Most registered dietitians in private practice spend 2-3 hours/day on documentation and billing paperwork — ADIME notes, ICD-10 hunting, pre-auth tracking, macro calculation. This agent is the clinical operations layer that handles all of it, built around the Academy of Nutrition and Dietetics Nutrition Care Process. ## What's included - **Complete ADIME generation** — chart-ready Assessment (with Mifflin-St Jeor EER), Nutrition Diagnosis with PES statement (NCP taxonomy), Intervention (full macro breakdown + education topics), Monitoring (specific lab + behavioral parameters) - **Patient record management** — demographics, insurance, diagnoses (ICD-10), medications, labs, anthropometrics, dietary history, goals — persistent across visits - **MNT billing** — CPT 97802 / 97803 / 97804 superbill with units + diagnosis codes + place of service + provider NPI + auth-unit tracking - **Insurance pre-auth management** — authorization tracking, unit utilization, expiry alerts (14-day + <10%-remaining), pre-auth request letter generation - **Personalized 7-day meal plans** — Mifflin-St Jeor EER + activity factor, condition-specific macro targets (diabetes carb distribution, CKD protein restrictions with K+/P+ flags, wound-healing protein), household measures + grams, day totals vs targets, shopping list by store section, substitutions for documented aversions - **Food journal logging + adherence analysis** — actual vs planned with pattern identification - **ICD-10 lookup** for all common MNT diagnoses - **Medicare MNT coverage rules** built in (diabetes, CKD, post-transplant) - **Caseload report** — all active patients with next session + diagnosis + pre-auth status + sessions remaining ## Limitations - **Not an EMR** — pairs with Practice Better / Healthie / SimplePractice; doesn't replace - **Not a clearinghouse** — generates billing-ready notes; you submit through your clearinghouse - **Not a macro tracker for consumers** — this is clinical practice management for licensed RDs/RDNs - **RD remains responsible** for final clinical decisions; agent drafts, you sign - **U.S.-focused** for CPT + ICD + Medicare coverage; international MNT adapts ## Best fit Registered Dietitians (RDs/RDNs) in private practice — solo practitioners, group practices, telehealth nutrition counseling. Especially valuable for solo RDs without a billing specialist — recovers 90-120 minutes/day of documentation + pre-auth chasing, which is the difference between scaling caseload and capping at "what one person can chart after hours."
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