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Compliance Bulletins

Each of the following client compliance bulletins was created to educate clients about a specific laboratory policy designed to ensure that we are in compliance with the Center for Medicare and Medicaid Services (CMS) and Health and Human Services (HHS) rules and regulations pertaining to the reimbursement of laboratory services.

General Information

General Information


Required Elements of an Order
When Ordering Panels & Profiles
Provider Acknowledgement for Customer Unique Panels/Profiles

Verbal Orders

Follow-up Requests to Support Verbal Orders
Written Request to Support Verbal Orders

Standing Orders

Standing Orders Process
Standing Orders Request
Outpatient Letter Regarding Standing Orders

Testing Procedures

Establishing Medical Necessity for Lab Tests & Services
Reflex Testing
Requests for Pap Tests
Stat Testing
Critical Values

Specimen Identification & Rejection

Specimen Identification & Labeling
Specimen Rejection Policy Summary

Advance Beneficiary Notice (ABN)

Documentation of Advance Beneficiary Notice (ABN)
Instructions for Obtaining an ABN
Explanation to Medicare Beneficiary
Advance Beneficiary Notice Form (English)
Advance Beneficiary Notice Form (Spanish)

Policies & Requirements

Current Tests with Local Medical Review Policies
HIPAA Requirements Affect Physicians/Practitioners When a Diagnostic Test is Ordered

National Coverage & Medicare Policies

Determinations Covered by National Coverage Policy
New Medicare Policies for Clinical Diagnostic Lab Services
Medicare Payment for Referring Labs/Special Conditions for Referring Labs
Complaint or Concern Regarding a Laboratory's Operation

Requesting Lab Results

Requesting Lab Results by Telephone
Requesting Lab Results by Fax
Authorization Form for the Release of Test Results


IUSM Department of Pathology and Laboratory Medicine

ARUP Consult - Physician Guide to Lab Test Selection and Interpretation

Mayo Medical Laboratories - Physician Clinical Resources

Lab Tests Online - A Public Resource on Clinical Lab Testing