Medicare: Nutrition Reimbursement Rates

Last week we discussed Medicare basics: what it is, who is covered, and the new rates in 2016 for its different parts. Today's post will dive more into the nutrition side of Medicare by discussing the nutrition services that are covered by Medicare for dieititians.

What can be reimbursed for dietitians?

MNT (Medical Nutritional Therapy) for patients who are diagnosed with diabetes or renal disease. However, patients who are on dialysis for renal disease are not part of the MNT coverage (they are still covered by Medicare though). 

How can I get reimbursed for MNT? 

  1.  Become a Medicare Part B provider. All you need is an NPI and then you can enroll with your state's Medicare carriers by filling out the CMS-885I form
  2. Get referred to by the patient's primary care physician- the physician MUST diagnose the patient with diabetes or renal disease.

Note: Only Registered Dietitians or Nutritional Professionals who meet provider qualifications can provide MNT for patients.

What does the MNT benefit provide? 

  1. Three hours of MNT counseling in the first year of being referred 
  2. Two hours of MNT counseling each year after the first year

MNT Reimbursement Rates for RDs in 2016

Reimbursement rates for Registered Dietitians vary by state and region for MNT, but fall within the ranges below.

  • Office (Out-patient) Rates
    • Individual Initial MNT for 1 unit (15 min) ranges from $27.81-$39.12
    • Individual Subsequent MNT for 1 unit (15 min) ranges from $22.02- $33.78
    • Group MNT for 1 unit (30 min) ranges from $11.77-$18.03
  • Facility (In-patient) Rates
    • Individual Initial MNT for 1 unit (15 min) ranges from $24.25- $37.09
    • Individual Subsequent MNT for 1 unit (15 min) ranges from $20.53- $31.42
    • Group MNT for 1 unit (30 min) ranges from $11.35 - $17.36 

 

Note: These are the minimums and maximum rates. Each state and region will have a different rate from one another.