May 2002 — Introductory Issue

May 2002 — Introductory Issue

  • "Welcome Message"
  • "Medicare Part B coverage and MNT billing guidelines"
    (Overview: effective dates, coverage, and reimbursement)
  • "Enrollment for individual health care practitioners"
    (Provider qualifications & enrollment forms)
  • "Medicare terms and definitions"
    (Includes: CMS, Claim, PIN, Reassignment)
  • "Additional enrollment tips"
    (CMS-855I; sections 2, 5, 6, 8, 9, 10)
  • "Internet enrollment resources"

June 2002

  • "'Opting out' of Medicare"
    (Considerations and procedures)
  • "Business not as usual"
    (Issues for non-enrolled RDs)
  • "Making dollars and sense of the Medicare MNT Benefit"
    (Accurately predicting the Medicare payment for MNT services)
  • "For additional information"
    (Payment schedules, physician referral forms, secondary payer form)
  • "CMS conversion factor adjustments"
  • "Medicare terms and definitions"
    (Including: secondary payer, NCD, ABN, UPIN)
  • "Did you know?"
    (Record-keeping tips)
  • "Accessing the Medicare MNT Benefit"
    (Referrals, codes, data)
  • "Enrolled RD provider responsibilities"
    (Verifying coverage and co-payments)
  • "Medicare MNT documentation"
    (Visits, services, changes in care)
  • "What to do with Medicare overpayments"
    (Remittance notice, carrier communication)

July 2002

  • "Co-payment: operating in 'good faith'"
    (Waiving, forgiving co-payments)
  • "Claims processing tip"
    (HCFA1500 item 11)
  • "Anti-kickback information"
    (Nutrition services offered "free" by clinic or physician's office)
  • "Terms and definitions"
    (Remittance notice(s), summary notice)

August 2002

  • "Medicare MNT diagnostic criteria and other regulations"
    (Lab values, GFR & fasting glucose)
  • "For good order's sake: physician referrals — on file and for audits"
    (Referrals, maintaining files, audits)
  • "Clearing the criteria confusion for Medicare MNT"
    (Additional beneficiary qualification info from CMS)
  • "Physician referrals for Medicare MNT"
    (Referrals/charges for first, second, and subsequent years)
  • "Pre-diabetes or impaired fasting glucose — not covered under Medicare MNT"
  • "CMS coordinating communications"
    (Changes in publishing procedures at CMS)
  • "What about a verbal referral?"
    (Obtaining counter-signatures before submitting claims)
  • "Equations to predict glomerular filtration rate"
    (MDRD and Cockcroft-Gault equations)
  • "Carrier overpayment resources"
    (Overpayment refund" forms, Program memorandum B-02010)

September 2002

  • "Complying with Health Insurance Portability and Accountability Act (HIPAA): What it means to dietetics practitioners"
    (Health care records, pre-existing conditions, RD's as health care entities)
  • "Medicare's guide for time-based Current Procedural Terminology (CPT) Codes"
    (Correct billing, 8-23-minute units of time)
  • "Upcoming Medicare events"
    (Conference promos)

October 2002

  • "Advanced Beneficiary Notice (ABN) — required form available from CMS"
  • "HIPAA reminder — compliance plan extension request due in coming weeks"
  • "No shows: good business practices in sync with Medicare compliance"
  • "CMS resources to keep in mind"
  • "Upcoming Medicare events"
  • "Do you know the difference between a denied claim and a rejected claim?"
  • "Subscription coupon"

November 2002

  • "RDs can improve diabetes through both Medicare MNT and DSMT benefits"
  • "Health Insurance Portability and Accountability Act (HIPAA) — What does it mean for providers with small practices?"
  • "Medicare payment illustrates need for reform and congressional gridlock"

December 2002

  • "Points to consider about Medicare MNT and long-term care"
    (skilled nursing facilities)
  • "Malpractice insurance…a business necessity"
  • "Officials update Medicare MNT benefit"