[Histonet] RE: Physician Signatures

Martha Ward mward <@t> wfubmc.edu
Fri Dec 17 10:37:26 CST 2010

Like everyone else we are struggling with how to get everyone to comply.  If anyone has any plans I think the whole group could benefit.  Right now our institution is getting together to figure out a way to get the information out to the surgeons, etc but no concrete plans. 

Martha Ward, MT (ASCP) QIHC
Assistant Manager
Molecular Diagnostics Lab
Dept. of Pathology
Wake Forest University Baptist Medical Center
Winston-Salem, NC 27157

-----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 11:10 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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