Home Nutrition Support Flashcards
When transitioning a patient from hospital to home PN (HPN), screening criteria should include what?
Presence of electricity and sanitary water supply
Medicare approved indications for HPN include:
Long term loss of GI function
Home infusion companies are responsible for providing what services for PN and EN therapies:
Formula delivery, equipment and supplies delivery, infusion nursing care
Home infusion providers should have policies that address:
education, training, and evaluation of patient/caregiver competency
Upon initiation of HPN, initial lab data should be obtained
prior to initation
When evaluating the home environment for a patient receiving PN, what is required?
Access to telephone
What patients are considered the lowest risk candidates for initiation of HPN?
teenagers
Following initial certification of PN by Medicare, after what length of time is recertification required?
6 months
What diagnosis would meet Medicare Part B coverage criteria to qualify a beneficiary for home EN?
Dysphagia
To meet Medicare criteria for home EN or PN, the patients condition must be considered to be :of long and indefinite duration”. Which length of time meets Medicare’s test of performance requirement?
90 days
Third party payers (insurance companies) are least likely to reimburse which home EN expenses?
Enteral formula
According to current Medicare guidelines, coverage for EN pump can be justified under which circumstance?
The patient is being fed via J tube
