WE have been goign back and forth with this one. We are a JCAHO Accred. Home care agency, and my question is when we do a plan af care and send the 485 to the physician for an RN to do a 2 visits for 9 weeks and than the nurse happens to go only once one the 3rd week cuz patient did not want to be seen. We do a missed visit log and thats it, but i have been hearing that everytime u miss a visit a cant make it up in that week you need to send an intrim order to the physician for signature is this true or what is the truth?