TPN Medicare Qualification
This common time frame is no longer used when referencing length of need for Medicare qualification of TPN and has been replaced with "Long and Indefinite"
What is 90 days or greater?
the number of patients Coram services Monthly for tube feeding
What is 50,000
This is how often a formula is reviewed in the hospital for changes
What is daily
This is the topic for the next Webinar for NNM
What is Nutrition Support and Management of Intestinal Fistulas
The name of the marketing piece used to support starting TPN in the home
What is Home Initiation of TPN
This is the formal name of the group of ingredients that require a paid test claim when billing part D
What are macronutrients.
in order to meet Medicare criteria, a clinical progress note showing the patient was seen within the past 30 days or a televisit made is required to be dictated by this individual
What is the prescriber that is signing our initial TPN order
Name the initiative that the ENC pushed for the past year to support our rebate with our preferred vendor
Nestle Conversion
Besides the formula, this is another document you would retrieve to assist with determining what other additives might be going in the TPN that may need to be billed separately.
What is the MAR?
This is required documentation when a patient has Medicare primary, even if we are not billing Medicare for payment for the TPN
What is length of need?
Name the program Coram has to reduce the risk of catheter infections, particularly in TPN patients
What is Project Zero
This is the type of filter required when infusing TPN.
What is 1.2 micron
A requirement when the formula is above or below guidelines.
What is a statement in a progress note outlining why the formula is outside of guidelines?
As of February 1st what tube feed connection is being used for all new button patients.
What is EnFIT
TPN requires a clear understanding of which formula to use upon discharge, since updated orders (even if there are no changes) are required to be entered daily. This person would be a good contact at the hospital to clarify the most current version of the formula available.
Who is the hospital pharmacist
there are nine variations of this product that is most often used by hospital systems in lieu of compounding TPN, and requires the bag be activated prior to use
What is Clinimix/Clinimix E
The name of your TPN transition dietitian (first and last name) who is here to help you with onboarding your patients by offering support in communicating with the customer and CTET when requested
Who is Erin Tiffany
This is the name of the part of the program on the pump that allows for a crescendo and decrescendo to support stable blood sugars during connection and disconnection
What is up and down ramp
A detailed progress note by the physician describing the patient's disease state and what information was used to make this determination can be used in lieu of this required documentation
What is objective testing
This company's product recall was a result of salmonella poisoning in infants causing a depletion in formula stock
Who is Abbott
the acronym SMOF is the abbreviation for these four lipid ingredients
What is soybean oil, medium chain triglycerides, olive oil, and fish oil.
Several branches in the south region have already transitioned to this CTET hub, designed for TPN patients only
What is Malvern TPN
A preferred option to avoid having to complete a hospital hook up of TPN, this term describes the process utilized to transition a patient off TPN so the initial visit can be made in the home rather than the hospital
What is weaning
This is how long TPN is stable once additives are added to the bag
What is 24 hours
although required for pancreatitis, fistulas, and regional enteritis, this is not a requirement for other disease states in order to qualify (unless length of need is only one month)
What is NPO/Bowel Rest
This payer has recently been added to the high risk payer group for enteral patients
Who is Sunshine
In addition to the hospital formula, this documentation is required to dispense TPN
What are TPN specific orders
The admissions dietitian will send this after completing the initial review of a new TPN referral
What is the admission dietitian checklist, aka soc list
The term used to describe when lipids are not added to the TPN formula and are infused separately
What is 2:1
These are the two labs that are specifically important when reviewing for refeeding syndrome
What is magnesium and phosphorus