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Step-By-Step Guide for MNT Reimbursement

Writing Team
Cecilia Butler, MS, RD, CDE
CDR Sandra Lahi, RHIA, CPC
LT Diane Phillips, RD, LD, CDE
Sara Lee Thomas, MS, RD
CAPT Leeanna Travis, RD, MA, MS, CDE
CAPT Tammy L. Brown, MPH, RD, BC-ADM, CDE
Brenda Broussard, MPH, MBA, RD, BC-ADM, CDE
July 2006
Indian Health Service
Division of Diabetes Treatment and Prevention
Albuquerque, New Mexico


 
List of Photos
(87 kb)
List of Tables
(129 kb)
Foreword (76 kb)
Acknowledgements (85 kb)
Frequently Used Abbreviations (87 kb)
Introduction (106 kb)
 
Section One: Ready...Set...Medical Nutrition Therapy!
An Overview of Medical Nutrition Therapy Reimbursement (138 kb)
The Medical Nutrition Therapy Medicare Benefit (106 kb)
Qualifying Diagnoses for Reimbursement (120 kb)
   
Section Two: Let’s Get Started...Go!
Seven Steps for Medical Nutrition Therapy Reimbursement (143 kb)
Step 1: Become a Recognized Medicare Provider (130 kb)
Step 2: Make Friends With Your Business Office (122 kb)
Step 3: Obtain Treating Physician Referral and
Authorization for Patient Visit
(112 kb)
Step 4: Learn More About Procedural (CPT) Codes and
Diagnosis (ICD-9) Codes for Reimbursement
(132 kb)
Step 5: Document MNT Services (172 kb)
Step 6: Track MNT Services and Reimbursement (117 kb)
Step 7: Market Your MNT Services (116 kb)
   
Section Three:
Resource Materials (138 kb)
Flow Chart of Steps for MNT Reimbursement (101 kb)
Appendix A: Top Ten Documentation Errors to Avoid in the IHS (97 kb)
Appendix B: Indian Health Case Study (16 kb)
Appendix C: Sample Forms (100kb)
CMS Form 1500 (“Health Insurance Claim Form”) (208 kb)
IHS MNT Referral Form (111 kb)
ADA and AADE Diabetes Services Order Form (162 kb)
ADA Nutrition Progress Notes Form (278 kb)
MNT Super Bill #1 (57 kb)
MNT Super Bill #2 (152 kb)
Third Party Reimbursement Tracking Form (71 kb)
IHS PCC+ MNT Diabetes Template (451 kb)
IHS PCC+ MNT Kidney Template (458 kb)
PCC Ambulatory Encounter Record (203 kb)
Appendix D: Nutrition Practice Guidelines and
MNT Evidence-Based Guides for Practice
(102 kb)
Appendix E: IHS Medicare Part A and B Coverage and
Billing Requirements for MNT and DSMT
(130 kb)
Appendix F: “Invest in Nutrition Services to
Reduce Health Disparities in AI/AN” Handout
(148 kb)
Appendix G: Additional Resources (113 kb)
Glossary (108 kb)
References (90 kb)
Contributors (85 kb)



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This file last modified:   Wednesday March 21, 2007  3:21 PM