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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 .

requirement for laboratory tests. Ensure all diagnostic laboratory services documentation includes the order (including standing orders) or intent to order and medical necessity of the services. An unsigned order or requisition listing of specific tests is only acceptable if it’s accompanied by

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