Here are the tools you need to start and manage your practice, keep up to date, and advance your career.
You have the support of an entire professional association — including a peer-reviewed Journal, continuing education opportunities, specialty trainings & certifications, advocacy for practice privileges, listing in the ANA’s Practitioner Finder and much more.
Practice Management Tools
Learn about the 21st Century Cares Act – In Effect April 5, 2021
Beginning on April 5, 2021, a federal ruling will necessitate that clinicians allow virtual access for patients to view their notes… Read more in this article written by Judy Stone, MS, MSW & Director of Advocacy Advancement, ANA.
Learn about state practice laws and licensure
Nutrition practice laws vary by state. Some states may license or certify some or all nutrition practitioners, and some have no regulation. CNSs are eligible to practice in most states, and eligible to apply for state recognition in many. To find out the current laws for any states you wish to practice in or accept virtual clients from, refer to theANA.org/Advocate.
Obtain a National Provider Identifier (NPI)
The NPI is a unique identification number required by all standard health plans and the first step towards obtaining insurance reimbursement.
We recommend that you follow these steps:
- Visit the National Plan and Provider Enumeration System (NPPES) website
- Complete the online application. You will find contact numbers for any questions.
- Expect this process to take at least 10 days.
Apply to become a provider for private insurance
- Consider participating in the Council for Affordable Quality Healthcare (CAQH) ProView program. This allows your profile to be accessed by multiple insurance providers. Follow these steps:
- Apply for a National Provider Identifier (NPI) number through the National Plan and Provider Enumeration System, part of the Centers for Medicare and Medicaid Services. It typically takes less than two weeks to receive your NPI.
- Create an Employer Identification Number (EIN) so that you may use this in place of your Social Security Number.
- Use your NPI to register with the Council for Affordable Quality Healthcare (CAQH) ProView. This is a lengthy registration process, and you’ll need your resume/CV, information on your malpractice/liability insurance (which you must have to enroll), your NPI, EIN, and a copy of any state licenses/certifications, if you have them.
- Insurance companies can access the data you put in here to reduce the need to repeat information submissions.
- Apply with individual insurance companies using your CAQH ID number, so they can access your profile. This works similar to websites where you can choose to log in with a social media account instead of creating an account from scratch.
- Alternatively, you may apply with each individual insurance company using your NPI number (link above). Some private insurers may require the practitioner to hold a state certification or state license in states with these frameworks.. You will want to check with each company to determine if they are accepting new applications.
Apply to become a provider for Medicaid
Medicaid provider rules vary greatly as these programs are designed and managed at the state level. Only some state Medicaid programs cover nutrition services provided by a nutrition practitioner. In these states, most programs will require state recognition in order to enroll as a Medicaid provider. To find out more about eligibility and how to apply, contact your state Medicaid office.
Learn How to Bill Insurance
Billing Codes
There are 2 categories of codes needed for billing insurance for medical nutrition therapy:
Procedure Code (CPT) – For medical nutrition therapy, there are 3:
- 97802 — Initial visit
- 97803 — Follow-up visit
- 97804 — Group visit
Diagnosis Code (ICD-10) – This must be assigned by a physician. It is recommended that you obtain this code in writing from the referring physician and maintain it in your records. Additional information can be obtained on the CMS (Centers for Medicare & Medicaid Services) website. Insurance companies may be able to provide the registered provider with additional information.
Billing Time
In general:
- 1 unit (97802) = 15 minutes
- 1 unit (97803) (MNT reassessment, face-to-face) = 15 minutes
- 1 unit (97804) (MNT, group) = 30 minutes
Obtain general liability and professional malpractice insurance for your practice
It is recommended that all CNSs in clinical practice obtain liability and malpractice insurance either through an employer or self-employment. The following is a list of companies who offer such insurance for nutrition professionals. Please note, these companies are not endorsed by the ANA or the BCNS but have been recommended by CNSs.
Continuing Education Resources
Attend Personalized Nutrition 2022 (Date TBD)
Personalized Nutrition 2022 is the premier annual gathering of the personalized nutrition community. The annual summit convenes scientists, educators, health professionals, philanthropists, and business leaders to consider how far we’ve come and how our work contributes to the ongoing formation of the field of personalized nutrition in the coming decades.
ANA Specialty Training Programs
Add to your credentials,gain CEUs, enhance your expertise and clinical toolset, increase your client base and improve the health of your existing clients.
- Ketogenic Nutrition Training Program
- Nutritional Genomics Training Program
- Therapeutic Food Plans: A Component of Personalized Nutrition
ANA Webinars
ANA Webinars are released monthly and designed for nutrition professionals, researchers, academics, and students who use nutrition as a practice tool.
Continuing Education Opportunities
Find the opportunities that match your career goals as you work towards the 75 CEUs needed to maintain your credential. View this list of organizations that offer CE conferences, webinars, seminars and courses for CNSs to earn Continuing Education (CE) credits.
Research & Clinical Resources
Personalized Nutrition paper
Access the ANA’s seminal paper Toward the Definition of Personalized Nutrition: A Proposal by the American Nutrition Association.
Journal of the American College of Nutrition
Since 1982, the ACN has published the peer-reviewed, MEDLINE-indexed Journal of the American College of Nutrition. The peer-reviewed journal curates and disseminates nutrition science research to empower investigators and healthcare professionals.
Volunteer and Leadership Opportunities
We have a variety of exciting options available! Visit the My Profile section of your ANA Portal account* to modify your volunteer selections.
- Help with Advocacy for Nutrition in Public Policy
- Help with Student Outreach & Student Engagement
- Video Production
- Photography
- Writing & Contributing Content
- Join a Task Force, Council, or Committee
- Become a CNS Supervisor