[Histonet] RE: Physician Signatures

[Horn, Hazel V]

We have the physicians sign the reqs.  The surgeons sign them before the req goes to the chart and that copy is stored electronically in the EMR. We get a copy in our lab.  From our clinics the docs sign the reqs in clinic.

Hazel Horn
Hazel Horn, HT/HTL (ASCP)
Supervisor of Autopsy/Histology/Transcription
Arkansas Children's Hospital
1 Children's Way    Slot 820
Little Rock, AR   72202

phone   501.364.4240
fax        501.364.3155

visit us on the web at:    www.archildrens.org

-----Original Message-----
From: histonet-bounces <@t> lists.utsouthwestern.edu [mailto:histonet-bounces <@t> lists.utsouthwestern.edu] On Behalf Of Weems, Joyce
Sent: Friday, December 17, 2010 10:10 AM
To: histonet <@t> lists.utsouthwestern.edu
Subject: [Histonet] Physician Signatures


Is everyone concerned about getting a physician's signature on requisitions, or do you have a fool proof plan in place? Inquiring minds want to know....... TIA!

How many of you have electronic ordering for AP?

This from CodeMap Compliance that I get..

Signatures Required on Laboratory Requisitions

Although many professional groups and organizations lobbied against the signature requirement, CMS is implementing this provision as part of the CY 2011 MPFS. Starting January 1, 2011, the ordering physician must sign all written or paper requisitions for laboratory tests and services. Clinical laboratories will have to scramble to revise requisitions to include a signature line for the ordering physician.

However, those labs that receive test orders via electronic or web-based interfaces should not be affected by the signature requirement included in the 2011 MPFS. In the comments to the proposed 2011 MPFS, CMS states,

"Our proposed policy does not concern electronic or telephonic requests, because we do not consider these types of requests to be requisitions. As we discussed previously, a requisition is the actual paperwork, such as a form that is provided to a clinical diagnostic laboratory that identifies the test or tests to be performed for a patient.



Joyce Weems
Pathology Manager
Saint Joseph's Hospital
5665 Peachtree Dunwoody Rd NE
Atlanta, GA 30342
678-843-7376 - Phone
678-843-7831 - Fax


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