Discipline Frequency and Duration Orders

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Patient-Driven Grouping Model (PDGM)-Effective January 1, 2020 CMS Home Health Payment Methodology.

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Discipline Frequency and Duration Orders

Are you new to the home health industry, have you written a verbal order for discipline frequency and duration order for clinical visits or treatment or both? Sadly many home health agency do not assess or educate new clinicians on the concept of writing a discipline frequency and duration orders for clinical visits or treatment or both.

First you will need to know:

  • What is the agency Medicare week, which may not be the same as payroll week?
  • Does the agency have a specific format to write discipline frequency and duration order for clinical visits or treatment or both?
  • A verbal order(MOD) should include at a minimum:
    • Date order was received from the physician or physician representative
    • Full name of the physician, address and phone number
    • Certification Period which starts on the day the first billable discipline is perform.
    • SN x 2/wk. x 2wk;1/wk. x 3wk. SN to asses Cardio Vascular System for changes in disease processes, perform VS and BP. Instruct patient/caregiver on sign and symptoms to report to physician and when to seek emergency services. Instruct in diet, weight control and hydration.
Monday
3/23/15
Tuesday
3/24/15
Wednesday
3/25/15
Thursday
3/26/15
Friday
3/27/15
SN
Saturday
3/28/15
Sunday
3/29/15
SN
Monday
3/30/15
Tuesday
3/31/15
SN
Wednesday
4/1/15
Thursday
4/2/15
SN
Friday
4/3/15
Saturday
4/4/15
Sunday
4/5/16
Monday
4/6/15
Tuesday
4/7/15
Wednesday
4/8/15
SN
Thursday
4/9/15
Friday
4/10/15
Saturday
4/11/15
Sunday
4/12/15
Monday
4/13/15
Tuesday
4/14/15
Wednesday
4/15/15
SN
Thursday
4/16/15
Friday
4/17/15
Saturday
4/18/15
Sunday
4/19/15
Monday
4/20/15
Tuesday
4/21/15
Wednesday
4/22/15
Thursday
4/23/15
Friday
4/24/15
Saturday
4/25/15
Sunday
4/26/15

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