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CMS Pub 100-02 Transmittal 94 Change Request 6100 Diagnostic Testing Orders

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  • Barbara J. Cobuzzi
    Pub 100-02 Medicare Benefit Policy Centers for Medicare & Medicaid Services (CMS) Transmittal 94 Date: August 29, 2008 Change Request 6100 This is only part of
    Message 1 of 1 , Sep 2 11:58 AM
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      Pub 100-02 Medicare Benefit Policy

      Centers for Medicare & Medicaid Services (CMS)


      Transmittal 94

      Date: August 29, 2008


      Change Request 6100



      This is only part of the change request, but I thought this is the most
      relevant:



      Order

      An "order" is a communication from the treating physician/practitioner
      requesting that a diagnostic test be performed for a beneficiary. The order
      may conditionally request an additional diagnostic test for a particular
      beneficiary if the result of the initial diagnostic test ordered yields to a
      certain value determined by the treating physician/practitioner (e.g., if
      test X is negative, then perform test Y). An order may be delivered via the
      following forms of communication:

      . A written document signed by the treating physician/practitioner,
      which is hand-delivered, mailed, or faxed to the testing facility; NOTE: No
      signature is required on orders for clinical diagnostic tests paid on the
      basis of the clinical laboratory fee schedule, the physician fee schedule,
      or for physician pathology services;.



      . A telephone call by the treating physician/practitioner or his/her
      office to the testing facility; and



      . An electronic mail by the treating physician/practitioner or
      his/her office to the testing facility.



      If the order is communicated via telephone, both the treating
      physician/practitioner or his/her office, and the testing facility must
      document the telephone call in their respective copies of the beneficiary's
      medical records. While a physician order is not required to be signed, the
      physician must clearly document, in the medical record, his or her intent
      that the test be performed.





      Barbara



      Barbara J. Cobuzzi, MBA, CPC-OTO, CPC-H, CPC-P, CPC-I, CHCC

      President

      CRN Healthcare Solutions

      http://www.CRNHealthcare.com
      <http://www.codingandreimbursement.net/healthcaresolutions.php>

      b.cobuzzi@...

      732-389-3110 voice 732-542-3824 fax 732-233-7660 cell



      Affiliate of AskLeslie.net <http://www.askleslie.net/> The Voice of the
      Industry





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