Medicare Physician Fee Schedule
Find information and resources about the most recent release of the CMS Physician Fee Schedule. Read More
Nuts and Bolts of Getting Paid
Submitting claims to Medicare and private insurance companies is the final process before receiving reimbursement for the nutrition services you provided. This section is intended to increase understanding of nutrition service procedural and diagnostic codes that are integral to the claims submission process in the fee-for-service model of reimbursement. This section includes the Billing Resource for RDNs, Medicare-specific information and resources such as "how-to's" for participating in the Physician Quality Reporting System (PQRS), forms and other useful resources to assist with the billing process.
Diagnosis codes, such as the new ICD-10-CM, are officially called the International Classification of Diseases, 10th Revision, Clinical Modification. These codes describe an individual's disease or medical condition. Physicians determine the patient's diagnosis and chart this in the medical record, while trained billers assign the diagnosis code numbers to the physician-documented diagnosis for use on hospital forms such as a superbill, the CMS 1500, and the UB-04.
CPT codes, or the Current Procedural Terminology codes, are procedure codes that describe the service rendered by the healthcare professional. The MNT codes 97802, 97803, and 97804 are CPT codes that RDNs use on claims to report nutrition services provided by the RDN.
Because codes change over time and across insurance programs, the Academy will keep members up-to-date with the current codes related to nutrition professionals.
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Billing Resources
Whether you want to do your own billing or use a vendor, the Academy has information to help you get started. Read More
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Factors to Consider When Selecting a Professional Billing Service
Professional billers submit claims to Medicare and private insurance companies on behalf of their clients. Read More
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PQRS Measures: Quality Data Codes
A listing of quality data codes that relate to physician quality reporting system measures. Read More
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Medicare Physician Quality Reporting System (PQRS)
The PQRS is a quality reporting program that uses negative payment adjustments to promote reporting of quality information by eligible professionals. Read More
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Medicare Updates
Get the latest information on medical nutrition therapy and any updates that could affect your MNT services. Read More
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Medicare Assignment and Payment
Assignment is an agreement between Medicare and doctors and health care suppliers. Knowing what it means to accept an assignment and what is expected is essential. Read More
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Diabetes and Renal Disease Resources
The Academy provides members with additional tools to increase access to diabetes and renal disease services. View this list of resources and MNT services referral forms. Read More
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Diagnosis Codes for Medicare MNT
Diagnosis codes describe an individual's medical condition and are required on claims submitted by health care professionals to third party payers. Read More
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Medicare Preventive Services
The Academy of Nutrition and Dietetics provides resources on Medicare in relation to preventive services such as obesity, cardiovascular disease and annual wellness visits. Read More
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Medicare Claims Processing - Frequently Asked Questions
Find answers to frequently asked questions about Medicare claims processing. Read More
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Malnutrition Codes - Characteristics and Sentinel Markers
The Academy's Coding and Coverage Committee has organized a workgroup that is establishing characteristics and sentinel markers for malnutrition diagnosis codes. Read More
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Providing the Service and Billing Under Medicare
Providing the service and billing information for MNT gives resources on coverage documentation, guidelines for processing and yearly fee schedules. Read More
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CPT and G codes for RDNs
Learn about CPT and G codes available for use by RDNs based on the nature of the services provided and the RDN’s individual scope of practice. Read More
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CMS Notices and Regulations
The Academy has condensed these important documents, notices and regulations from the Centers for Medicare & Medicaid Services for dietetics professionals in practice. Read More