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Nutrition & Dietetics
Nutrition referrals, medical nutrition therapy benefits, and billing considerations for dietitian practices.
Two Diabetes Benefits Can Create a Scheduling Conflict
Medicare medical nutrition therapy and diabetes self-management training cannot share a service date. Coordinate appointments before the patient arrives.
Rachael Lara
Oct 122 min read
A Nutrition Referral Must Match the Benefit Being Used
A referral does not settle every coverage question A patient arrives with a referral that says nutrition counseling. The dietitian can assess the patient’s needs, but the referral alone may not establish eligibility under the benefit the practice plans to bill. Original Medicare’s medical nutrition therapy benefit illustrates the distinction. Medicare.gov lists eligibility involving diabetes, kidney disease, or a kidney transplant within the preceding 36 months, along with a
Rachael Lara
Oct 52 min read
The Hidden Audit Risk of Billing Nutrition Therapy Codes for Lactation Visits
Why getting paid doesn't always mean the claim was billed correctly. As insurance coverage for lactation services continues to evolve, many IBCLCs are looking for ways to obtain reimbursement from commercial insurance plans. Unfortunately, some billing companies and online groups have begun recommending the use of Medical Nutrition Therapy (MNT) codes—particularly 97802 and 97803—for routine lactation consultations. The reasoning is often simple: "The claims pay." However, pa
Rachael Lara
Jul 103 min read
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