Comparisons

Which EHR can a dietitian use to bill Medicare for MNT?

By Javier Alvarez · Updated October 26, 2026 · 4 min read

Disclosure: Duo Practice is one of the options on this page, and we wrote it. Competitor prices come from their own pricing pages, checked October 26, 2026. Medicare rules come from CMS and the eCFR, linked below.

Which EHR can a dietitian use to bill Medicare?

Any EHR that sends claims through a clearinghouse can bill Medicare Part B once you are enrolled. The difference is who checks Medicare's MNT rules before the claim leaves: the referral, the diagnosis and the hours. A claim that breaks one of them is denied even when the software sent it perfectly. This page compares the software; the benefit itself is covered in Medicare MNT coverage.

The table is alphabetical, not ranked. "You" means we found no Medicare-specific check on that vendor's public pricing or billing pages; ask them in a demo. In any of them, confirm during the trial that your Medicare contractor is on the clearinghouse's payer list.

What does a Medicare MNT claim need that other claims don't?

Four things, all from the federal rules (42 CFR 410.130 to 410.134 and NCD 180.1):

1. A referral from the treating physician. An MD or DO, never a nurse practitioner or physician assistant. The physician's name and NPI go in box 17 and 17b of the claim.
2. A covered diagnosis first. Diabetes, chronic kidney disease not on dialysis, or a kidney transplant in the last 36 months. Obesity, prediabetes or high cholesterol alone are not covered as MNT.
3. Hours inside the yearly limit. 3 hours in the first calendar year and 2 hours each year after, counted in 15-minute units of 97802 and 97803. More hours need a new referral for a change in condition, billed as G0270 or G0271.
4. An ABN when you expect a denial. If the diagnosis is not covered or the hours are used up, the patient signs an ABN before the visit and the claim carries modifier GA (CMS: ABN).

Two more Medicare habits trip up software built for commercial plans. Medicare doesn't pay MNT and diabetes self-management training on the same day. And once Medicare has processed a claim, Claim.MD notes that you cannot send an electronic corrected claim; you fix it through Medicare's reopening or appeal process (Claim.MD). The full benefit is in our Medicare MNT coverage guide.

What Duo Practice does on a Medicare claim

Duo drafts the claim from the signed visit note: the CPT code, units from how long the session ran, the ICD-10 codes and the place of service. On a Medicare or Medicare Advantage claim it then warns you, before you submit, when:

• the claim names no referring provider (box 17b), or
• no diagnosis on the claim is one Medicare covers for MNT, or
• a claim bills MNT and diabetes self-management training (G0108 or G0109) together.

These are warnings, not blocks. You read them and decide. The referral document you uploaded for the client stays attached to the claim, so you can check the physician's name and NPI against it. You approve the claim, and it goes out under your NPI through your own Claim.MD account.

What it does not do yet: it doesn't count how many of a patient's Medicare hours are left this year, it doesn't prepare the ABN, and it doesn't enroll you in Medicare or file appeals. Keep a running count of hours per patient yourself.

When another EHR is the better pick

You bill a few Medicare patients and mostly cash-pay clients. Practice Better keeps your programs and client portal, and its Claim.MD connection is enough to send the occasional Medicare claim if you check the rules yourself. You want the lowest monthly list price. Kalix, at $27 plus $15 for unlimited claims. You share a practice with therapists. SimplePractice. You run a team or need an API. Healthie.

Duo Practice fits a solo or small practice where Medicare and other insurance are most of the revenue and you want the claim built for you, with the Medicare rules checked before it goes out. It has no client portal, programs or group features.

Before your first Medicare claim, in any EHR

Enroll in Medicare through PECOS (how dietitians enroll), then add your Medicare contractor in your clearinghouse and finish any enrollment it asks for. Get the referral in writing with the diagnosis. Check what Medicare pays for 97802 and 97803 in your state in our Medicare MNT rates by state. If the patient is on a Medicare Advantage plan, the same coverage rules usually apply, but you file to the plan, not to Medicare (Medicare Advantage billing).

Duo Practice drafts the claim from the visit and warns you about both before it goes out. You pay 3.9% of what Medicare pays. Try Duo Practice free