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INFUSION MAGAZINE
INFUSION magazine is the official publication of the National Home Infusion Association (NHIA), reaching key decision makers within the home and specialty infusion market. The magazine covers topics of interest to pharmacists, pharmacy technicians, nurses, marketing and reimbursement specialists, physicians, case managers, CEOs and othersenior
2021 QUICK CODING REFERENCE FOR HOME INFUSION THERAPY ALL DRUGS CODED AND PAID SEPARATELY Use specific HCPCS drug codes (“J-codes”) with NDC number HIGH TECH NURSING SERVICE CODED AND PAID SEPARATELY 99601q Home infusion/specialty drug administration,pervisit (up to 2 hrs)
REIMBURSEMENT_CODING_QUICK_CODING_REFERENCES Thanks to the generous support from Innovatix, LLC, the 2021 NHIA Quick Coding Reference for Home Infusion Therapy and the Quick Reference Guide for Billing Home Infusion Nursing to Medicare are now available as an NHIA member-only benefits.. The NHIA Quick Coding Reference is an extremely useful tool once the concepts and detail in the National Coding Standard are understood. NHIA NATIONAL CODING STANDARD FOR HOME INFUSION CLAIMS NHIA National Coding Standard for Home Infusion Claims under HIPAA Version 1.11.01i Effective Date: January 1, 2020 1600 Duke Street Suite 410 Alexandria, VA 22314 Phone: 703-549-3740 www.nhia.org MEDICARE’S CHANGING COVERAGE CRITERIA FOR PARENTERAL AND Basis of the PN NCD Issue of Permanence Permanence is met if it is the judgment of the attending physician, substantiated in the medical record, that the condition is of long and indefinite duration (90 daysor
MEDICARE'S CHANGING COVERAGE CRITERIA FOR PARENTERAL AND 28. There are situations for which a patient may need 6 - 8 weeks of PN (ex. neo-adjuvent therapy for esophageal cancer). Currently the patient must 1) stay in the hospital, 2) THE REVISED USP STERILE COMPOUNDING STANDARDS www.nhia.org/CE_Infusion July/August 2019 ADVANCING HOME INFUSION CLINICAL PRACTICE THROUGH RESEARCH Background •2009 Consensus Guidelines: •2020 Consensus Guidelines: Support an AUC of at least 400mg*hr/L for optimal bacterial killingfor the treatment
BAMLANIVIMAB PILOT PROGRAM Bamlanivimab Pilot Program - Billing and Coding Resource The Centers for Medicare & Medicaid Services (CMS) has cast a wide net regarding which entities can provide and bill for VASCULAR ACCESS: MAINTAINING PATENCY AND REDUCING 34 Vascular Access: Maintaining Patency and Reducing Infection Risk By Marvin Siegel, BS RN CRNI and Ana Arlistico, PharmD For home infusiontherapy patients,
INFUSION MAGAZINE
INFUSION magazine is the official publication of the National Home Infusion Association (NHIA), reaching key decision makers within the home and specialty infusion market. The magazine covers topics of interest to pharmacists, pharmacy technicians, nurses, marketing and reimbursement specialists, physicians, case managers, CEOs and othersenior
2021 QUICK CODING REFERENCE FOR HOME INFUSION THERAPY ALL DRUGS CODED AND PAID SEPARATELY Use specific HCPCS drug codes (“J-codes”) with NDC number HIGH TECH NURSING SERVICE CODED AND PAID SEPARATELY 99601q Home infusion/specialty drug administration,pervisit (up to 2 hrs)
REIMBURSEMENT_TRAINING_INFUSION SUITES NHIA Reimbursement Training Center Ambulatory Infusion Suites (AIS) Many home infusion therapy providers also operate a health care facility called ambulatory infusion suite (AIS) of the home infusion therapy provider. The AIS of the home infusion therapy provider is a setting where the clinical care provided pursuant to physician orders is managed and performed by NHIA NATIONAL CODING STANDARD FOR HOME INFUSION CLAIMS NHIA National Coding Standard for Home Infusion Claims under HIPAA Version 1.11.01i Effective Date: January 1, 2020 1600 Duke Street Suite 410 Alexandria, VA 22314 Phone: 703-549-3740 www.nhia.org MEDICARE’S CHANGING COVERAGE CRITERIA FOR PARENTERAL AND Basis of the PN NCD Issue of Permanence Permanence is met if it is the judgment of the attending physician, substantiated in the medical record, that the condition is of long and indefinite duration (90 daysor
COMPLETE GUIDE TO MEDICARE PART B FOR HOME INFUSION Access NHIA’s complete guide to Medicare Part B home infusion therapy (HIT) services benefit, to get the information you need to know fo r your organization. At the end of this year the temporary transitional benefit for Part B will end and the permanent benefit will begin January 1, 2021. MEDICARE'S CHANGING COVERAGE CRITERIA FOR PARENTERAL AND 28. There are situations for which a patient may need 6 - 8 weeks of PN (ex. neo-adjuvent therapy for esophageal cancer). Currently the patient must 1) stay in the hospital, 2) ADVANCING HOME INFUSION CLINICAL PRACTICE THROUGH RESEARCH Background •2009 Consensus Guidelines: •2020 Consensus Guidelines: Support an AUC of at least 400mg*hr/L for optimal bacterial killingfor the treatment
BAMLANIVIMAB PILOT PROGRAM 2 This EUA is for the use of the unapproved product (bamlanivimab) for the treatment of mild to moderate COVID-19 in adults and pediatric patients with positive results of direct SARS-CoV-2 viral testing whoare 12
VASCULAR ACCESS: MAINTAINING PATENCY AND REDUCING 34 Vascular Access: Maintaining Patency and Reducing Infection Risk By Marvin Siegel, BS RN CRNI and Ana Arlistico, PharmD For home infusiontherapy patients,
HOME AND ALTERNATE SITE INFUSION SPACE Our mission is to provide advocacy, education, and resources to you, so that the patients you serve can lead healthy, independent lives. Provider Member-only Benefits: EDUCATION. Stay on the cutting-edge of health care and home and alternate site infusion with continuing education (CE) opportunities and networking with industryprofessionals.
