Reimbursement & MNT Outcomes

Reimbursement for medical nutrition therapy (MNT) and diabetes self-management training (DSMT) is provided by the Centers for Medicare and Medicaid Services (CMS) for Medicare beneficiaries, other third-party payers, including private health insurance companies, health maintenance organizations and preferred provider organizations.

There is a wealth of information about MNT reimbursement available on the members-only section of the Academy of Nutrition and Dietetics site, under the “Medical Nutrition Therapy” section.

Reimbursement Info

• Affordable Care Act - Insurance Marketplace & Diabetes
• Academy of Nutrition and Dietetics White Paper
• MNT Provider - Current Issue
• Past Issues of MNT Provider Newsletter

Resources for Reimbursement Assistance

• For specific questions regarding reimbursement, Diabetes DPG members may contact the DDPG Reimbursement Committee Chairperson
• Academy of Nutrition and Dietetics Getting Started: Payment Basics
• Academy of Nutrition and Dietetics Payment for Nutrition Services
• CPT and G Codes for RDNs
• Academy of Nutrition and Dietetics Reimbursement Community of Interest
• American Association of Diabetes Educators Resources

Medicare and Medicaid

• Providing the Service and Billing Under Medicare 
• Centers for Medicare and Medicaid Services (CMS)
• ICD-9-CM/ICD-10-CM Codes for MNT
• Intensive Behavioral Therapy (IBT) for Obesity
• Healthcare Common Procedure System (HCPCS) General Information
• Medicare Physician Fee Schedule
  • Medicare reimbursement for Registered Dietitian services can be found using this tool
  • Steps to search for reimbursement amount, by location:
    • Select appropriate year
    • HCPCS criteria: Select single HCPCS code 
    • MAC option: Specific locality
    • HCPCS code: put in desired CPT code (same as HCPCS code)
    • Modifier: select ALL modifiers
    • MAC: select specific locality of facility/office
• Preventative Services Medicare Quick Reference Information
• Obtain a National Provider Identifier (NPI)
• National Provider Identifier FAQs
• Medicare Diabetes Prevention Program (MDPP) Webinar

Referral Forms

• Sample MNT referral form - blank and completed example
• Combined DSME/T and MNT form
• Sample Claim Form (CMS-1500) and Instructions
• Sample Superbill
• Advanced Beneficiary Notices for Medicare MNT Benefit

DDPG Public Policy & Legislation

• Public policy resources and updates
• Members, please watch out for the ACTION ALERT! messages.
  It is important that you respond to these messages that will be directed to your legislators regarding these timely issues. The Academy has made the system quick and effortless to respond. So be on the "ALERT!" You are helping your profession to get ahead!

MNT Outcomes & Research

• Cost Effectiveness Issues of Diabetes Prevention & Treatment
• Standards of Practice for Registered Dietitians in Diabetes Care
• Research Opportunities for Members: Dietetics Practice-Based Research Network (DPBRN) 
• Evidence Analysis Library: Diabetes Mellitus Types 1 and 2 Systematic Review and Guideline

Telehealth

• Academy of Nutrition and Dietetics Telehealth Resources
• Practicing Telehealth

More resources coming soon!