Private Duty Nursing
Private duty nursing (PDN) is continuous, shift-based skilled nursing delivered in the home, typically in blocks of 4 to 24 hours, for patients who need ongoing licensed nursing care. It is paid hourly by Medicaid programs, some commercial insurance, workers' compensation, or families directly. It is a fundamentally different service from Medicare home health, which covers only intermittent skilled visits.
Definition
Private duty nursing (PDN) is continuous, shift-based skilled nursing delivered in the home, typically in blocks of 4 to 24 hours, for patients who need ongoing licensed nursing care. It is paid hourly by Medicaid programs, some commercial insurance, workers' compensation, or families directly. It is a fundamentally different service from Medicare home health, which covers only intermittent skilled visits.
Why it matters
Private Duty Nursing is part of the Payers & Programs vocabulary used across home health operations, documentation, and revenue cycle. Understanding it helps clinicians, QA leads, and administrators stay aligned on care quality and compliance.
Texas Home Health Payer Contracting Playbook
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