REIMBURSEMENT_CODING_QUICK_CODING_REFERENCES Thanks to the generous support from Innovatix, LLC, the 2021 NHIA Quick Coding Reference for Home Infusion Therapy and the Quick Reference Guide for Billing Home Infusion Nursing to Medicare are now available as an NHIA member-only benefits.. The NHIA Quick Coding Reference is an extremely useful tool once the concepts and detail in the National Coding Standard are understood. NATIONAL CODING STANDARD 1600 Duke Street Suite 410 Alexandria, Virginia 22314 ; 703-549-3740; info@nhia.org; 888-206-1432; 9am to 5pm EST Monday to Friday MEDICARE_DOCUMENTATION Verify the effective date by utilizing your DME MAC’s website or their Interactive Voice Response (IVR) System. DME MAC A: Noridian Medicare Portal or IVR at 866-419-9458. DME MAC B: myCGS or IVR at 877.299.7900. DME MAC C: myCGS or IVR at 866-238-9650. DME MAC D: Noridian Medicare Portal or IVR at 877-320-0390.LIVE WEBINARS
NHIA offers live webinars to provide instruction and updates on issues affecting practitioners and the industry. From clinical to operational—as well as the latest on coverage, reimbursement, and NHIA’s advocacy activities—Talk Infusion webinars are free to NHIAmembers.
NATIONAL HOME INFUSION FOUNDATION The National Home Infusion Foundation (NHIF) benchmarking program is excited to announce two new metrics for 2020. The purpose of the program is to collect industry-wide, standardized data to establish a national reference point for performance and clinical metrics REIMBURSEMENT_TRAINING_INFUSION SUITES NHIA Reimbursement Training Center Ambulatory Infusion Suites (AIS) Many home infusion therapy providers also operate a health care facility called ambulatory infusion suite (AIS) of the home infusion therapy provider. The AIS of the home infusion therapy provider is a setting where the clinical care provided pursuant to physician orders is managed and performed by STERILE COMPOUNDING RESOURCE CENTER |BEST PRACTICES AND The preparation of compounded sterile preparations (CSPs) in compliance with federal, state, and industry standards is a core function of home infusion pharmacy practice. Patients rely on the expertise of home infusion providers to ensure medications are prepared in a sterile, accurate, and safe manner. Home infusion providers must be aware of ADVANCING HOME INFUSION CLINICAL PRACTICE THROUGH RESEARCH Background •2009 Consensus Guidelines: •2020 Consensus Guidelines: Support an AUC of at least 400mg*hr/L for optimal bacterial killingfor the treatment
PARENTERAL NUTRITION : A DEEP DIVE INTO ILE AND THE USE OF Parenteral Nutrition : A Deep Dive into ILE and the Use of Alternative Lipid Emulsion Formulations in the Adult and Pediatric Population Beth Kerbel, PharmD and Meredith Wood-Masteka MS, RD, CNSC NHIA 2021 ANNUAL CONFERENCE NHIA's Annual Conference is the premier conference for the home and specialty infusion industry, offering inspiring speakers, education and networking opportunities. MEDICARE_DOCUMENTATION Documentation and Intake NHIA Reimbursement Training Center Click here >> The Intake process for Medicare patients, whether billing for payment or for denial, is essential to withstanding audits and submitting timely and accurate appeals. Receipt of payment does not guarantee all CMS guidelines have been met. Payments are at risk for recoupment on audit ifINFUSION MAGAZINE
INFUSION magazine is the official publication of the National Home Infusion Association (NHIA), focusing on key decision-makers in thisindustry.
