Enteral Feeding refers to the delivery of nutritionally complete food, containing protein, carbohydrate, fat, water, minerals and vitamins into the stomach, duodenum or jejunum.
For those who cannot eat by mouth or whose oral intake is inadequate, enteral feeding through a tube may be prescribed. In this program, patients who cannot eat by mouth for medical reasons are provided with enteral formulas, feeding pumps, supplies and equipment prescribed by their doctor. PRN Devices provides this service to long-term care residents in nursing facilities throughout Mississippi.
Enteral nutrition is covered by Medicare Part B under the Prosthetic Device benefits.
The beneficiary must require tube feeding to provide sufficient nutrients in order to maintain weight and strength. The beneficiary must also have at least one of the following:
The most common methods of administration are syringe, gravity and pump feeding.
Enteral nutrition that is administered orally is not covered.
Medicare pays for no more than one month’s supply at a time.
Intermittent catheters fall under a DME benefit. Most insurance carriers including Medicare will cover these supplies if coverage criteria are met. Insurance will cover a catheter and individual lubricant.
Your physician will write a prescription for the quantity you need based on the frequency of catheterization and your plan of treatment. Medicare will allow up to a maximum of 200 catheters per month. Many insurance plans differ in the number of catheters they will allow. Our office will contact your insurance carrier to determine how many catheters your plan allows.
It is not recommended to clean and reuse. Intermittent catheters are meant to be used once and then disposed of. Reusing catheters increases the likelihood they will not be completely sterilized and can increase your risk of infection.
A coude tip catheter has a curved tip. This can be used to better navigate through the urethra for patients with a blockage, stricture or enlarged prostate.
This is a self-contained intermittent catheter that is fully protected in its own sterile field. This type of catheter is used to keep the tip of the catheter from bacteria and is used to reduce the risk of Urinary Tract Infections (UTIs).
A hydrophilic catheter is a catheter that only needs water to activate the lubrication coating already on the catheter; therefore, additional lubrication is not needed.
Your physician will write a prescription. We will contact them for your medical records. Upon verifying your coverage criteria and your insurance benefits, we can ship your supplies directly to you based on your order. Every month one of our PRN Devices customer service representatives will contact you to verify your usage and stock of supplies. We can reship your supplies 10 days before your order is due to ensure you never run low. Shipment is always free of charge.
To help people care for their feet, Medicare Part B offers coverage for therapeutic shoes and inserts.
Medicare Part B/other insurances may cover the cost of medically necessary shoes or inserts. Patients may qualify for one of the following benefits:
Our shoes are specially designed with the input of foot health professionals. They feature extra width and depth in the toe box and forefoot to relieve pressure from key areas of your feet, and they’re manufactured using only top quality materials. That makes them great for people with diabetes and other health conditions that affect the feet.
Our shoes are designed for people with diabetes. We offer a variety of comfort footwear styles for people who meet the necessary needs.
They typically fit true to size.
Men’s shoes range from 6 – 12, 13, 14 and 15 in all styles. Men’s widths range from B to EEEE in all styles. Women’s shoes are available in sizes 4 – 10 and 11 in all styles, with select styles available in size 10 ½ and 12. Women’s widths range from A to EE in all styles. AA width is available in select styles in sizes 8 – 11.
Most of the shoes in our collection are constructed with full-grain leather uppers. Select styles are made from nubuck, a buffed leather similar to suede. Other models are made using lycra, a breathable, stretchable material. Our shoes feature full-leather linings, except the athletic models that utilize a cotton lining.
The best way to minimize heel slippage is to wear a lace-up shoe. Different lacing techniques can help reduce heel slippage. If a Velcro closure is your only option, placing a tongue pad under the tongue of the shoe will reduce heel slippage. Our manufacturer does not recommend the use of heel grippers, especially for people with diabetes.
Our shoes range in weight from 1.4 lbs. – 2.5 lbs. per pair with inserts. Please call and we can provide the exact weights of particular styles.
Shoe inserts are made of multiple levels of foam to reduce compression and friction and absorb materials that may harm the foot.
PRN Devices offers two types of inserts that are qualified for Medicare reimbursement: Custom Molded and Heat Molded.
Amputation and foot ulceration are the most common consequences of diabetic neuropathy and major causes of morbidity and disability in people with diabetes. It is advisable to wear well-fitted walking or athletic shoes. The goal is to avoid shoes that pinch or rub or place undue pressure on any area of the foot. Blisters caused by rubbing can easily become infected. Increased pressure on the bottom of the foot might require cushions to redistribute the pressure and prevent calluses and ulcers. People with bony deformities, such as hammertoes or bunions, may need extra-wide or extra-deep shoes.
The Therapeutic Shoe Bill was enacted by Congress in 1993 in order to provide proper footwear and inserts for people with diabetes who qualify under Medicare Part B benefits. According to the American Diabetes Association, there are approximately 17 million Americans with diabetes, and 25% of those people will develop foot complications as a result of their disease. The Therapeutic Shoe Program was designed to help prevent lower limb ulcers, amputation and other complications in people who are diagnosed with diabetes. Eligible beneficiaries qualify for one pair of shoes, plus three extra pairs of inserts and/or shoe modifications per calendar year.
