tci Medicare Compliance & Reimbursement - 2008 Issue 31

Documentation: CMS: Physician Signature Not Required for Diagnostic Tests

New clarification trumps previous advice. In an attempt to clear up confusion about who can request a diagnostic test, a recent transmittal outlining the requirements has unfortunately had the opposite effect, leaving practices scratching their heads. Several years ago, CMS altered its rules governing physicians' signatures for requiring diagnostic tests. The change, however, never made its way into Medicare's Internet Only Manual. To streamline its advice, CMS issued Transmittal 94 on Aug. 29. The transmittal covers the differences between "treating physicians" and "ordering physicians," and discusses when you must have a physician's signature on file and when you...

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