Consultant Needed: Comprehensive Health & Lifestyle Program (Medicare Reimbursable, ROI/Pro Forma)

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Description: Our clinic seeks to create a comprehensive program that empowers patients through education, lifestyle modifications, health coaching, and exercise. This program will serve individuals who could benefit from proactive support, such as those managing diabetes, obesity, or other health concerns. A key objective is ensuring that this program is recognized and paid by Medicare, as well as by commercial payers, to provide a viable return on investment (ROI) for the clinic. We also require a pro forma analysis to validate financial sustainability. We are looking for a consultant who has built and implemented similar programs in healthcare settings. Ideally, you are a Registered Dietitian (RD), Certified Diabetes Educator (CDE), or have equivalent expertise in coding and reimbursement. You must guide us in structuring a turnkey solution that includes all necessary protocols, staff training, and documentation to maximize reimbursement opportunities. If you have a proven track record in nutrition therapy (MNT), diabetes self-management training (DSMT), health coaching, exercise planning, and creating profitable, insurer-recognized programs, we’d love to hear from you! What We’re Looking For: 1. Credentials & Expertise -Registered Dietitian (RD) or Licensed Dietitian with strong experience in nutrition and diabetes care -Certified Diabetes Educator (CDE), or equivalent experience in diabetes self-management training -Thorough understanding of Medicare and commercial payer reimbursement processes -Proven success in building and implementing similar comprehensive programs that deliver solid ROI for healthcare organizations 2. Program Development Experience -Ability to create turnkey, comprehensive lifestyle and educational programs that address patient education, exercise, and health coaching -Experience in staff training, workshop facilitation, and ongoing professional development -Strong project management skills for effective collaboration (remote or on-site) 3. Communication & Collaboration -Excellent communication with clinical, administrative, and leadership teams -Experience producing clear, actionable protocols and educational content -Flexibility and openness to feedback for program refinement. Scope of Work: Initial Assessment & Planning -Review our current clinical operations and patient demographics -Outline a comprehensive health & lifestyle program aligned with Medicare reimbursement requirements and commercial payer guidelines Program Design -Create a turnkey framework that includes patient education, exercise modules, and health coaching protocols -Integrate a system that maximizes reimbursement potential and maintains compliance. Staff Training & Onboarding -Deliver (virtual or on-site) training sessions to equip staff with best practices for patient engagement and program operations -Provide comprehensive resources and workflow guidelines for smooth implementation. Reimbursement & Compliance Guidance -Advise on documentation techniques and compliance standards to ensure payment by Medicare and commercial insurers -Develop an approach that ensures proper financial tracking and maximizes revenue Financial Viability & Pro Forma -Supply a clear ROI strategy or pro forma analysis to demonstrate profitability and long-term sustainability for our clinic -Offer recommendations for ongoing monitoring of financial performance. Implementation & Support - Oversee the rollout, troubleshoot challenges, and refine processes based on real-world feedback. -Provide post-launch consulting to maintain compliance, optimize operations, and ensure a robust ROI. Deliverables: 1. A fully developed Comprehensive Health & Lifestyle Program, with all protocols, materials, and instructions 2. Staff training modules outlining patient engagement, coaching techniques, and workflow management 3. A reimbursement roadmap explaining how to structure services for payment by Medicare and commercial payers 4. A detailed ROI/pro forma analysis confirming the financial viability and potential profitability of the program 5. Post-launch support for ongoing improvement, audit readiness, and compliance updates. Why This Matters -We want to enhance patient outcomes by focusing on education, lifestyle modification, and consistent follow-up. -Ensuring Medicare payment and commercial reimbursement is critical for our clinic’s ROI and long-term success. -A comprehensive, well-designed program differentiates our clinic, improving patient satisfaction and community impact. We Look Forward to Working With You! If you have questions or need more details, feel free to reach out. Let’s collaborate on building a comprehensive, Medicare-paid health & lifestyle program that delivers impactful patient care and a strong ROI for our clinic!

Keyword: Content Strategy

Medical Billing & Coding