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The page below is a sample from the LabCE course Medicare Compliance for Clinical Laboratories. Access the complete course and earn ASCLS P.A.C.E.-approved continuing education credits by subscribing online.

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Issues Related to Test Ordering, Performance, and Resulting

The laboratory can only perform tests that are ordered by individuals authorized to order tests. If an employee knows that a test has been ordered by someone other than an authorized individual, the employee should report it to his/her supervisor or the compliance officer (CO).
The laboratory must have a system in place to detect tests that are not performed due to a laboratory error and stop or credit the billing for these tests.
  • The laboratory cannot bill for tests that are not performed.
  • An employee who is aware that a test has been canceled or has not been performed for some reason must follow the policies and procedures associated with correcting the billing.