Under the ACA, obesity counselling is covered but only from a primary care provider; not a registered dietician. Question would be if a dietician is hired for this.. Could they bill as a dietician. I say no. Can they bill "incident to"..not sure. Sad isn't it that the very people who are the best trained to do this cannot bill for this. Of course if you have kidney disease or diabetes, that is a totally different story. The rules for obesity counselling pertain to the primary care setting.
Agree about not billing incident to. Just thought maybe. I don't know how a dietician would bill obesity counselling and get paid and certainly not fair to the patient who thinks it would be covered. Interesting subject as in this case scope of practice is not relevant. And seriously, unless you have had a weight problem yourself, all you get is textbook material from primary care. Rant over.