A/B MAC (B) - Medical Nutrition Therapy (MNT) - Payment

80.7 - A/B MAC (B) - Medical Nutrition Therapy (MNT) - Payment Policy (Rev. 1040, Issued: 08-25-06, Effective: 09-11-06, Implementation: 09-11-06) Section 105 of BIPA permits Medicare coverage of MNT when furnished by a registered dietician (RD) meeting certain requirements. See Chapter 4, §§300 through 300.6 of Pub. 100-04, Medicare Claims Processing Manual, for more information on these requirements. Medical nutrition therapy services rendered by an RD who is an individual practitioner or member of a group practice may be provided in a beneficiary’s home if the physician adequately documents the need for having the services provided in the beneficiary’s home in his/her written orders. Under these circumstances, the practitioner may render the MNT services in the beneficiary’s home and bill the designated A/B MAC (B) under the practitioner’s or group practice’s A/B MAC (B) issued PIN. Even if the practitioner has contracted with an IHS provider to provide MNT in the hospital outpatient department, the practitioner may, during hours not included in the contracted services, provide MNT in the beneficiary’s home, and submit a bill to the designated A/B MAC (B), using the PIN of the practitioner or group practice. Payment is made by the A/B MAC (B) based upon the fee schedule.