HOME AND ALTERNATE SITE INFUSION SPACE Become a part of a community that is committed to serving patients in the home and alternate site infusion space. We are here to advocate and provide the valuable information you need to know as a home infusion organization. NATIONAL CODING STANDARD 1600 Duke Street Suite 410 Alexandria, Virginia 22314 ; 703-549-3740; info@nhia.org; 888-206-1432; 9am to 5pm EST Monday to Friday NHIA NATIONAL CODING STANDARD FOR HOME INFUSION CLAIMS NHIA National Coding Standard for Home Infusion Claims under HIPAA Version 1.11.01i Effective Date: January 1, 2020 1600 Duke Street Suite 410 Alexandria, VA 22314 Phone: 703-549-3740 www.nhia.org REIMBURSEMENT_TRAINING_INFUSION SUITES NHIA Reimbursement Training Center Ambulatory Infusion Suites (AIS) Many home infusion therapy providers also operate a health care facility called ambulatory infusion suite (AIS) of the home infusion therapy provider. The AIS of the home infusion therapy provider is a setting where the clinical care provided pursuant to physician orders is managed and performed by MEDICARE’S CHANGING COVERAGE CRITERIA FOR PARENTERAL AND Basis of the PN NCD Issue of Permanence Permanence is met if it is the judgment of the attending physician, substantiated in the medical record, that the condition is of long and indefinite duration (90 daysor
ADVANCING HOME INFUSION CLINICAL PRACTICE THROUGH RESEARCH Background •2009 Consensus Guidelines: •2020 Consensus Guidelines: Support an AUC of at least 400mg*hr/L for optimal bacterial killingfor the treatment
VASCULAR ACCESS: MAINTAINING PATENCY AND REDUCING 35 THE EVOLUTION OF FLUSHING PROTOCOLS Traditionally, heparin is the agent of choice for a lock solution. The standard of care is toinstill at
NHIA 2021 ANNUAL CONFERENCE NHIA's Annual Conference is the premier conference for the home and specialty infusion industry, offering inspiring speakers, education and networking opportunities. MEDICARE_DOCUMENTATION Documentation and Intake NHIA Reimbursement Training Center Click here >> The Intake process for Medicare patients, whether billing for payment or for denial, is essential to withstanding audits and submitting timely and accurate appeals. Receipt of payment does not guarantee all CMS guidelines have been met. Payments are at risk for recoupment on audit ifINFUSION MAGAZINE
INFUSION magazine is the official publication of the National Home Infusion Association (NHIA), focusing on key decision-makers in thisindustry.
HOME AND ALTERNATE SITE INFUSION SPACE Become a part of a community that is committed to serving patients in the home and alternate site infusion space. We are here to advocate and provide the valuable information you need to know as a home infusion organization. NATIONAL CODING STANDARD 1600 Duke Street Suite 410 Alexandria, Virginia 22314 ; 703-549-3740; info@nhia.org; 888-206-1432; 9am to 5pm EST Monday to Friday NHIA NATIONAL CODING STANDARD FOR HOME INFUSION CLAIMS NHIA National Coding Standard for Home Infusion Claims under HIPAA Version 1.11.01i Effective Date: January 1, 2020 1600 Duke Street Suite 410 Alexandria, VA 22314 Phone: 703-549-3740 www.nhia.org REIMBURSEMENT_TRAINING_INFUSION SUITES NHIA Reimbursement Training Center Ambulatory Infusion Suites (AIS) Many home infusion therapy providers also operate a health care facility called ambulatory infusion suite (AIS) of the home infusion therapy provider. The AIS of the home infusion therapy provider is a setting where the clinical care provided pursuant to physician orders is managed and performed by MEDICARE’S CHANGING COVERAGE CRITERIA FOR PARENTERAL AND Basis of the PN NCD Issue of Permanence Permanence is met if it is the judgment of the attending physician, substantiated in the medical record, that the condition is of long and indefinite duration (90 daysor
ADVANCING HOME INFUSION CLINICAL PRACTICE THROUGH RESEARCH Background •2009 Consensus Guidelines: •2020 Consensus Guidelines: Support an AUC of at least 400mg*hr/L for optimal bacterial killingfor the treatment
VASCULAR ACCESS: MAINTAINING PATENCY AND REDUCING 35 THE EVOLUTION OF FLUSHING PROTOCOLS Traditionally, heparin is the agent of choice for a lock solution. The standard of care is toinstill at
NHIA 2021 ANNUAL CONFERENCE NHIA's Annual Conference is the premier conference for the home and specialty infusion industry, offering inspiring speakers, education and networking opportunities. NATIONAL CODING STANDARD 1600 Duke Street Suite 410 Alexandria, Virginia 22314 ; 703-549-3740; info@nhia.org; 888-206-1432; 9am to 5pm EST Monday to Friday NHIA NATIONAL CODING STANDARD FOR HOME INFUSION CLAIMS NHIA National Coding Standard for Home Infusion Claims under HIPAA Version 1.11.01i Effective Date: January 1, 2020 1600 Duke Street Suite 410 Alexandria, VA 22314 Phone: 703-549-3740 www.nhia.orgLIVE WEBINARS
NHIA offers live webinars to provide instruction and updates on issues affecting practitioners and the industry. From clinical to operational—as well as the latest on coverage, reimbursement, and NHIA’s advocacy activities—Talk Infusion webinars are free to NHIAmembers.
