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Decoding Enteral Nutrition Reimbursement: Policies, Laws, and Patient Access

Decoding Enteral Nutrition Reimbursement: Policies, Laws, and Patient Access

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Accessing enteral nutrition (EN) through durable medical equipment (DME) providers often hinges on one critical factor: medical necessity. Yet payer requirements, documentation standards, and coverage rules can make the process complicated for both clinicians and patients.

In this episode, host Christina Rollins sits down with Kim Iles and Brittany Buchholz to unpack how DME suppliers determine coverage, clarify what constitutes medical necessity, and explore how policies differ across Medicare, Medicaid, and commercial insurance.

🎙️ Whether you’re a dietitian, healthcare provider, or advocate, you’ll gain practical strategies to document effectively, work with DME providers, and ensure patients receive the EN support they need. This episode was recorded on 9/17/25 and is hosted by Christina Rollins, MBA, MS, RDN, LDN, FAND, CNSC. Learn more at dnsdpg.org.


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