Myth: Weight gain is inevitable during the

Fact: Between Halloween and New Year’s Day, a combination of sweets and alcohol have led people to believe the average American gains about 5 pounds. However, The New England Journal of Medicine published a study that found that the average person puts on about 1 pound during the holidays. The problem only arises when people fail to lose the weight and it begins to accumulate over time (

Myth: Drinking alcohol keeps you warm.
Fact: While drinking one alcoholic drink may make you feel warmer, in reality, it actually causes heat loss. Alcohol can dilate your blood vessels, causing warm blood to move to the surface of your skin. This results in a temporary warm sensation. At the same time, however, pumping all that blood to the skins’ surface takes away from your core body temperature; needed for survival. Alcohol consumption out in a cold environment can actually lead to fatal hypothermia (

Myth: You must wear a hat out in the cold because you lose most of your body heat through your head.

Fact: The face, head, and chest are most sensitive to temperature changes, whereas only 10% of body heat is lost through our heads. Although, experts still advise wearing hats in the cold weather (

Myth: Eating at night causes you to gain weight.
Fact: There are benefits to eating meals at consistent times, but no research supports the belief that eating before bed causes weight gain. The time of day a person eats is not as important as the amount a person eats. It’s best to avoid your guilty pleasure right before bed, but don’t fret if dinner gets pushed back a few hours (

By this time, you’ve probably made it through all the Thanksgiving leftovers that have been crowding your fridge. That’s great because now it’s time to start making room for Christmas cooking! And - let’s not forget - New Year’s just a few short weeks behind…

Do you see a pattern?

These next few months are a special time of year; so much of it is centered around family and those we love. But with celebration comes food and planning, and all too often do we find ourselves more relaxed – if not a little relieved – when it’s all over.

All the buzz and holiday planning is enough to stress anyone out, and when we’re stressed, we tend to eat more. That’s never a good combination when most of the food around us contains high levels of trans fats, salt, and sugar. It’s too easy to fill up on these foods and feel sluggish afterwards, and for the already exhausted party planner, that can be pretty brutal!

To cut back this holiday season, we invite you to try one of our delicious recipes that is made with only five, healthy ingredients, requires no cook time, and contain bright, festive colors to highlight the holidays.

We want you to feel great and avoid stress - where possible - so you can focus on the most important thing… the loved ones with whom we gather to celebrate.
Cranberry and Feta Pinwheels:

  • 3/4 c. dried sweetened cranberries temperature-1 (8 oz) package Neufchatel, room
  • 3/4 c. crumbled feta cheese
  • 1/4 c. chopped green onion
  • 2 large spinach flour tortillas

  • Combine all ingredients, except tortillas, and mix well. 
  • Divide and spread mixture evenly among tortillas.
  • Roll up tightly, wrap in plastic refrigerate at least one hour.
  • To serve, cut each roll into 12 slices.

*Neufchatel is used interchangeably with cream cheese, but the fat content varies among brands, so read the package to find one with low fat.

Top Innovator in Dietetics Education Award Winner

We are pleased to announce that Erin Bergquist, MPH, RD, CNSC, LD received recognition as Top Innovator in Dietetics Education for her Innovation in Dietetics Practice and Education display titled "Team Based Learning Activities Improve Application of the Nutrition Care Process in a Dietetic Internship".

This display was presented during the Innovations in Dietetics Practice and Education session conducted during FNCE® 2017 in Chicago.

To learn more about the innovations displayed at the session,

visit the September 2017 Supplement of the Journal of Academy of Nutrition and Dietetics pages A69-A71.

The Academy's Council on Future Practice is the organizational unit that sponsors this session during FNCE® each year.  In its ninth year, the session recognizes educator contributions to the profession of nutrition and dietetics. Erin Bergquist was selected by a panel of judges to receive this recognition.  We are requesting that you showcase this member of your affiliate as a model for other practitioners.

The Council on Future Practice sponsors this inspirational session for members to showcase their innovations. The goal of the session is to provide an outlet for educators and practitioners to present their best ideas and innovations that will keep the profession consistently moving forward.  Erin submitted an application and was selected to participate in the event from 31 applications submitted from all over the country.

