Leading entrepreneur dietitians for the profession, Diane and Michele are the go-to experts for insurance reimbursement for dietitians in private practice, outpatient clinics and contract services.


Diane Machcinski, MEd, RD

Winner of the California Dietetic Association Dolores Nyhus Outstanding Achievement 2010, the highest award given to a California Dietitian for outstanding contributions to the field.

She earned degrees from Ohio’s University of Toledo and Bowling Green State University.  Her experiences include 20 years private practice, and chief clinical dietitian. Diane was past Chair of Academy of Nutrition and Dietetics Coding and Coverage Committee.  She has extensive billing experience including Medicare, IPA, San Diego County experience with enhanced Medicaid services for pregnant women and running a $2 Million dollar child insurance program.  She has been a Medicare Medical Nutrition Provider since its inception 2001 and has reported on the Physician Quality Reporting System and successfully received reimbursement incentives. She is a Care 1st Managed Care Provider for Medicare and Medi-Cal as well is credentialed for the Veterans Administration Choice Program and has been provider for Health Net and Vantage Medical Group.


  • California Dietetic Association Practice Award for Distinguished Service”, Oakland, CA, Spring, 2004

  • California Dietetic Association Practice Award for Excellence in Private Practice, Business and Communications, Palm Springs, CA, Spring, 2000


Michele Chynoweth, RD, CDE

She is a graduate of UC Berkeley and coordinated program in dietetics. Credentialed with NCBDE as a CDE for 25 plus years. She is involved in private practice in nutrition therapy and diabetes self management training/education/support for 20 plus years. She developed in-house diabetes and pregnancy program, including data outcomes management. She was part of the faculty in diabetes education and marketing seminars. She has offered workshops and consulting in reimbursement, private practice and community nutrition. She is a current provider for Medicare, Veteran’s Administration Choice Program, and one of the county employees’ health insurance programs. She served as Policy Advocacy Leader (PAL) for Diabetes Care and Education Practice Group 2013-15, reimbursement and public policy chair for Nutrition Entrepreneurs Dietetic Practice Group for 2008-10. She was a member of Academy of Nutrition and Dietetics Legislative and Public Policy Committee and was appointed liaison to Academy of Nutrition and Dietetics Codes and Coverage Committee. Co-chaired California Reimbursement Committee 1998-2000 and Central Valley District dietetic association reimbursement representative. She is the current reimbursement representative for Diabetes Care and Education Practice Group (DCE) and member of Academy work group for Medicare Diabetes Prevention Program. She precepts dietetic interns for their rotation on public policy, consulting and reimbursement.


  • Diabetes Care and Education Dietetic Practice DPG Advocacy Activity Award  2011

  • California Dietetic Association Excellence in Private Practice, Business and Communication Award, Santa Clara, 2012