RESEARCH POSTERS
NHIF Research POSTERS NHIA POSTER SUBMISSIONS – 2020 Take a look at research posters submitted as part of NHIA’s 2020 Annual Conference. While we were unable to share them during the conference, we wanted to make these outstanding educational resources available to you, on a variety of topics in the home and specialty infusion industry. 2021 QUICK CODING REFERENCE FOR HOME INFUSION THERAPY ALL DRUGS CODED AND PAID SEPARATELY Use specific HCPCS drug codes (“J-codes”) with NDC number HIGH TECH NURSING SERVICE CODED AND PAID SEPARATELY 99601q Home infusion/specialty drug administration,pervisit (up to 2 hrs)
REIMBURSEMENT_TRAINING_CENTER_BILLING NHIA Reimbursement Training Center Billing The NHIA Payer Advocacy and Relations Committee has created this NHIA resource to assist members in understanding the various reimbursement methodologies used to recognize the products and services provided to patient and how to translate them to a clean claim. You can click on the outline oftopics below to
ADVANCING HOME INFUSION CLINICAL PRACTICE THROUGH RESEARCH Background •2009 Consensus Guidelines: •2020 Consensus Guidelines: Support an AUC of at least 400mg*hr/L for optimal bacterial killingfor the treatment
FOR IMMEDIATE RELEASE FOR IMMEDIATE RELEASE Contact: Stephanie Tipple Director of Communications & Marketing stephanie.tipple@nhia.org (703) 838-2690 NHIA Commends CMS for Retiring Obsolete Parenteral and EnteralNutrition LCDs
IMMUNOGLOBULIN THERAPY STANDARDS OF PRACTICE NURSES Educational Review Systems is an approved provider of continuing nursing education by the Alabama State Nurses Association (ASNA), an accredited approver of MEDICARE_DOCUMENTATION Verify the effective date by utilizing your DME MAC’s website or their Interactive Voice Response (IVR) System. DME MAC A: Noridian Medicare Portal or IVR at 866-419-9458. DME MAC B: myCGS or IVR at 877.299.7900. DME MAC C: myCGS or IVR at 866-238-9650. DME MAC D: Noridian Medicare Portal or IVR at 877-320-0390. HOME AND ALTERNATE SITE INFUSION SPACE Our mission is to provide advocacy, education, and resources to you, so that the patients you serve can lead healthy, independent lives. Provider Member-only Benefits: EDUCATION. Stay on the cutting-edge of health care and home and alternate site infusion with continuing education (CE) opportunities and networking with industryprofessionals.
INFUSION MAGAZINE
INFUSION magazine is the official publication of the National Home Infusion Association (NHIA), reaching key decision makers within the home and specialty infusion market. The magazine covers topics of interest to pharmacists, pharmacy technicians, nurses, marketing and reimbursement specialists, physicians, case managers, CEOs and othersenior
NHIA NATIONAL CODING STANDARD FOR HOME INFUSION CLAIMS NHIA National Coding Standard for Home Infusion Claims under HIPAA Version 1.11.01i Effective Date: January 1, 2020 1600 Duke Street Suite 410 Alexandria, VA 22314 Phone: 703-549-3740 www.nhia.orgLIVE WEBINARS
NHIA offers live webinars to provide instruction and updates on issues affecting practitioners and the industry. From clinical to operational—as well as the latest on coverage, reimbursement, and NHIA’s advocacy activities—Talk Infusion webinars are free to NHIAmembers.
REIMBURSEMENT_TRAINING_CENTER_BILLING An NDC number consists of 3 sets of numbers. The first 5 digits are the manufacturer code, the second set of 4 numbers are the product code and the third set of 2 numbers reflect the package size. The NDC is entered without dashes. Each segment of the NDC must be reported using the 5-4-2 format. REIMBURSEMENT_TRAINING_INFUSION SUITES NHIA Reimbursement Training Center Ambulatory Infusion Suites (AIS) Many home infusion therapy providers also operate a health care facility called ambulatory infusion suite (AIS) of the home infusion therapy provider. The AIS of the home infusion therapy provider is a setting where the clinical care provided pursuant to physician orders is managed and performed by MEDICARE’S CHANGING COVERAGE CRITERIA FOR PARENTERAL AND Basis of the PN NCD Issue of Permanence Permanence is met if it is the judgment of the attending physician, substantiated in the medical record, that the condition is of long and indefinite duration (90 daysor
HOME INFUSION PATIENT SATISFACTION BENCHMARKING PROGRAM 01 1.1. Program Overview 02 1.2. Validation 03 1.3. Comparing Individual Data to the Industry Benchmarks 04 1.4. Participation 051.5. Return Rates
BAMLANIVIMAB PILOT PROGRAM Bamlanivimab Pilot Program - Billing and Coding Resource The Centers for Medicare & Medicaid Services (CMS) has cast a wide net regarding which entities can provide and bill for MEDICARE_DOCUMENTATION Verify the effective date by utilizing your DME MAC’s website or their Interactive Voice Response (IVR) System. DME MAC A: Noridian Medicare Portal or IVR at 866-419-9458. DME MAC B: myCGS or IVR at 877.299.7900. DME MAC C: myCGS or IVR at 866-238-9650. DME MAC D: Noridian Medicare Portal or IVR at 877-320-0390. HOME AND ALTERNATE SITE INFUSION SPACE Our mission is to provide advocacy, education, and resources to you, so that the patients you serve can lead healthy, independent lives. Provider Member-only Benefits: EDUCATION. Stay on the cutting-edge of health care and home and alternate site infusion with continuing education (CE) opportunities and networking with industryprofessionals.
