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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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Written and Verbal Orders

All tests must have a written order on file.
  • Any verbal orders for tests, including tests added on to a specimen already in the lab, must be followed up by a request for a written order.
  • An employee who receives a verbal or add-on order must follow procedures to ensure that a follow-up written order is requested.
  • It is against Medicare regulations to bill extra for calculated test results; only tests that are actually performed may be billed.
  • It is against the law to bill for the same tests or services twice (duplicate billing).
  • It is against the law to bill for quality control tests or tests performed multiple times to check or verify the results.