.
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Leading up to your first appointment, it is not a requirement that you keep a food log or use a food tracking application! We understand this can be difficult to fit within your busy schedule and you may not understand yet what we are aiming to achieve and monitor with meal and food tracking. Within the intake forms that all clients will complete prior to your first session, there will be a section on completing a 3-day food log. This can be completed to the level of accuracy that you are comfortable with but we encourage you to be as accurate and descriptive as you can.
If you have any questions or concerns in completing this type of dietary recall, please do not hesitate to contact your RD prior to your first session for clarification and support.
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Telehealth allows us to meet you where you are at, no matter where that may be. These sessions are your time so if you need to be on the run then you have the autonomy to do just that. We only ask that you are in a location you feel comfortable freely discussing private health information to ensure our time together is as safe and effective as possible!
However, in order to comply with telehealth and licensure laws, you must located, throughout the time of the virtual session, within Washington state in which we are licensed to provide Medical Nutrition Therapy (MNT) services. Therefore, should you be out of the state on vacation or on a business trip, we cannot complete our session together until you return to the state.
It is your responsibility to be aware of your location during scheduling of your appointments. We strongly advise you to reschedule your visit to a time in which you will be back in WA prior to 24 hours of your scheduled visit to avoid late cancellation/rescheduling fees. In the event you do not reschedule and it is identified that you are not within WA state during the beginning of the session, the session will be immediately cancelled and no refund or rescheduling for that session will be allowed. This service will not be able to be reimbursed by insurance so we strongly encourage you to avoid this outcome as it is not our goal to increase out-of-pocket expenses.
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Your health is an investment, not an expense. Only you can decide how much, time/money/work, you are willing to invest. You are welcome to see us as many times as you feel is necessary to reach the goals. We do encourage you to schedule regular follow-up visits to monitor progress, assess need for further education or changes, increase accountability and consistency, and support ongoing nutrition coaching for optimal and sustainable long-term results.
Our initial and follow-up sessions are designed for long-term lifestyle and behavior change to support large health changes such as improving lab values, losing weight, or learning how to improve nutritional practices to support greater lifelong health. If you are seeking just some quick advice or a simple question, please consider purchasing our Ask An RD: $10 For 10 Minutes service to get your question answered quickly and cost-effectively. Please review the service’s terms and conditions prior to purchase.
Please note, for those who choose the packaged services, you are required to utilize all services purchased prior to their expiration date. Please see our refund policy for further information on cancellation of packaged services and the fees associated.