Dating and signing diagnostic test orders Xxxonlinechat com
Click here to see an example of an acceptable attestation statement from MLN Matters article 6698.Understand when coders need to verify signatures Regardless of specialty, most coders will at some point need to review a medical record and verify that there is a proper signature from the ordering provider when certain tests or drugs are relevant for code assignment.However, when the order is unsigned, the treating physician must include documentation, such as a progress note, that indicates he or she intended the clinical diagnostic test to be performed.
Cassano, CPC Providers must understand the revisions to signature guidelines outlined in Med Learn Matters article 6698 and Transmittal 327 in the Medicare Program Integrity Manual, which were revised on April 26 to include additional clarifying language from CR 6698 and are retroactive to March 1 in order to satisfy the November 2010 reporting period.
We realize that there are times in which an order may not be complete, and the facility would like to carry out the service or test and get the missing information after the fact.
However, this is not what Medicare and other third-party payers want.
These guidelines affect physicians, nonphysician practitioners, and suppliers submitting claims to Medicare fiscal intermediaries (FI), Part A/B Medicare administrative contractors (MAC), carriers, Recovery Audit Contractors (RAC), regional home health intermediaries, and durable medical equipment (DME) MACs for services provided to Medicare beneficiaries, according to Med Learn Matters article 6698.
Note exceptions to signature guidelines Prior language from the Program Integrity Manual stipulated that a legible identifier was required from the ordering provider, either in handwritten or electronic signature form, for every service provided or ordered.
CMS Med Learn Answer: It is not acceptable for the laboratory to perform any testing without a physician's order or to use a patient's history as the reason for testing.