Certified Dietary Manager A professional who works together with registered dietitians to provide quality nutritional care for clients in a variety of noncommercial settings and performs a myriad of specialized tasks; many work as food service managers in a hospital, long-term care center, or other facility. Must pass a nationally recognized credentialing exam and fulfill the requirements needed to maintain certified status.

Certified Nutrition Specialist An individual credentialed by the Certification Board for Nutrition Specialists. The credential requires an advanced degree in nutrition from a regionally accredited program. Requires at least 1,000 hours of supervised experience or 4,000 hours of unsupervised experience.

Certified Nutrition Support Dietitian A professional who has been certified to deliver parenteral or enteral nutrition support. Certification by written examination is available through the National Board of Nutrition Support Education, Inc., to nurses, physicians, and dietitians.

Commission on Accreditation of Dietetics Education The American Dietetic Association’s accrediting agency for education programs preparing students for careers as Registered Dietitians or Dietetic Technicians, Registered.

Commission on Dietetic Registration Credentialing agency for the American Dietetic Association. The purpose of the commission is to protect the nutritional health and welfare of the public by establishing and enforcing certification and recertification standards for the dietetics profession. Credentials are issued to individuals who meet its standards to practice in the profession.

Current procedural terminology A system of procedure codes and descriptions published annually by the American Medical Association. This procedure coding system is accepted by almost all commercial insurance carriers and is required by Medicare and Medicaid.

Diagnosis-Related Group Program A program in which hospital procedures are rated in terms of cost, taking into consideration the intensity of the services delivered. A standard flat rate per procedure is derived from this scale, which is paid by Medicare for its beneficiaries, regardless of the cost to the hospital to perform the procedure.

Dialysis Dialysis involves filtering the blood to remove toxins. Two primary forms of dialysis are available to outpatients: hemodialysis, which is usually administered three times a week for several hours, and continuous ambulatory peritoneal dialysis. Continuous ambulatory peritoneal dialysis is performed by the patient who administers and then drains a dextrose-containing fluid into and out of the peritoneal space.

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