HCPro, JustCoding Outpatient - 2018 Issue 43 (October)
Healthcare News: CMS clarifies documentation requirements for diagnostic laboratory tests
October 23rd, 2018
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Article Overview
This news item explains recent CMS clarifications affecting Medicare documentation for diagnostic laboratory tests and other diagnostic tests. It is relevant to providers, billing and coding staff, laboratories, and compliance teams that need to understand the scope of the updated manual instructions, the effective date, and the documentation expectations discussed in the article.
Why This Topic Matters
It helps healthcare organizations stay aligned with Medicare program integrity guidance for diagnostic testing documentation and review, which can affect claim support, compliance processes, and audit readiness.
What You Will Learn
- What CMS clarified in the Medicare Program Integrity Manual regarding diagnostic test documentation
- Which broad categories of diagnostic tests are addressed by the guidance
- What types of documentation and authentication concepts are discussed for test orders
- How telephone-communicated orders are addressed in the updated instructions
- When the clarified Medicare claims guidance becomes effective
Who Should Read This
- Medical coders
- Billers
- Compliance staff
- Laboratory staff
- Physicians and other ordering providers
- Revenue cycle teams
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