Contacting the Dr for follow up orders.

My agency, we don't care who gave the orders no one is seen until our office contacts the doctor we're told will follow to confirm they want us to provide services.
Docs have agencies they prefer to work with, we've been shafted too many times because the hospital referred to us and the doc prefers to work with a different agency and re-writes the referral.

med regs, you have to have either a verbal or written order, verbal you can see pt, but have secretary fax to him for signature.

I was an MA in primary care for years. I helped the docs get their records from the hospitals in most offices. You are the home health nurse not his/her personal assistant. I NEVER had home health call and give me records about a hospital stay, that would be you sending third party records. Most of the time the patient was told to make a follow up appt with their primary care after hospital stay and that would be the first we'd hear they were in the hospital. Then we'd hear from home health (patient was almost always first to call the office ) She was a big B and that's all there is to it.

The written order from the hospitalist is all that she needed to start the HH end of things. No order from the PCP is needed, but it's still a good idea to get a heads up.

I've worked in two states with HH and neither of those allow the doc to pick the HHA, that is entirely at the discretion of the patient. HCP aren't even supposed to make a suggestion regarding agency choice.