{"ref":"MI-HH-ORD-01","title":"Physician and Allowed Practitioner Orders and Verbal Orders","category":"Clinical tasks","summary":"Sets out how the Agency receives, records and follows physician and allowed practitioner orders: drugs, services and treatments only as ordered; who may accept a verbal order; how a verbal order is written down, read back, signed, dated and timed; the Agency’s time frame for the practitioner’s signature; and the Medicare and Michigan Medicaid rules that orders and verbal orders be signed before billing, that services be ordered before they start or change, and that ordering practitioners be enrolled in Michigan Medicaid.","inShort":["Give drugs, services and treatments only as a physician or allowed practitioner ordered.","Only an RN, or a therapist for their own discipline, may take a verbal order. Everyone else passes the call to an RN.","Write the order in full, read it back, then sign, date and time it.","Send the order for signature the same business day. The practitioner signs within 14 days.","Get an order before you add or change a service or visit frequency."],"primaryCitation":"42 CFR §484.60(b)","citations":["Michigan Medicaid Provider Manual, Home Health, Sections 1, 3 and 10","Michigan Medicaid Provider Manual, General Information for Providers, Sections 7.1, 8.6 and 14.2"],"federalCitations":["42 CFR §484.60(a)(3)","42 CFR §484.60(b)","42 CFR §484.2","42 CFR §409.43","42 CFR §484.110(a)(1)"],"surveyorAsks":["Who in your agency may take a verbal order?","Show me a verbal order: who took it, when, and when the practitioner signed it."],"forms":[{"ref":"MI-HH-ORD-01-A","title":"Verbal Order Record"}],"headings":["Terms of Reference","1. Purpose","2. Scope","3. Definitions","4. Policy Statement (42 CFR §484.60(b))","5. Who May Order","6. Who May Accept a Verbal Order","7. Taking and Recording a Verbal Order","8. Practitioner Signature","9. Services Before the Plan Is Signed, and Changes","10. Tracking Unsigned Orders","11. Responsibilities","12. Records and Compliance Monitoring","13. Staff Training","14. References","15. Related Policies and Forms","16. Approval","17. Revision History"],"version":"1.0","sample":false,"pack":"mi-hha","state":"Michigan","service":"Home health","guides":[{"path":"/guides/home-health-agency-policies/","h1":"What policies and procedures are required for home health agencies?"},{"path":"/guides/home-health-conditions-of-participation/","h1":"Home health Conditions of Participation: which policies each one needs"}],"agency":{"name":"Sample Agency","legalName":"Sample Agency, LLC","logo":null}}