Review the list below of the top discussion topics to gain insight from professionals from around the NHIA Community on the most pertinent and timely issues of the past year. Learn what other infusion providers are considering and jump in to share your perspective as well! Just click on each link to head directly to the discussion thread on the community.

• What policies are you using for first dose in the home? – Systemic Medications, TPN and Enteral
  • Nursing/clinical perspectives on policies for first dose in the home
• Has anyone provided Protonix in TPN?
  • Methods for providing Protonix and alternative PN additives
• Does anyone provide Iron Infusions in the Home?
  • Protocols for Iron Infusions in the home site of care
• What is a reasonable max infusion rate for home hydration?
• Does anyone allow Inflectra or Remicade to be given for the first time in the home?
• Does anyone have information on the administration of SCIG (i.e. type of pump/tubing/SQ sets, rate, # of sites to use)?

• HIT Accreditation / Medicare / & Nursing Issues
  • Requirements for HIT Accreditation and discussion of business impact
• Accounts Receivable Representatives working remotely? How is it working for you?

• Do Medicare Advantage Plans pay per diem (s-codes)?
• Requirements for Medicare Standard Written Orders
  • Process for securing signed orders and processing Medicare claims, including how to interpret audit findings.
• Part D Audits – When should I submit as non-compounded vs compounded?
  • Navigating the submission of claims as compounded vs. non-compounded drugs
• Billing for Radicava for Home Infusion
  • Codes for infusions and catheter care maintenance
• How do you navigate Part D claims being rejected for refilling too soon when this is operationally essential?
  • When compounding in advance of when a patient will receive their medication, how do you ensure payable claims despite the fill date being identified as refilling too soon?