Please join us in congratulating Erin Bergquist for her contribution to keep the profession of nutrition and dietetics moving forward into the future.  She is a model of excellence for our membership and hope that you will share her story of achievement.

IAND Member FNCE Poster Presentations
Erin Bergquist - Team Based Learning Activities Improve Application of the Nutrition Care Process in a Dietetic Internship

Tonya Krueger - Debriefing Influences Interns' Confidence in Performing Nutrition Focused Physical Examination 

Maren Wolff and Janet Johnson - Eliminating Writer's Block: Flipped Classroom meets ThinkSpace 
IAND 2018 Ballot Winners
President Elect- Jennifer Ransom  RD, LD
Meeting Chair-Elect- Alyson Fendrick RD, LD
Council of Professional Issues- Ray, Heather RD
Nominating Committee- Emily Mashack RD, LDN
5-2- 1-0 Healthy Choices Count!

In October 2017, Governor Kim Reynolds and Lt. Governor Adam Gregg announced a statewide childhood health campaign called “5-2-1-0 Healthy Choice Count!”.

The campaign is a partnership between the Iowa Department of Public Health (IDPH), Healthiest State Initiative and the United Way of Central Iowa and is the first statewide effort to provide consistent messaging and programming regarding the subject of childhood obesity.

5-2-1-0 is a nationally recognized childhood obesity prevention program that focuses on the importance of four simple daily health habits:
  • 5 or more servings of fruits and vegetables;
  • 2 hours or less of screen time (television, computer, video games, phones);
  • 1 hour or more of physical activity; and
  • 0 (or reduce) sugar-sweetened beverages.

IDPH is working directly with Malvern (Mills County), Dubuque (Dubuque County), Mt. Pleasant (Henry County), and West Union (Fayette County) to implement community wide strategies around 5-2-1-0. The community coalitions are primarily tasked to work with childcare and healthcare providers but schools and out-of- school programs can be a secondary focus. By exposing families to consistent messages and activities across multiple sectors, the more likely they are to adopt and maintain healthy habits on a daily basis.

Please consider including this message in the communities in which you live. Also, if you live in one of the four funded communities please volunteer for your local coalition. For more information on “5-2-1-0 Healthy Choice Count!” go to
Download CPE Form
Available in Spiral Bound and Hardcover!
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December 2017
Featured Member

Amy Becker  RD, LD, CDE
IAND December 2017 Featured Member - Amy Becker
Dietitian Reimbursement –
A New Billing Tool, & an important update on IBT Services!
By Susie Roberts, RDN, LD Reimbursement Co-Chair for IAND

As I mentioned in my November update, I participated in my first FNCE in October, where I attended several sessions on insurance reimbursement for dietitians. One recurrent theme seemed to run throughout the entire program: to increase your success, build relationships and network with others, whether it be fellow RDNs or colleagues at your organization (think physicians, nurses, the billing department, the CFO, etc.). I learned this first-hand at my initial clinical job at a critical access hospital in a rural community that needed
an RD to cover the regular dietitian’ maternity leave. I was given the opportunity to handle inpatient, outpatient, and the diabetes clinic service – yeah, very exciting! This included all aspects of coding, billing, and reimbursement, in addition to all the ‘regular’ dietitian duties – that was very scary!

I developed a tool, Commonly Used Outpatient Dietitian Procedures/Codes, to help me understand how to do billing. I organized the chart based on what type of health insurance the patient had, as well as the health condition(s). But after using the chart for a few weeks, I discovered no physician referrals were being made for Intensive Behavior Therapy (IBT), a benefit for Medicare beneficiaries with a BMI & 30 kg/m 2 . Digging deeper, I found that the IBT billing codes were not set up in the electronic medical record system. This
necessitated working with the chief financial officer, the billing department, and the IT specialist to update the system as well as procedures.

Next, I initiated a relationship building and education campaign with the primary care physicians as well as the nurses, to generate referrals. IBT is designed to provide the Medicare patient ongoing support for
weight loss in the primary care setting for up to a year. Dietitians can provide services as auxiliary personnel, and bill them as ‘incident to’, in accordance with CMS guidelines. It is crucial for RDNs to work collaboratively with primary care providers to render this service appropriately.