INFUSION MAGAZINE
INFUSION magazine is the official publication of the National Home Infusion Association (NHIA), reaching key decision makers within the home and specialty infusion market. The magazine covers topics of interest to pharmacists, pharmacy technicians, nurses, marketing and reimbursement specialists, physicians, case managers, CEOs and othersenior
NHIA NATIONAL CODING STANDARD FOR HOME INFUSION CLAIMS NHIA National Coding Standard for Home Infusion Claims under HIPAA Version 1.11.01i Effective Date: January 1, 2020 1600 Duke Street Suite 410 Alexandria, VA 22314 Phone: 703-549-3740 www.nhia.orgLIVE WEBINARS
NHIA offers live webinars to provide instruction and updates on issues affecting practitioners and the industry. From clinical to operational—as well as the latest on coverage, reimbursement, and NHIA’s advocacy activities—Talk Infusion webinars are free to NHIAmembers.
REIMBURSEMENT_TRAINING_CENTER_BILLING An NDC number consists of 3 sets of numbers. The first 5 digits are the manufacturer code, the second set of 4 numbers are the product code and the third set of 2 numbers reflect the package size. The NDC is entered without dashes. Each segment of the NDC must be reported using the 5-4-2 format. REIMBURSEMENT_TRAINING_INFUSION SUITES NHIA Reimbursement Training Center Ambulatory Infusion Suites (AIS) Many home infusion therapy providers also operate a health care facility called ambulatory infusion suite (AIS) of the home infusion therapy provider. The AIS of the home infusion therapy provider is a setting where the clinical care provided pursuant to physician orders is managed and performed by MEDICARE’S CHANGING COVERAGE CRITERIA FOR PARENTERAL AND Basis of the PN NCD Issue of Permanence Permanence is met if it is the judgment of the attending physician, substantiated in the medical record, that the condition is of long and indefinite duration (90 daysor
HOME INFUSION PATIENT SATISFACTION BENCHMARKING PROGRAM 01 1.1. Program Overview 02 1.2. Validation 03 1.3. Comparing Individual Data to the Industry Benchmarks 04 1.4. Participation 051.5. Return Rates
BAMLANIVIMAB PILOT PROGRAM Bamlanivimab Pilot Program - Billing and Coding Resource The Centers for Medicare & Medicaid Services (CMS) has cast a wide net regarding which entities can provide and bill for HOME AND ALTERNATE SITE INFUSION SPACE Our mission is to provide advocacy, education, and resources to you, so that the patients you serve can lead healthy, independent lives. Provider Member-only Benefits: EDUCATION. Stay on the cutting-edge of health care and home and alternate site infusion with continuing education (CE) opportunities and networking with industryprofessionals.
REIMBURSEMENT_TRAINING_CENTER_BILLING An NDC number consists of 3 sets of numbers. The first 5 digits are the manufacturer code, the second set of 4 numbers are the product code and the third set of 2 numbers reflect the package size. The NDC is entered without dashes. Each segment of the NDC must be reported using the 5-4-2 format. NHIA NATIONAL CODING STANDARD FOR HOME INFUSION CLAIMS NHIA National Coding Standard for Home Infusion Claims under HIPAA Version 1.11.01i Effective Date: January 1, 2020 1600 Duke Street Suite 410 Alexandria, VA 22314 Phone: 703-549-3740 Fax: 703-683-1484www.nhia.org
REIMBURSEMENT_CODING_QUICK_CODING_REFERENCES Thanks to the generous support from Innovatix, LLC, the 2021 NHIA Quick Coding Reference for Home Infusion Therapy and the Quick Reference Guide for Billing Home Infusion Nursing to Medicare are now available as an NHIA member-only benefits.. The NHIA Quick Coding Reference is an extremely useful tool once the concepts and detail in the National Coding Standard are understood. NATIONAL CODING STANDARD 1600 Duke Street Suite 410 Alexandria, Virginia 22314 ; 703-549-3740; info@nhia.org; 888-206-1432; 9am to 5pm EST Monday to FridayLIVE WEBINARS
NHIA offers live webinars to provide instruction and updates on issues affecting practitioners and the industry. From clinical to operational—as well as the latest on coverage, reimbursement, and NHIA’s advocacy activities—Talk Infusion webinars are free to NHIAmembers.
