Download DME Covered Services

Medical Supplies & Equipment Covered Services and Limitations Module
Parenteral nutrition is separately reimbursable in addition to the nursing facility per diem if the
client meets the requirements. Enteral nutrition is not a legend drug and is included in the
nursing facility per diem rate.
Documentation: Written Order, AND
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Current home assessment stating that environment in which nutrition therapy is to be
given is safe and sanitary
Documented systematic ongoing process, which will increase client compliance and
decrease negative outcomes
Client profile consisting of the following:
o Name, age, sex, height, and weight of client
o Current drug therapy, including prescription and nonprescription drugs and home
remedies
o Client’s current diagnosis (es) in relation to therapy
o Client specific drug-related problem list
o Goals for nutrition therapy
o Pertinent medical history
o Pertinent physical findings
o Pertinent laboratory findings
Profiles must be updated on a quarterly basis to include:
• Documentation of client education
• Additions to or deletions from nutrition therapy
• Outcomes associated with nutrition therapy
• Ongoing client assessments
• Results of ongoing laboratory tests
• Ongoing pertinent medical findings
Information shall be made available upon request and maintained for six years after therapy is
completed.