What's the buzz with DMST?

Initial DSMT training is to be (pick all that apply)

• 10 hours in 12 continuous month period

• 2 hours in 12 continuous month period

• Billed in 30 minute increments

• Rounding up of minutes to 30 minutes is allowed

Follow up training is not to exceed 2 hours per year.

• True

• False

Individual coverage is allowed (pick all that apply)

• No group session available within two months of the date training is ordered

• Physician/qualified Non physician practitioner documents that the beneficiary has special needs that will hinder participation in group training.

• Physician orders insulin training

• All of the above

DSMT orders must contain physician certification statement.

• True

• False

DSMT orders must specify (pick all that apply)

• Initial or follow up training

• Number of hours

• Topics to be discussed

• Individual or group training

• Physician certification statement

DSMT will cover the diagnosis of prediabetes.

• True

• False

If a patient has the diagnosis of Gestational Diabetes, and their glucose levels are >126 mg/dL for two days in a row, do they qualify for DSMT under the Medicare benefit?

• Yes

• No

Do you need to have documentation of recent lab results showing the patient has diabetes if the referring provider states they have diabetes?

• Yes

• No

Can a Nurse Practitioner order DSMT?

• Yes

• No

What are the components in the physician certification statement? (Pick all that apply)

• DSMT is needed

• The beneficiary is a diabetic

• The ordering provider is the Primary Care Provider

• The ordering provider is managing the beneficiary’s diabetes