Long-Term Care

The emphasis on enterals: Findings and changes

Billing Alert for Long-Term Care, May 1, 2010

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Enterals are delivered to a resident through a feeding tube that’s inserted either via nasally into the stomach or intestines (nasogastric, nasoduodenal, nasojejunal) or through the abdomen into the stomach or jejunum (gastostomy, jejunostomy). Under Medicare Part A, ENT is covered in a SNF’s daily rate. Enterals can also be covered under Part B, but confusion lingers over the correct billing practices.

“SNFs need to be sure that they continually follow the rules and guidelines set forth by Medicare with what DME supplies need to be provided by the SNF without being separately reimbursed in a non-Part A stay,” says Cindy Dunne, president of ECS Billing & Consulting, Inc., in Dublin, OH.

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