Past chair of ASPEN Public Policy Committee Silver Spring, MD.
National Director, Nutrition Support, BriovaRx Infusion Services, Lenexa, Kansas.
Nutr Clin Pract. 2018 Jun;33(3):316-324. doi: 10.1002/ncp.10068. Epub 2018 Mar 30.
Home parenteral nutrition (HPN) has been considered a lifesaving intervention since the late 1960s for patients with gastrointestinal (GI) failure and other conditions that affect the GI tract who are well enough to be at home. Payment for this therapy under federal programs requires significant documentation and complex processes to qualify. Medicare parenteral nutrition policy, qualification processes and challenges, and advocacy supported by the American Society for Parenteral and Enteral Nutrition are reviewed with the goal of increasing clinician awareness of the complexity surrounding Medicare HPN reimbursement.
家庭肠外营养（HPN）自 20 世纪 60 年代末以来，一直被认为是胃肠道（GI）衰竭和其他影响胃肠道的疾病患者的救命干预措施，这些患者身体状况良好，可以在家中接受治疗。在联邦计划下，这种治疗需要大量的文件和复杂的程序来获得资格。本文回顾了医疗保险肠外营养政策、资格认证流程和挑战，以及美国肠外与肠内营养学会的支持，目的是提高临床医生对医疗保险 HPN 报销所涉及的复杂性的认识。
