Treating clinicians unfortunately, occasionally get into routines. We’ve all been there; here are a few examples. Skilled services to focus on: Therapeutic exercise, ADL retraining, functional mobility and cognitive retraining; Frequency and Duration: Patient to be treated 5 times a week for 6 weeks; Anticipated daily treatment 30-45 minutes anticipated to complete plan of care. The question is how do you determine what the frequency, intensity and duration should be for a particular patient? Should we always assume that the patient will need 45 min/daily, 6 times a week for 6 weeks? Of course the answer should be no – each individual patient brings their own diagnosis, co-morbidities, family support etc. Let’s review this issue from a regulatory standpoint.