How Long is an Order Valid For?

July 25, 2022
Rick Gawenda

One of the more frequent questions I receive has to do with how long is an order valid for from the time it is written, signed and dated by the physician. In this article, I will answer the following questions:

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  1. Rick,

    I am a small, one man outpatient operation in Mississippi. I have a Mobile Outpatient Clinic so, no physical brick and mortar location. I’ve been fighting with doctor offices on getting orders for evaluation and treatment. Are you saying that I can now just evaluate and provide treatment any medicare patient without any prior approval from a physician. This seems a lot like direct access but I don’t think we are allowed to do that in Mississippi. Is this for just straight medicare or advantage plans as well? Thanks in advance! Bryan Ellsberry OTR/L

    1. Under traditional Medicare, it’s not direct access since you must have a physician/NPP certify and/or recertify your outpatient therapy plan of care. What Medicare Advantage plans require regarding physician orders is plan specific and you would have to check with each plan.