ADVANCING HOME INFUSION CLINICAL PRACTICE THROUGH RESEARCH Background •2009 Consensus Guidelines: •2020 Consensus Guidelines: Support an AUC of at least 400mg*hr/L for optimal bacterial killingfor the treatment
MEDICARE'S CHANGING COVERAGE CRITERIA FOR PARENTERAL AND 28. There are situations for which a patient may need 6 - 8 weeks of PN (ex. neo-adjuvent therapy for esophageal cancer). Currently the patient must 1) stay in the hospital, 2) HOME INFUSION PATIENT SATISFACTION BENCHMARKING PROGRAM 01 1.1. Program Overview 01 1.2. Validation 02 1.3. Comparing Individual Data to the Industry Benchmarks 03 1.4. Participation 041.5. Return Rates
FOR IMMEDIATE RELEASE FOR IMMEDIATE RELEASE Contact: Stephanie Tipple Director of Communications & Marketing stephanie.tipple@nhia.org (703) 838-2690 NHIA Commends CMS for Retiring Obsolete Parenteral and EnteralNutrition LCDs
MEDICARE_DOCUMENTATION Verify the effective date by utilizing your DME MAC’s website or their Interactive Voice Response (IVR) System. DME MAC A: Noridian Medicare Portal or IVR at 866-419-9458. DME MAC B: myCGS or IVR at 877.299.7900. DME MAC C: myCGS or IVR at 866-238-9650. DME MAC D: Noridian Medicare Portal or IVR at 877-320-0390. HOME AND ALTERNATE SITE INFUSION SPACE Our mission is to provide advocacy, education, and resources to you, so that the patients you serve can lead healthy, independent lives. Provider Member-only Benefits: EDUCATION. Stay on the cutting-edge of health care and home and alternate site infusion with continuing education (CE) opportunities and networking with industryprofessionals.
INFUSION MAGAZINE
INFUSION magazine is the official publication of the National Home Infusion Association (NHIA), reaching key decision makers within the home and specialty infusion market. The magazine covers topics of interest to pharmacists, pharmacy technicians, nurses, marketing and reimbursement specialists, physicians, case managers, CEOs and othersenior
NHIA NATIONAL CODING STANDARD FOR HOME INFUSION CLAIMS NHIA National Coding Standard for Home Infusion Claims under HIPAA Version 1.11.01i Effective Date: January 1, 2020 1600 Duke Street Suite 410 Alexandria, VA 22314 Phone: 703-549-3740 www.nhia.orgLIVE WEBINARS
NHIA offers live webinars to provide instruction and updates on issues affecting practitioners and the industry. From clinical to operational—as well as the latest on coverage, reimbursement, and NHIA’s advocacy activities—Talk Infusion webinars are free to NHIAmembers.
REIMBURSEMENT_TRAINING_CENTER_BILLING An NDC number consists of 3 sets of numbers. The first 5 digits are the manufacturer code, the second set of 4 numbers are the product code and the third set of 2 numbers reflect the package size. The NDC is entered without dashes. Each segment of the NDC must be reported using the 5-4-2 format. REIMBURSEMENT_TRAINING_INFUSION SUITES NHIA Reimbursement Training Center Ambulatory Infusion Suites (AIS) Many home infusion therapy providers also operate a health care facility called ambulatory infusion suite (AIS) of the home infusion therapy provider. The AIS of the home infusion therapy provider is a setting where the clinical care provided pursuant to physician orders is managed and performed by MEDICARE’S CHANGING COVERAGE CRITERIA FOR PARENTERAL AND Basis of the PN NCD Issue of Permanence Permanence is met if it is the judgment of the attending physician, substantiated in the medical record, that the condition is of long and indefinite duration (90 daysor
HOME INFUSION PATIENT SATISFACTION BENCHMARKING PROGRAM 01 1.1. Program Overview 02 1.2. Validation 03 1.3. Comparing Individual Data to the Industry Benchmarks 04 1.4. Participation 051.5. Return Rates
BAMLANIVIMAB PILOT PROGRAM Bamlanivimab Pilot Program - Billing and Coding Resource The Centers for Medicare & Medicaid Services (CMS) has cast a wide net regarding which entities can provide and bill for MEDICARE_DOCUMENTATION Verify the effective date by utilizing your DME MAC’s website or their Interactive Voice Response (IVR) System. DME MAC A: Noridian Medicare Portal or IVR at 866-419-9458. DME MAC B: myCGS or IVR at 877.299.7900. DME MAC C: myCGS or IVR at 866-238-9650. DME MAC D: Noridian Medicare Portal or IVR at 877-320-0390. HOME AND ALTERNATE SITE INFUSION SPACE Our mission is to provide advocacy, education, and resources to you, so that the patients you serve can lead healthy, independent lives. Provider Member-only Benefits: EDUCATION. Stay on the cutting-edge of health care and home and alternate site infusion with continuing education (CE) opportunities and networking with industryprofessionals.
INFUSION MAGAZINE
INFUSION magazine is the official publication of the National Home Infusion Association (NHIA), reaching key decision makers within the home and specialty infusion market. The magazine covers topics of interest to pharmacists, pharmacy technicians, nurses, marketing and reimbursement specialists, physicians, case managers, CEOs and othersenior
NHIA NATIONAL CODING STANDARD FOR HOME INFUSION CLAIMS NHIA National Coding Standard for Home Infusion Claims under HIPAA Version 1.11.01i Effective Date: January 1, 2020 1600 Duke Street Suite 410 Alexandria, VA 22314 Phone: 703-549-3740 www.nhia.orgLIVE WEBINARS
NHIA offers live webinars to provide instruction and updates on issues affecting practitioners and the industry. From clinical to operational—as well as the latest on coverage, reimbursement, and NHIA’s advocacy activities—Talk Infusion webinars are free to NHIAmembers.