How does the IBT benefit work?
  • A primary care physician makes a referral.
  • The patient is allowed up to 22 brief covered visits per year, face-to- face, without a co-pay or deductible. New! Effective October 1, 2017, CMS has agreed to cover up to 2 units per day (this extends reimbursable RDN time from only 15 minutes, to 30!).
  • For the first month, an individual can be seen by the dietitian once a week. These are brief visits, with a weigh-in, coaching and goal setting.
  • For months 2-6, an individual can be seen every 2 weeks.
  • If at least 6.6 lbs is lost in 6 months, follow up can continue monthly for the rest of the year and be reimbursable.
  • RDNs must bill as ‘incident to physician services.’
Click to view Billing Tool

If you have any questions on reimbursement in general, please contact Susie Roberts at, or Carrie Leiran at

Source: Intensive Behavioral for Obesity: Putting It Into Practice.

Annual Legislative Day

Our annual Legislative Action Day is coming up on Tuesday, February 20, 2018, in Des Moines!

This is a fantastic opportunity to meet face to face with your elected Representatives and Senators for the state of Iowa. Typically, we meet in Des Moines across from the capitol building.  Together, we have breakfast, short informational meetings, then lunch. In the afternoon, we will walk across the street together and meet with your state leaders to initiate positive change in the health of Iowans! 

If you're nervous or this is your first Legislative Day, no one will have to attend meetings alone - there is always a group.  We meet with our state leaders to let them know who RDNs are and how we can improve the health of Iowans. 

If you would like to find your legislators:
Please contact Tina Bauermeister with any questions
MNT Newsletter
To find out how the growth in Medicare Advantage plans offers opportunities for RDNs, and learn about resources for understanding and reporting under MIPS, read the latest MNT Provider.
FREE to Members
Click Here
Eating Disorders Boot Camp - Save the date
What: Jessica Setnick’s Eating Disorder Boot Camp
When: Saturday, February 24, 2018
Where: The Education and Research Building (Virginia Thompson Auditorium/Kelley Conference Center) Iowa Methodist Medical Center (1200 Pleasant Street; Des Moines, IA 50309)

Sign-up: Begins December 1, on Eating Disorder Coalition of Iowa’s website
Cost: $150. (EDCI is underwriting the typical costs of $480)
CPEs: Typically : 6-6.5 credits
Calling all 2018 Iowa Academy of Nutrition and Dietetics Awards Nominations!

We are a state rich with outstanding nutrition professionals and we encourage you to nominate those you feel are worthy of recognition this upcoming year.  

Nominations are currently being accepted for the following awards:
  • Medallion Award 
  • Recognized Dietetic Technician of the Year
  • Recognized Young Dietitian of the Year
  • Outstanding Dietetics Student
  • Recognized Outstanding Dietitian of the Year
  • Emerging Dietetics Leade
  • Gem Award

NEW this year! Scholarships for continuing education activities!
Request funds for things like:
  • CEU activities/Events
  • Educational Conferences
  • Certification Exams
  • Research
  • Publishing 
  • Educational Tools

Nomination forms and the selection criteria for each award are posted on the awards page of the IAND website at

District dietetic associations or IAND members may submit nominations.  
Self-nominations are also accepted.  

Nomination forms are due March 2, 2018 and completed applications are due by April 6, 2018. Please help in recognizing those who make great contributions to our profession- nominate yourself or a fellow dietitian.

Beth Fielder RD, LD
Awards Committee Chair
Are you looking to change Careers?

Check out all the latest Job listings
on the IAND Website.

Save the date for the Iowa Dietetics in Health Care Communities event!

Coming in April 2018, details will be released soon with more information.

For questions, please contact
Attention Members!!!
Do you have a Blog?
Have you written a Book?
Do you have a Podcast?

We want to know about it.
Send us links to the things you are doing and have them
featured on the IAND website and social media.

Contact Us Today!!!
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