Fueling Compliance: Cracking the Code on DSMT & MNT | Webinar

Fueling Compliance: Cracking the Code on DSMT & MNT

June 26th, 2025 at 12:00 pm ET

Guest presenter Darren Goodwin, CPC, CPMA, CPCO

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This presentation provides a focused overview of Diabetes Self-Management Training (DSMT) and Medical Nutrition Therapy (MNT) services. It outlines key coverage criteria, provider qualifications, and documentation requirements necessary for accurate claims submission and compliance. Attendees will gain a clear understanding of HCPCS coding for individual and group services, annual hour limits, referral requirements, and how to properly bill for DSMT and MNT services.

After the webinar, participants will be able to:

• Differentiate DSMT and MNT services based on CPT®/HCPCS codes, provider qualifications, and Medicare coverage policies.
• Identify Medicare coverage criteria and documentation requirements necessary to support medical necessity for DSMT and MNT.
• Explain the appropriate use of modifiers and diagnosis coding to ensure clean claims and reduce denials.
• Understand frequency limitations for DSMT and MNT under Medicare, and how to monitor utilization to avoid overbilling.
• Describe the referral requirements and coordination rules when DSMT and MNT are provided to the same beneficiary in the same calendar year.
• Apply documentation and coding best practices to support accurate reimbursement and regulatory compliance for DSMT and MNT services.

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