Private Duty Nursing: Authorized Hours for Children Delivered and Billed by Month

Percentage of authorized private duty nursing hours delivered and billed in the measurement period for child members (age 0-20 years of age) by the following hour breakouts:

    A. Day/Evening Hours: Hours authorized for the measurement period delivered and billed for weekdays between 6 AM – 10 PM.

    B. Night/Weekend Hours:

  •  Night: Hours authorized for the measurement period delivered and billed for weekdays between 10 PM – 6 AM.
  •  Weekend: Hours authorized for the measurement period delivered and billed for weekend days between Saturday 6 AM – Monday 6 AM.

    C. Intensive Care (Ventilator Dependent) Hours: Hours authorized for the measurement period delivered and billed for individuals on a ventilator 12 or more hours per day, any day of the week.

    D. Unbilled Hours: Hours authorized for the measurement period but not delivered or billed.

Each hour breakout is reported on a monthly basis.  Authorized hours can be used for either Registered Nurse (RN) and/or Licensed Practical Nurse (LPN) level of care.

Measure Identifier: PDN.01

Please see Report Details below for more information on selected subgroups, organizations, and aggregation.

Tables

Data