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Complying with Laboratory Services Documentation …

MLN Fact SheetPage 1 of 5 Complying WITH Laboratory Services Documentation REQUIREMENTSICN MLN909221 December 2020 Complying with Laboratory Services Documentation RequirementsMLN Fact SheetICN 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 Complying with Laboratory Services Documentation RequirementsMLN Fact SheetICN 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 .

the service(s) per Medicare regulations and applicable Local Coverage Determinations (LCDs). Submit these medical records if they’re requested. These records need to be available to submit upon request: Progress notes or office notes Physician order or intent to order Laboratory results

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