Coding & Billing MNT UPDATED ACTUAL
Exam Questions and CORRECT Answers
In order to receive reimbursement there are 2 important components required - CORRECT
ANSWER - 1. code for the disease or condition your client/pt has
2. code for the type of service you provide
Payment in private practice: disease code, service code
Billing - CORRECT ANSWER - -billing for nutrition is only in outpatient
-inpatient nut care will not be billed directly to insurance, considered part of patient's hospital
visit
MNT covered under ... - CORRECT ANSWER - Medicare Part B
(*medicaid may not cover anything... it varies from state to state)
Covered MNT services by Medicare Part B - CORRECT ANSWER - 1. Diabetes (t1, t2,
gdm)
2. Kidney disease (non dialysis/predialysis)
3. Post kidney transplant
hours of MNT covered w medicare - CORRECT ANSWER - Medicare covers MNT for 3
hours in the first year and 2 hours in subsequent years
ICD 11 - CORRECT ANSWER - WHO wants ICD11 to be electronic and support
electronic health records (2022)
-EHR:electronic health record
, -EMR: electronic medical record
ICD: international classification of disease
ICD 10 Codes - CORRECT ANSWER - -International Classification of Disease 10th
edition
-2015
-diagnosis codes
-describe individual's disease or medical condition; physicians and trained billers determine these
codes
ICD 10 Structure - CORRECT ANSWER - C.E.A.S.E
-Category: 1-3
-Etiology, Anatomic Site, Severity/other clinical detail: 4-6
-Extension: 7 (initial or subsequent encounter, laterality (LR), other clinical detail (ex: weeks
gestation)
more characters=more likely you get paid
Category - CORRECT ANSWER - 1-3
general disease code; family code
not billable when more characters exist
specificity - CORRECT ANSWER - Be very specific
Not billable if you only include first 3 characters; claim will be rejected
Exam Questions and CORRECT Answers
In order to receive reimbursement there are 2 important components required - CORRECT
ANSWER - 1. code for the disease or condition your client/pt has
2. code for the type of service you provide
Payment in private practice: disease code, service code
Billing - CORRECT ANSWER - -billing for nutrition is only in outpatient
-inpatient nut care will not be billed directly to insurance, considered part of patient's hospital
visit
MNT covered under ... - CORRECT ANSWER - Medicare Part B
(*medicaid may not cover anything... it varies from state to state)
Covered MNT services by Medicare Part B - CORRECT ANSWER - 1. Diabetes (t1, t2,
gdm)
2. Kidney disease (non dialysis/predialysis)
3. Post kidney transplant
hours of MNT covered w medicare - CORRECT ANSWER - Medicare covers MNT for 3
hours in the first year and 2 hours in subsequent years
ICD 11 - CORRECT ANSWER - WHO wants ICD11 to be electronic and support
electronic health records (2022)
-EHR:electronic health record
, -EMR: electronic medical record
ICD: international classification of disease
ICD 10 Codes - CORRECT ANSWER - -International Classification of Disease 10th
edition
-2015
-diagnosis codes
-describe individual's disease or medical condition; physicians and trained billers determine these
codes
ICD 10 Structure - CORRECT ANSWER - C.E.A.S.E
-Category: 1-3
-Etiology, Anatomic Site, Severity/other clinical detail: 4-6
-Extension: 7 (initial or subsequent encounter, laterality (LR), other clinical detail (ex: weeks
gestation)
more characters=more likely you get paid
Category - CORRECT ANSWER - 1-3
general disease code; family code
not billable when more characters exist
specificity - CORRECT ANSWER - Be very specific
Not billable if you only include first 3 characters; claim will be rejected
