CLAIMS: I received a denial stating that the documentation submitted did not support the medical necessity of laboratory services. Can you tell me what I can submit to support these services?
- MD order and progress notes showing medical necessity.
- Requisition forms or MD order forms needed with MD signature.
- MD signatures
- Signature key or attestation statement is needed if MD signature illegible - by MD or Compliance Officer with typed name and MD signature
- Progress note by ordering physician is needed also to show the medical necessity of the services ordered. MD signature also needed with progress note.
- Providers with electronic ordering or progress notes systems
- Print of screen showing electronic order or progress note (Include notation such as “Electronically signed by”.)
- One copy per provider of the protocol that describes that the system is entered by the MD with a unique ID and password or audit trail showing MD entered system with unique ID and password
- For verification of illegible signature
- Signature attestation example: “I, _[print full name of the physician/practitioner]_, hereby attest that the medical record entry for _[date of service]_ accurately reflects signatures/notations that I made in my capacity as __[insert provider credentials, e.g., M.D.]_ when I treated/diagnosed the above listed Medicare beneficiary. I do hereby attest that this information is true, accurate and complete to the best of my knowledge and I understand that any falsification, omission, or concealment of material fact may subject me to administrative, civil, or criminal liability.” M.D. Signature.