by Jared Staheli
July 10th, 2015
CWF edits Carrier claims to ascertain that the laboratory identified by the CLIA number is certified to perform the test. (CWF uses data supplied from the certification process.) See Chapter 27 for related specifications.
Providers that bill FIs are responsible for verifying CLIA certification prior to ordering laboratory services under arrangement. The survey process validates that these providers have procedures in place to insure that laboratory services are provided by CLIA approved laboratories.
Refer to the Medicare State Operations Manual for information about CLIA license or the CLIA licensure exemptions.