REIMBURSEMENT_TRAINING_CENTER_BILLING An NDC number consists of 3 sets of numbers. The first 5 digits are the manufacturer code, the second set of 4 numbers are the product code and the third set of 2 numbers reflect the package size. The NDC is entered without dashes. Each segment of the NDC must be reported using the 5-4-2 format. REIMBURSEMENT_TRAINING_INFUSION SUITES NHIA Reimbursement Training Center Ambulatory Infusion Suites (AIS) Many home infusion therapy providers also operate a health care facility called ambulatory infusion suite (AIS) of the home infusion therapy provider. The AIS of the home infusion therapy provider is a setting where the clinical care provided pursuant to physician orders is managed and performed by MEDICARE’S CHANGING COVERAGE CRITERIA FOR PARENTERAL AND Basis of the PN NCD Issue of Permanence Permanence is met if it is the judgment of the attending physician, substantiated in the medical record, that the condition is of long and indefinite duration (90 daysor
HOME INFUSION PATIENT SATISFACTION BENCHMARKING PROGRAM 01 1.1. Program Overview 02 1.2. Validation 03 1.3. Comparing Individual Data to the Industry Benchmarks 04 1.4. Participation 051.5. Return Rates
BAMLANIVIMAB PILOT PROGRAM Bamlanivimab Pilot Program - Billing and Coding Resource The Centers for Medicare & Medicaid Services (CMS) has cast a wide net regarding which entities can provide and bill for HOME AND ALTERNATE SITE INFUSION SPACE Our mission is to provide advocacy, education, and resources to you, so that the patients you serve can lead healthy, independent lives. Provider Member-only Benefits: EDUCATION. Stay on the cutting-edge of health care and home and alternate site infusion with continuing education (CE) opportunities and networking with industryprofessionals.
REIMBURSEMENT_TRAINING_CENTER_BILLING An NDC number consists of 3 sets of numbers. The first 5 digits are the manufacturer code, the second set of 4 numbers are the product code and the third set of 2 numbers reflect the package size. The NDC is entered without dashes. Each segment of the NDC must be reported using the 5-4-2 format. NHIA NATIONAL CODING STANDARD FOR HOME INFUSION CLAIMS NHIA National Coding Standard for Home Infusion Claims under HIPAA Version 1.11.01i Effective Date: January 1, 2020 1600 Duke Street Suite 410 Alexandria, VA 22314 Phone: 703-549-3740 Fax: 703-683-1484www.nhia.org
REIMBURSEMENT_CODING_QUICK_CODING_REFERENCES Thanks to the generous support from Innovatix, LLC, the 2021 NHIA Quick Coding Reference for Home Infusion Therapy and the Quick Reference Guide for Billing Home Infusion Nursing to Medicare are now available as an NHIA member-only benefits.. The NHIA Quick Coding Reference is an extremely useful tool once the concepts and detail in the National Coding Standard are understood. NATIONAL CODING STANDARD 1600 Duke Street Suite 410 Alexandria, Virginia 22314 ; 703-549-3740; info@nhia.org; 888-206-1432; 9am to 5pm EST Monday to FridayLIVE WEBINARS
NHIA offers live webinars to provide instruction and updates on issues affecting practitioners and the industry. From clinical to operational—as well as the latest on coverage, reimbursement, and NHIA’s advocacy activities—Talk Infusion webinars are free to NHIAmembers.
ADVANCING HOME INFUSION CLINICAL PRACTICE THROUGH RESEARCH Background •2009 Consensus Guidelines: •2020 Consensus Guidelines: Support an AUC of at least 400mg*hr/L for optimal bacterial killingfor the treatment
MEDICARE'S CHANGING COVERAGE CRITERIA FOR PARENTERAL AND 28. There are situations for which a patient may need 6 - 8 weeks of PN (ex. neo-adjuvent therapy for esophageal cancer). Currently the patient must 1) stay in the hospital, 2) HOME INFUSION PATIENT SATISFACTION BENCHMARKING PROGRAM 01 1.1. Program Overview 01 1.2. Validation 02 1.3. Comparing Individual Data to the Industry Benchmarks 03 1.4. Participation 041.5. Return Rates
FOR IMMEDIATE RELEASE FOR IMMEDIATE RELEASE Contact: Stephanie Tipple Director of Communications & Marketing stephanie.tipple@nhia.org (703) 838-2690 NHIA Commends CMS for Retiring Obsolete Parenteral and EnteralNutrition LCDs
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STAY INFORMED. VISIT NHIA.ORG/COVID19FOR INFORMATION AND
RESOURCES ABOUT CORONAVIRUS DISEASE (COVID-19).OUR MISSION
To provide advocacy, education, and resources to the home and specialty infusion community so the patients they serve can lead healthy, independent lives.OUR VISION
For high-quality infusion services to be valued and accessible to all.COVID-19
RESOURCE CENTER
Get the latest COVID-19 updates impacting the home and specialtyinfusion industry.
