Module 1: Understanding Chronic Kidney Disease (ckd)

UACR quantifies all levels of urine albumin

• Slide 63 of 80

• UACR is a continuous variable.
• The term microalbuminuria has been used to describe abnormal urine albumin levels not detected by dipstick test, 30 mg/g – 300 mg/g.
• The term macroalbuminuria has been used to describe urine albumin > 300 mg/g.
• Both terms will be replaced by the term urine albumin.

Explaining urine albumin

• Slide 64 of 80

Medical Nutrition Therapy

• Slide 65 of 80

• Prescribed by a physician for the purposes of disease management
• Nutritional diagnosis, therapy and counseling services provided by a Registered Dietitian Nutritionist or other nutrition professional (may be RD eligible)
• In-depth individualized nutrition assessment and interventions

MNT involves numerous steps

• Slide 58 of 80

• An initial nutrition and lifestyle assessment
• Nutrition counseling
• Information regarding diet management
• Follow-up sessions to monitor progress
• Individual or group sessions

Medicare Part B Preventive Care Services

• Slide 67 of 80

	Eligibility	Frequency
MNT Individual or group	Diabetes CKD with eGFR 13-50 Successful kidney transplant in past 3 years.	First calendar year 3 hours	No co-pay Deductible waived
		Subsequent year 2 hours

• http://qioprogram.org/sites/default/files/editors/141/Medicare%20DSMT%20and%20MNT%20Requirements%20for%20Reimbursement.pdf