In a clinic setting does the “incident to” requirement to have a physician present when the person is being seen, pertain to the MNT benefit?
No. This is stated in the Program Memorandum AB-02-059 published on May 1, 2002. (1) Q8: Can the registered dietitian or nutrition professional bill Medicare for MNT for diabetes and renal disease (as defined by the statute) for some beneficiaries and use the usual and customary fee for others? A: No. Medicare requires that if you become a Medicare provider that you bill Medicare for all covered Medicare services provided to Medicare beneficiaries. It is illegal to do otherwise. However, RDs can bill the patient or a secondary/supplemental insurer for non Medicare covered services i.e. MNT for hyperlipidemia. The RD who doesn’t enroll as a Medicare provider cannot bill the Medicare beneficiary or the Medicare system for MNT for diabetes and renal disease. If the RD wants to see people who have Part B Medicare, but not bill Medicare for this service she must formally opt out of Medicare and enter into a private contract with each beneficiary. The opt out period lasts for two years. More
Related Questions
- If the patient is followed in a primary care exception clinic and is not seen face-to-face by the teaching physician, does this meet the criteria for having been seen in the required timeframe?
- In a clinic setting does the "incident to" requirement to have a physician present when the person is being seen, pertain to the MNT benefit?
- Can I be seen by a Kernodle Clinic physician if the physician is not part of my managed care insurance network?
