Contact me by phone (310) 395-4822 or email. Whether I can speak to you directly or you leave a message, tell me what you are looking for, your goals and discuss possible appointment times. My goal is to return any phone call within 48 hours during regular business hours. I generally do not return phone calls over the weekend or on holidays, unless I am seeing clients on Saturday.
Services are available on an appointment only basis. My hours include a variety of times in the morning (starting at 8 am) as well as afternoons until 6 pm. I am typically available for appointments two Saturday mornings each month. You can determine the best time for your appointment at the time you call.
The first session is scheduled for 1 hour and 20 minutes. Follow up appointments are available as full sessions (50 minutes) or half sessions (25 minutes). Phone consults are also available if distance is an issue.
The initial session allows time for me to learn what you already know about yourself (personal medical history, family history, current nutrition issues or concerns and specific goals). Plan to discuss your lifestyle including sleeping and waking patterns and how you spend your days. Specifically I ask how food fits into your day as well as activity patterns. Finally I discuss food issues including what you like and don’t like to eat, if you shop regularly, if you cook or “assemble” food and how often you eat out –be it fast food, take out, or fine dining. For a more efficient intake, your answers to these questions can be documented on the New Patient Evaluation form available here.
After our initial discussion, I may conduct a dietary assessment on the computer and/or body composition evaluations or wait until we have adequate data at a later appointment time. Towards the end of our session I will outline my assessment and recommendations. We’ll discuss the best approach for you and plan from there.
You will generally leave the first session with an basic plan of action. Since this plan is all about you, don’t expect a comprehensive pre-printed diet or food plan. Most people can follow something so specific for only short periods of time before they “blow it” or just give up. The point here is to develop an approach to your life and food that works for you. Follow up appointments allow me to tune initial recommendations based on your experience and your body’s response, truly bridging the gap between knowledge and behavior.
If you are prepared to invest in the initial evaluation, plan at least one follow-up so that your plan can be refined to address your experience with the initial plan. The majority of clients meet about 4-6 sessions before they acquire the core insight and skills to establish a good foundation. While some individual’s needs are met in 2 or 3 sessions, others request a much longer and more connected relationship. Remember this is all about you. There are no prepackaged plans or programs. We get to plan the length and spacing of sessions so they meet your needs.
Initial sessions (1 hour, 20 minutes) are billed at $255.00 per session. Full follow-up sessions (50 minutes) are charged at $155.00 per session and half sessions (25-30 minutes) at $95.00 per session. Clients are required to pay for services at the time of their appointments. Checks or cash are accepted as well as credit cards. A sliding scale is available.
Please honor a 24 hour cancellation policy. Clients are responsible for the costs of a session without adequate notice. Your cooperation is appreciated. Support services such as writing reports, letters and consulting with other health care personnel outside the norm for effective care are subject to similar fees.
Medical nutrition counseling by a registered dietitian is commonly covered for diabetes, gestational diabetes and renal disease before dialysis. Other conditions may be covered, but it will depend on the parameters of your insurance coverage. Each policy is unique and it is a good idea to check with your carrier regarding coverage. Be aware that most insurance carriers do not have formal underwriting for nutrition services. The customer service representative will only tell you what is shown on the screen, so you may not find out if nutrition services are actually covered until you go through the billing process. I ask for payment upon service and will provide you with paperwork to submit for reimbursement.
If you are denied, the appropriate route to pursue reimbursement is to write to your carrier and appeal the denial to cover services. When you appeal the denial of reimbursement, ask the carrier to submit your claim for “medical review”. This is your best chance of obtaining reimbursement if medical nutrition therapy is recommended because of a medical condition.
For this reason, each claim for a unique condition should be accompanied by your health provider’s prescription for medical nutrition therapy. A referral on a prescription pad with details of your diagnosis and specific diagnosis codes is required by most insurance carriers. I can help you navigate the paperwork if desired.
I am also a medicare provider and am able to treat medicare patients with a diabetes diagnosis. If your diagnosis is anything other than diabetes, I will be pleased to help you, but Medicare will not cover services. It is possible that your secondary insurance will and I will prepare a billing statement for you to submit.