A certified professional will meet with you at your home or our office. We will carefully evaluate and measure your feet. We listen to your concerns about shoe style, color, weight of the shoe, sole material, lifestyle considerations, etc. We will note foot conditions and sizing information and show you the shoes that will best accommodate your situation. We will communicate our findings to your doctor and work with him/her to complete all necessary paperwork. We will verify your insurance coverage and then order your new shoes from the manufacturer. In a week or two, we will have a second meeting with you when we will fit you with your new shoes and three pair of diabetic, pre-fab, heat-moldable inserts. We will make any adjustments to ensure you get the best fit possible. If you are satisfied, you will sign some paperwork and we will bill your insurance.
Click [HERE] to download Medicare Supplier Standards.
Return the shoes within 14 days and inserts in the original box. Call our office at 601.857.6000, and we will pick up the unwanted shoes and deliver the appropriate shoes.
It’s easy to be confused about what constitutes a back brace. Of course, there are plenty of consumer-targeted devices that will stabilize the back. Back braces can come in metal or plastic and are designed to support the back. They protect areas ranging from the entire body to just the lower back. No matter what design, back braces are typically used to encourage healing by reducing the workload on the back.
Many of you who suffer from lower back pain from a herniated disk to degenerative disk disease may consider using a back brace to relieve pain. Although most individuals who use back braces have either a herniated disk or degenerative disk disease, consulting with a professional is the best way to determine if a brace will be beneficial in your unique case. If you and your physician determine that a brace is the best fit for you, you can begin using one to recover faster and easier.
Back braces provide muscular and spinal support in the lower back. By keeping your body in the correct alignment, a back brace keeps pressure off your spine. Since this is most likely the primary cause of your pain, back braces can lessen the pressure on your back and promote comfort.
Every person and their situation is different, so this answer will vary case-by-case. However, as a general rule of thumb, the more pain you experience, the more often you should use a brace. Wearing a brace can help you get through your busy day. It can provide much-needed relief for patients with either acute or chronic back pain.
Fortunately, Medicare will pay on average 80% of the costs associated with receiving a back brace. Medicaid and other insurances may cover the rest of the cost depending on your insurance and diagnosis. Insurances other than Medicare may also cover 80% of the cost of your back brace. Based on your individual level of pain and specific health needs, some individuals receive their brace free of charge. Medicare will usually only approve a back brace once every five years, so be sure to consult about the durability and use of the back brace.
Please ask your doctor if a back brace is right for you, or contact PRN Devices, Inc. at 1.800.748.8893.
MS Medicaid will cover briefs and underpads up to 6 per day (186 per month) for those who qualify – age 3 and above when ordered by a physician.
Medicaid will cover either brief or underpad for the period authorized by your physician. Also, Medicaid will reimburse as either the primary or secondary insurer.
Coverage would depend on the place of service (POS). Air mattresses (Group II) are not covered in all jurisdictions. There are also medical criteria that must be met to justify the medical need. Contact our qualified billing experts and they will work with you to determine eligibility
PRN Devices, Inc. has a sister company Southeast Marketing, Inc. that is a fee for service company. We have a daily rental program with therapeutic support surfaces for a variety of circumstances. Pricing will be based on the product that is ordered. Our products incorporate alternating pressure (AP) and low air loss (LAL) therapies. We have standard and bariatric mattress replacement systems to accommodate patients/residents up to 990 lbs. We also have safety bolster coverlets available to reduce the risk of bed entrapment. Contact us to place orders, obtain pricing or consult with our staff to determine the product features and benefits of the therapeutic support surface that best serves your needs.
Typically orders placed before noon can be delivered the same day. If for some reason we are unable to make the delivery the same day it would be the following morning.
We have an answering service available after hours, weekends and holidays. Call 800.748.8893 to report a problem.
There can be many factors that contribute to skin breakdown. Some of them are: inadequate hydration or nutrition, lack of mobility due to injury, age or other condition, excessive moisture next to the patient’s skin and pressure points created by any bony protrudence such as the tailbone or heel or a combination of these factors.
“Low Air Loss” is an industry-wide phrase used to describe the part of the therapy that deals with the secondary factors of wound care such as heat and moisture. Please remember that there is no actual “loss” of air and this function whether in use or not, cannot cause the alarm to activate.
Alternating Pressure is a vital key to addressing one of the primary causes of pressure wounds – constant and/or excessive pressure. The alternating (inflation/deflation) of air inside chambers we call “cells” creates pressure relief to the body and can be a critical method of wound care for anyone suffering from pressure sores.
Both features can be used as a clinician may see fit The “Low Air Loss” is designed to augment the “Alternating Pressure” as part of a patient’s therapy. These two therapies are often combined for maximum benefit to the patient.
Displaying the actual real-time pressure inside your mattress helps the patient and caregiver know that the controller is providing the air movement necessary for the prevention/healing process needed to treat bedsores. The pressure readings are also very helpful in troubleshooting your mattress system.
Simply turn your pump off and unplug it so as to prevent possible damage when power is restored. Unless you have a power spike or the power circuit is hit by lighting the pump should continue to work after power is restored.