I work for a children's hospital and we have been charging for our services.
Because of  lack of staffing, we only see inpatients, with a concentration in
the NICU. I have recently been asked by my manager ( I am under Clinical
Nutrition) what my productivity level was. According to her, ADA says that RDs
should be billing for 60% of their time worked and she wanted to know what the
standard was for lactation consultants. I called ILCA and IBCLE and neither knew
of this standard for our profession. I wondered how many of you bill for
inpatient serviced and if anyone has any idea about what percentage of my time
worked should be billable. I tried to explain to her that none of her dieticians
do statistics for their programs, teach NICU orientation for the nurses, meet
and interface with many other disiplines, etc. She didn't have an answer for
that. She is getting pressure from her manager to justify time worked. Does
anyone have any insight into this that I can take to her next week?
Thanks,
Chris Smith, RN, IBCLC

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