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NHIF BENCHMARKING PROGRAM Be part of NHIF’s benchmarking program to collect industry-wide, standardized data to establish a national reference point for performance and clinical metrics.Read More
COVID-19 HOME INFUSION THERAPY PROGRAM (C-HIT) Learn more about COVID-19 monoclonal antibodies and how to particpate in NHIA’s C-HIT program.Read More
ADVOCACY INITIATIVES Learn more about NHIA’s advocacy priorities and how you can getinvolved.
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LATEST NEWS
_May 12, 2021
_NHIA Announces Incoming Members of Board of Directors The National Home Infusion Association (NHIA) has announced the incoming members of the associations’ board ofdirectors.
_May 6, 2021_
NHIA NAMED RECIPIENT OF ASAE 2021 GOLD CIRCLE AWARD FOR INFUSIONMAGAZINE
The National Home Infusion Association (NHIA) is pleased to be the recipient of an American Society of Association Executives (ASAE) 2021 Gold Circle Award for the association’s bi-monthly INFUSION print magazine, which underwent a redesign in 2019._May 6, 2021_
NHIA NAMED RECIPIENT OF ASAE 2021 GOLD CIRCLE AWARD FOR INFUSIONMAGAZINE
The National Home Infusion Association (NHIA) is pleased to be the recipient of an American Society of Association Executives (ASAE) 2021 Gold Circle Award for the association’s bi-monthly INFUSION print magazine, which underwent a redesign in 2019._April 22, 2021
_NATIONAL HOME INFUSION ASSOCIATION ANNOUNCES 2022 ANNUAL CONFERENCE TO BE HELD IN NASHVILLE NHIA has announced that their 2022 Annual Conference will be held on-site in Nashville, Tennessee, March 12-16, 2022. The conference is the premier event for the home and specialty infusion industry and will be held at the Gaylord Opryland Resort & Convention Center, just minutes away from downtown Nashville._April 21, 2021_
NATIONAL HOME INFUSION FOUNDATION ANNOUNCES RECIPIENT OF 2021 OUTSTANDING ABSTRACT ACHIEVEMENT AWARD NHIF is proud to announce that the recipient of the 2021 Outstanding Abstract Achievement Award (OAAA) is Christina Ritchey, MS, RD, LD, CNSC. The OAAA is awarded to an individual that presents a poster during the National Home Infusion Association’s (NHIA) Annual Conference on a relevant home and specialty infusion topic._April 19, 2021
_NHIF ANNOUNCES 2021 LYNN GIGLIONE WOMEN IN LEADERSHIP AWARD RECIPIENT NHIF is proud to announce that Cindy Sumrall, RN, BSN, CRNI, IgCN is the recipient of the 2021 Lynn Giglione Women in Leadership Award. The Lynn Giglione Women in Leadership Award is given each year to recognize and honor trail-blazing and accomplished women leaders who have distinguished themselves within their organizations and among their industry peers._April 19, 2021
_NHIA ANNOUNCES RECIPIENT OF 2021 GENE GRAVES LIFETIME ACHIEVEMENTAWARD
NHIA is proud to announce that Varner R. Richards, PharmD is the recipient of the 2021 Gene Graves Lifetime Achievement Award. The Gene Graves Lifetime Achievement Award is the highest honor that NHIA bestows on a member of the home and specialty infusion community._April 16, 2021
_NHIA SUBMITS COMMENTS ON PROPOSED EN AND PN LCDS On April 10, NHIA submitted written comments to the Durable Medical Equipment Medicare Administrative Contractors (DME MACs) on proposed local coverage determinations (LCDs) for enteral nutrition (DL38955) and parenteral nutrition (DL38953). The association also provided oral comments in a public meeting held by the DME MACs in March. READ NHIA’S EN COMMENTS |READ
NHIA’S PN COMMENTS_April 12, 2021
_NHIA RELEASES WHITE PAPER ON POLICY IMPACTS ON MEDICARE BENEFICIARY ACCESS TO PART B DMEPOS HOME INFUSION THERAPY The Part B Durable Medical Equipment and Prosthetics/ Orthotics and Supplies (DMEPOS) benefit serves an important need in the Medicare program by creating home infusion access for a small number of highly vulnerable beneficiaries who rely on continuous infusions of lifesavingmedications.
_April 5, 2021_
NHIA STATEMENT ON COMMERCIAL PAYER COVERAGE FOR HOME INFUSION OF COVID-19 MONOCLONAL ANTIBODIES The National Home Infusion Association is concerned that some commercial insurance plans have not yet implemented coverage policies for home administration of COVID-19 monoclonal antibodies. For decades, patients with employer-based insurance plans have benefited from a robust, pharmacy-led home infusion model that ensures equitable access to infused therapies._March 30, 2021
_NHIA Takes Virtual Event to Next Level After cancelling its annual conference last year, the National Home Infusion Association is back with a virtual event to “reconnect everyone,” says COO Jennifer Charron. With virtual events increasing in frequency due to the pandemic, the association hired a production crew to produce the event and take it to the next level, she says.View more news
WE NEED YOUR SUPPORT NHIA is dedicating extra resources to pursue legislation to allow home infusion providers to serve Medicare beneficiaries during the public health emergency related to COVID-19.Donate Now
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