Katie Farver

Document ID: CMS-2013-0019-0012
Document Type: Public Submission
Agency: Centers For Medicare & Medicaid Services
Received Date: February 08 2013, at 12:00 AM Eastern Standard Time
Date Posted: February 26 2013, at 12:00 AM Eastern Standard Time
Comment Start Date: February 7 2013, at 12:00 AM Eastern Standard Time
Comment Due Date: April 8 2013, at 11:59 PM Eastern Standard Time
Tracking Number: 1jx-83ko-v5jc
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I fully support all the enhancements in RD privileges recommended. I suggest that theraputic diets be clarified to include both enteral and parenteral nutrition support modalities. The evidence cited in this documents describes RD input resulting in significant savings and improved outcome when RDs managed parenteral nutrition support. I am concerned that "Therapuetic Diet" will be interpreted as only food that is consumed by the patient off a meal tray. RDs can make the biggest impact (and currently do), by managing enteral and parenteral nutrition support so I recommend making sure that the scope of managing these therapies are spelled out in this regulation clarification.

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