Enteral and Parenteral Nutrition - JD DME
Enteral and Parenteral Nutrition
The Standard Written Order (SWO) requirements are in effect for dates of service January 1, 2020 and after.
Refer to the SWO page for the elements needed in this streamlined order.
Coverage
- Enteral and Parenteral Nutritional Therapy National Coverage Determination (NCD)
- Enteral Nutrition - Correct Coding and Billing
- Parenteral Nutrition - Correct Coding and Billing
Documentation
- 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
- CMS 10126 DME Information Form (DIF) - Enteral/Parenteral Nutrition DIF
- 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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Kits |
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Pumps |
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Upgrades
Scenario | Formula Listed on Detailed Written Order (DWO) | Formula Listed on DIF |
---|---|---|
Physician Orders Specialty Formula | Specialty Formula | Standard Formula |
Physician Orders Standard Formula Beneficiary Requesting Specialty Formula | Standard Formula | Standard Formula |
Physician Orders Standard Formula Specialty Formula Requested for Convenience | Standard Formula | Standard Formula |
Last Updated Tue, 09 Mar 2021 15:04:36 +0000
Related Articles
The below are topic specific articles which have been published to "Latest Updates" and sent out in Noridian emails within the past two years. Exclusions to this include time sensitive related announcements such as: Noridian and CMS educational events, Ask-the-Contractor Teleconferences and claims processing downtime.