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Complying with Laboratory Services Documentation …
Page 1 of 5 Complying WITH Laboratory Services Documentation REQUIREMENTSICN MLN909221 December 2020 PRINT-FRIENDLY VERSIONMLN Fact SheetComplying with Laboratory Services Documentation RequirementsICN MLN909221 December 2020 Page 2 of 5 UPDATESNote: We revised this product with the following content updates: Clarified Documentation requirements to add language acceptable to Medical Review Contractors auditing records for regulatory guidance compliance Added clarification to the term standing orders MLN Fact SheetComplying with Laboratory Services Documentation RequirementsICN MLN909221 December 2020 Page 3 of 5 INTRODUCTIONThe majority of improper Laboratory Services payments identified by the Comprehensive Error Rate Testing (CERT) Program are due to insufficient Documentation .
documentation supports the orders and/or protocols are individualized to each patient. If you order diagnostic services for Medicare patients, you must also maintain documentation of . the order (including standing orders and protocols) or intent to order and medical necessity of the .
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