HNS Policy 

All services provided must be properly documented in the healthcare record.  The care provided and the frequency of visits billed to HNS contracted payors must be supported by documented medical necessity, consistent with the patient's chief complaint/clinical findings, diagnoses, and treatment plan.

The frequency of treatment should gradually decline until the patient reaches the point of discharge or converts to maintenance/supportive care.  

Additionally, when visit frequency exceeds the following guidelines, additional, substantial supporting documentation must be present clearly justifying the need for additional visits:

A. If visits exceed one per day

B. If one visit per day exceeds one week duration

C. If three visits per week exceeds four week duration

D. If visits exceed fifteen in the first month of care