Client text yesterday. Only have a few details. 37 day hospital stay. Don't know diagnosis. To be discharged Tuesday (tomorrow).
Requires TPN from a compounding pharmacy delivered by courier at a cost of $172 per day.
I had no idea what TPN was, so I had to look it up.
The "juice" can be covered by Medicare under Part B or D.
https://www.cms.gov/medicare/prescr...nloads/partsbdcoveragesummarytable_041806.pdf
https://www.medicare.gov/coverage/enteral-nutrition-supplies-and-equipment.html
https://www.chartwellpa.com/pdf/medicare_tpn_checklist.pdf
Latest text says Corum (local supplier) has tried for 3 weeks to get Medicare to approve coverage. Denied because she "didn't have the right kind of surgery"
That is all I know.
She needs TPN to live. Can't afford $172 per day. She needs the liquid nutrition "indefinitely".
Can't say if that means until she get's better, runs out of money or dies.
First time I have encountered anything like this. Would appreciate insight from folks who have had this before, how did you/your client handle it, how did you appeal to Medicare.
TIA
Requires TPN from a compounding pharmacy delivered by courier at a cost of $172 per day.
I had no idea what TPN was, so I had to look it up.
The "juice" can be covered by Medicare under Part B or D.
https://www.cms.gov/medicare/prescr...nloads/partsbdcoveragesummarytable_041806.pdf
https://www.medicare.gov/coverage/enteral-nutrition-supplies-and-equipment.html
https://www.chartwellpa.com/pdf/medicare_tpn_checklist.pdf
Latest text says Corum (local supplier) has tried for 3 weeks to get Medicare to approve coverage. Denied because she "didn't have the right kind of surgery"
That is all I know.
She needs TPN to live. Can't afford $172 per day. She needs the liquid nutrition "indefinitely".
Can't say if that means until she get's better, runs out of money or dies.
First time I have encountered anything like this. Would appreciate insight from folks who have had this before, how did you/your client handle it, how did you appeal to Medicare.
TIA