Enteral and Parenteral Nutrition - JA DME
Enteral and Parenteral Nutrition
Coverage
- Enteral Nutrition Local Coverage Determination (LCD)
- Enteral Nutrition Policy Article
- Parenteral Nutrition Local Coverage Determination (LCD)
- Parenteral Nutrition Policy Article
Documentation
- Standard Documentation Requirements for All Claims Submitted to DME MACs
- Clinician Checklist - Enteral Nutrition [PDF] - Checklist to assist clinicians with coverage and documentation requirements
- Clinician Checklist - Parenteral Nutrition [PDF] - Checklist to assist clinicians with coverage and documentation requirements
- Clinician Letter - CERT Enteral Nutrition [PDF] - Letter may be sent to clinicians regarding enteral nutrition documentation
- Clinician Letter - Medical Records [PDF] - Letter may be sent to clinicians to help obtain documentation
- Enteral Documentation Checklist [PDF] - Checklist to ensure suppliers gather all required documentation
- Parenteral Nutrition Documentation Checklist [PDF] - Checklist to ensure suppliers gather all required documentation
Reviews/Audits
- Medical Review - View notifications/findings of pre/post claim reviews completed by Noridian Medical Review
Tips
Topic | Details |
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Accessories |
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Billing |
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Formula |
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Supply Kit Fee/Allowance |
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Parenteral/Enteral Nutrition (PEN) Therapy Payment Categories |
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Pumps |
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Modifiers
Use | Details |
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Nutrition/supplies |
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Purchase option |
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Pump Modifiers |
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Maintenance and Service |
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Policy Modifiers Modifier Lookup Tool |
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Last Updated Wed, 08 Nov 2023 18:03:53 +0000