Reimbursement for home parenteral nutrition (HPN) is important for nutrition support clinicians to understand. This intent of this review is to provide nutrition support clinicians knowledge on navigating through the structured requirements of diagnosis driven billing to receive reimbursement for services related to HPN, provide information on coding, provide practical tips for surviving a Medicare billing audit, and discuss challenges of Medicare guidelines seen in clinical practice.
Ireton-JonesCDeLeggeMHEppersonLAAlexanderJ. Management of the home parenteral nutrition patient. Nutr Clin Pract. 2003;18(4):310-317.
2.
OASIS home nutrition support patient registry annual report. Albany, NY: Oley Foundation; 1988. Silver Spring, MD: American Society for Parenteral and Enteral Nutrition; 1990.
3.
HowardL. Home parenteral nutrition: survival, cost and quality of life. Gastroenterology. 2006;130(2):S52-S59.
4.
Medicare Payment Advisory Commission. Report to congress: Medicare and the healthcare delivery system. Chapter 6 Medicare coverage and payment for home infusion therapy. 2012. Available at http://www.medpac.gov/documents/Jun12_EntireReport.pdf. Accessed November 8, 2012.
FuhrmanMPCharneyPMuellerCM. Hepatic proteins and nutrition assessment. J Am Diet Assoc. 2004;104:1258-1264.
7.
JensenGLMirtalloJCompherC. Adult starvation and disease-related malnutrition: a proposal for etiology based diagnosis in the clinical practice setting from the international consensus guideline committee. JPEN J Parenter Enteral Nutr. 2010;34(2):156-159.
8.
JensenGLBistrianBRoubenoffRHeimburgerDC. Malnutrition syndromes: a conundrum vs. continuum. JPEN J Parenter Enteral Nutr. 2009;33(6):710-716.
9.
WhiteJVGuenterPGensenG. consensus statement: academy of nutrition and dietetics and American society for parenteral and enteral nutrition: characteristics recommended for the identification and documentation of adult malnutrition (undernutrition). JPEN J Parenter Enteral Nutr. 2012;36(3):275-283.
