Skip to content

Physician and Allowed Practitioner Orders and Verbal Orders

Sets out who may order home health services for the Agency's patients (physicians, podiatrists for the plan of care, and allowed practitioners: nurse practitioners, clinical nurse specialists and physician assistants, within their Missouri scope of practice), that drugs, services and treatments are given only as ordered, who may accept a verbal order, how it is read back, recorded, signed, dated and timed, the Agency's own time frame for the practitioner to authenticate it (14 days), and how unclear orders, standing orders and the Medicare and MO HealthNet signature rules are handled.

Preview: full text with a package
About this policy
Policy number
MO-HH-ORD-01
Version
1.0
Main rule
42 CFR §484.60(b) (adopted by 19 CSR 30-26.010(1)(A))
Library
Missouri home health · 57 policies
Category
Clinical tasks
Sections
20

In short

  • Give drugs, services and treatments only as a physician or allowed practitioner has ordered.
  • Only RNs, therapists for their own discipline, and LPNs within limits may take a verbal order. Aides and office staff never do.
  • Write the order down, read it back, then sign, date and time it.
  • The practitioner must sign the order within 14 days. Office staff track unsigned orders.
  • If an order is unclear or seems unsafe, do not carry it out until you have checked with the practitioner.

What's inside

20 sections. The full text comes with the One-time Policy Pack.

Full text with a package
  • Terms of Reference
  • 1. Purpose
  • 2. Scope
  • 3. Definitions
  • 4. Policy Statement (42 CFR §484.60(b) (adopted by 19 CSR 30-26.010(1)(A)))
  • 5. Who May Order Home Health Services
  • 6. Carrying Out Orders
  • 7. Who May Accept a Verbal Order
  • 8. Taking and Recording a Verbal Order
  • 9. Authentication by the Practitioner
  • 10. Interim Orders and MO HealthNet
  • 11. Standing Orders and Protocols
  • 12. Unclear, Unsafe, or Unworkable Orders
  • 13. Responsibilities
  • 14. Records and Compliance Monitoring
  • 15. Staff Training
  • 16. References
  • 17. Related Policies and Forms
  • 18. Approval
  • 19. Revision History

An inspector may ask

  • Who at your Agency may take a verbal order, and how is it documented?
  • Show me the verbal orders for this patient and when the practitioner signed each one.

See Cura Core with your agency's name on it.

Choose your state and type of agency, buy your Policy Pack online and get your sign-in by email. Already a customer? Sign in to your portal.