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Medicare Part B covers medical nutrition therapy (MNT) services and some related services that integrate nicely with what a Consultant Pharmacist can offer.
However, MNT must be provided by a registered dietitian or a nutritional professional who meets certain requirements.
This is a GREAT option for pharmacists who also have a professional background in nutrition.
Even though MNT can only be provided by a nutrition professional, it still MUST be ordered by a doctor.
MNT services may include:
A pharmacist with a nutrition degree could provide MNT services as an off-site consultant.
For patients being treated in a dialysis facility, Medicare covers MNT as part of your overall dialysis care.
Codes and Criteria:
97802 – MNT; initial assessment and intervention, individual, face-to-face with the patient, each 15 minutes
97803 – MNT; re-assessment and intervention, individual, face-to-face with the patient each 15 minutes
97804 – MNT; group (2 or more individual(s)), each 30 minutes
G0270 – MNT reassessment and subsequent intervention(s) for change in diagnosis, individual, each 15 minutes
G0271 – MNT reassessment and subsequent intervention(s) for change in diagnosis, group (2 or more), each 30 minutes
How you can utilize this code:
MNT should not be confused with diabetes self-management training (DSMT), however.
DSMT is an education and training program that helps patients manage their diabetes, whereas MNT consists of more individualized diagnosis, therapy, and counseling related to nutrition.
According to the American Dietetic Association's 2009 White Paper on Nutrition Services that distinguishes between the delivery of DSMT and MNT services, the DSMT curriculum that is accredited by Medicare consists of 1 hour of individualized assessment and 9 hours of group classes.
DSMT curriculum is focused on “incorporating nutritional management into lifestyle,” and “using medications safely and for maximum therapeutic effectiveness.”
Sometimes it may be most helpful for patients to receive DSMT first, followed by MNT. Other patients may receive DSMT and MNT simultaneously.
A consultant pharmacist may partner with a nutritional professional to offer a collaborative DSMT/MNT program.
What services are you implementing in 2019?
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ABOUT THE AUTHOR:
Blair Green Thielemier, PharmD is an independent consultant pharmacist living in Arkansas with her husband and two children. Her latest project is the host and producer of pharmacy’s first virtual conference, the Elevate Pharmacy Virtual Summit in partnership with the NCPA Innovation Center. She is the founder of Pharmapreneur Academy, an online e-Course and Community where she guides pharmacist-entrepreneurs through the process and barriers of building a pharmacy consulting business. She is the author of How to Build a Pharmacy Consulting Business and facilitates in-person Business Planning Workshops and Mastermind Retreats for female Pharmapreneurs across the country. More information about Dr. Thielemier can be found on her website.