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Which of the following diagnoses would meet Medicare Part B coverage criteria to qualify a beneficiary for home enteral nutrition?

1: Dysphagia
2: Aspiration pneumonia
3: Anorexia
4: Malnutrition

User Treva
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1 Answer

4 votes

Final answer:

Dysphagia likely meets Medicare Part B coverage criteria for home enteral nutrition due to its impact on swallowing. Anorexia and malnutrition could also qualify if they result in a need for feeding support beyond oral intake.

Step-by-step explanation:

To qualify a beneficiary for home enteral nutrition under Medicare Part B coverage criteria, several conditions may be considered. Home enteral nutrition is covered for individuals who are unable to swallow or digest food orally due to a medical condition that results in a need for nutrition via a feeding tube. Of the options provided, dysphagia, which is a condition that affects a person's ability to swallow, would likely meet Medicare Part B coverage criteria. Dysphagia can stem from neurological diseases, stroke, or other conditions that impact the throat or esophageal muscles. On the other hand, aspiration pneumonia may be a complication resulting from dysphagia, but on its own, it generally does not qualify a patient for home enteral nutrition. Anorexia, if it leads to severe malnutrition that cannot be corrected by oral intake, may qualify a patient, as might malnutrition in the case where oral nutrition is insufficient or not possible.

User Pankaj Mahato
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