decisionhealth Newsletters, Coder Pink Sheets - 2011 Issue 3 (March)
Requisitions will require a signature
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Article Overview
This article is for physician practices, billing staff, and laboratory billing/coding personnel who handle clinical diagnostic lab paperwork. It covers a Medicare Physician Fee Schedule update tied to the Clinical Laboratory Fee Schedule, the distinction CMS draws between requisitions and orders, and general operational considerations such as documentation, secure communication, and practice workflow.
Why This Topic Matters
The article matters because it highlights a Medicare-driven paperwork change that affects how lab tests are requested and documented. Practices that send clinical laboratory specimens need to understand which documents require signatures and how their internal processes may need to adapt.
Article Sections
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Signature requirement for clinical laboratory requisitions
Introduces the Medicare-related change affecting paperwork sent to clinical diagnostic laboratories and the timing of implementation. It also frames who in the practice may be affected.
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What CMS means by a requisition
Explains the general role of requisition paperwork in the clinical laboratory setting and the types of information it may contain. The section focuses on the administrative definition used by CMS.
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Practice workflow considerations
Discusses how practices may handle signature review, form availability, and internal routing before laboratory submission. It addresses operational planning rather than coding specifics.
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Orders are not affected by this rule
Distinguishes laboratory orders from requisitions and notes that a separate CMS manual reference addresses the concept of an order. The section also points to the requirement for clinician involvement in signed orders.
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Consider the lab order loopholes
Covers alternative ways practices may transmit lab orders and the operational caveats associated with verbal and electronic communication. It includes broader privacy, security, and documentation considerations.
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Official resources
Lists referenced CMS source materials and related organizational context for readers who want to review the underlying guidance.
What You Will Learn
- How CMS distinguishes between requisitions and orders for laboratory testing
- What kinds of practice workflows may be affected by the signature requirement
- What general operational issues arise when using phone or secure email for lab orders
- Where to find the referenced CMS source materials
Who Should Read This
- Physician practices
- Billing staff
- Laboratory billing personnel
- Compliance staff
- Clinical office managers
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