Enteral nutrition reimbursement - The rationale for the policy: The US perspective

Nestle Nutrition Workshop Series: Clinical and Performance Program

Volumn 12, Issue , 2009, Pages 53-70

  Parver, Alan K ^a   Mutinsky, Sarah E ^a  

^a Powell Goldstein LLP   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

AMBULATORY CARE; CONFERENCE PAPER; ECONOMICS; ENTERIC FEEDING; HEALTH CARE POLICY; HEALTH INSURANCE; HOME CARE; HUMAN; MANAGEMENT; MEDICAID; MEDICARE; NURSING HOME; REIMBURSEMENT; UNITED STATES;

AMBULATORY CARE; ENTERAL NUTRITION; HEALTH POLICY; HOME CARE SERVICES; HUMANS; INSURANCE, HEALTH; INSURANCE, HEALTH, REIMBURSEMENT; MEDICAID; MEDICARE; POLICY MAKING; SKILLED NURSING FACILITIES; UNITED STATES;

EID: 72049122116     PISSN: 14227584     EISSN: 1662386X     Source Type: Book Series    
DOI: 10.1159/000235668     Document Type: Conference Paper

References (14)

1. Kaiser Family Foundation: Medicare at a Glance Fact Sheet. Menlo Park, Kaiser Family Foundation, 2006.
2. Section 1886(d) of the Social Security Act.
3. Medicare and Medicaid Guide 2007, ¶8.5. 4 71 Fed. Reg. 47870 (Aug. 18, 2006) (Final rule Medicare IPPS FY2007). 5 68 Fed. Reg. 34494 (June 9, 2003). 6 42 C.F.R. § 482.28 (Condition of participation: Food and dietetic services).
4. Medicare and Medicaid Guide, ¶1.56.
5. Medicare National Coverage Determinations Manual, § 180.2.
6. Medicare NCD Manual, § 180.2; Medicare and Medicaid Guide, Coverage and Payment Rules. 10 42 C.F.R. § 414.104 (a) (PEN Items and Service, Payment Rules).
7. Jurisdiction B DME MAC Supplier Manual, Revision 51 - December 2006, Ch. 15, pp 2-3.
8. Medicare and Medicaid Guide ¶8.120.
9. AAHSA, Summary of AAHSA's Comments on CMS's Revisions to Medicare Payment System for Skilled Nursing Facilities, Aug. 2005.
10. Medicare and Medicaid Guide ¶8.120.
11. Kaiser Family Foundation: The Medicaid Program at a Glance Fact Sheet. Menlo Park, Kaiser Family Foundation, 2006.
12. HHS Office of the Inspector General, Coverage of Enteral Nutrition Therapy: Medicare and Other Payers, OEI-03-94-100020, May 1995.
13. GAO, Medicaid and Medicaid Coverage: Therapies and Supplies for Inflammatory Bowel Disease, GAO-06-63, Dec. 2005.
14. Palmetto GBA, Region C Council Q & A, Jan. 19, 2005, at http://www.palmettogba.com/palmetto/ providers.nsf/ 44197232fa85168985257196006939dd/85256d580043e75485256fd60054 bbeb?OpenDocument.