Patient Referrals


REFERRAL CRITERIA FOR DIABETES MEDICARE MNT COVERAGE

1)   FBS > 126 mg/dl on two different occasions OR

2)   2-Hour post glucose challenge > 200 mg/dl on two different occasions OR

3)   A random glucose test over 200 mg/dl for a person with symptoms of uncontrolled diabetes

Hours Covered by Medicare

This benefit provides 3 hours of one-on-one MNT services for the first calendar year and 2 hours of coverage for each subsequent calendar year. Additional hours may by covered if the treating physician orders additional hours of MNT based on a change in medical condition, diagnosis, or treatment regimen.

Coverage of MNT is provided as a Medicare Part B benefit. The coinsurance or copayment applies after the yearly Medicare Part B deductible has been met.
 

HOW TO REFER A PATIENT

1)   Physician completes Nutrition Therapy Order Sheet (PDF File)

2)   Office staff schedules initial appointment and provides  nutrition questionnaire.

3)   Office staff faxes Order Sheet to 618-224-2815

4)   Dietitian sees patient within 7 days of referral date.