• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki CMS Guidelines

Create Wiki
T

Tonyj

True Blue
Messages
649
Location
Lithonia, GA
Best answers
0
Can anyone guide me as to where I may be able to find guidelines via CMS on ordering lab test by physicians who own their own lab? e.g. Does he need written documentation in the report as to why he's ordering CBC, although a proper Rx is provided for the service (that is CBC w/Diagnosis).
 
On the CMS website in the MLN series catalog, there is a fact sheet about billing laboratory services. It states that ordered labs must be medically necessary relating to the patient's condition, so I would think there should be a note in the chart stating what lab is being ordered and why in order to establish medical necessity.
 
You must log in or register to reply here.
Top