Introduction

Ordering Compression for Lower Extremity Venous Insufficiency (does not include Lymphedema) SOP

1. Identify Need

o The provider identifies the need for a removable compression device for the patient. Typically, after 2-3 weeks of multilayer compression wraps.

2. Measure and Document

o The provider measures the patient for the compression device.

o Provider documents the measurements in the patient’s medical record.

3. Document Compression Details

o Provider documents the following details:

§ Type of compression required (e.g., Juxtalit, removable stocking)

§ Amount of compression required (e.g., 20-30 mmHg, 30-40 mmHg)

§ If foot compression should be included

4. Notify Wound Care Coordinator (WCC)

o The provider notifies the WCC via email, phone call, or Wound Expert Communication Log of the compression order.

o WCC evaluates patients' insurance:

§ If Commercial Medicare, Private insurance or Medicaid-order can be placed by WCC

§ If Medicare A or B, WCC/IC will forward order to HHA.

5. Complete Ordering Form

o WCC completes the ordering form based on the provider’s documentation and sends it to the Provider for signature.

6. Return Signed Document

o Provider reviews and signs the ordering form.

o Provider returns the signed form to the WCC.

7. Forward Signed Form

o WCC sends the signed form to the Intake Coordinator (IC).

o IC forwards the signed order form, face sheet, and the last two provider notes to the vendor.

Additional Notes:

· Ensure all documents are completed accurately to prevent delays.

· Maintain clear communication between all parties to streamline the process.